The Timed Up & Go test in pregnant women with pelvic girdle pain compared to asymptomatic pregnant and non-pregnant women.

Active straight leg raise test Load transfer through the pelvis Pain intensity Weight-bearing physical performance-based measure

Journal

Musculoskeletal science & practice
ISSN: 2468-7812
Titre abrégé: Musculoskelet Sci Pract
Pays: Netherlands
ID NLM: 101692753

Informations de publication

Date de publication:
10 2019
Historique:
received: 04 04 2018
revised: 20 12 2018
accepted: 16 03 2019
pubmed: 12 5 2019
medline: 9 4 2020
entrez: 12 5 2019
Statut: ppublish

Résumé

The Timed Up and Go (TUG) test, a standardized functional mobility test, has been proposed as a physical performance-based measure in pregnant women with pelvic girdle pain (PGP). This cross-sectional study aimed to investigate physical function by the use of TUG in pregnant women with PGP compared to asymptomatic pregnant and non-pregnant women, and to identify factors associated with increased TUG. In total, 25 pregnant women with PGP, 24 asymptomatic pregnant and 25 asymptomatic non-pregnant women participated. One-way analysis of variance was used to explore difference in TUG between the groups and multiple linear regression analyses to explore associations between TUG and potential explanatory variables. The time on TUG varied among pregnant women with PGP, and was significantly higher (mean (95% CI) 6.9 (6.5, 7.3) seconds) than for asymptomatic pregnant (5.8 (5.5, 6.0), p < 0.001) and non-pregnant (5.5 (5.4, 5.6), p < 0.001) women. In the total study sample, group, increased BMI and sick leave were significantly associated with increased TUG (p-values≤0.02). In pregnant women with PGP, pain intensity was the only significant clinical factor associated with increased TUG (p = 0.002). Pregnant women with PGP used longer time and showed larger variation in TUG than asymptomatic pregnant and non-pregnant women, this underpins that TUG targets activities relevant to PGP. Our results provide new knowledge about factors influencing TUG time. Importantly, multivariable analyses suggest that pain intensity should be considered when interpreting TUG time in pregnant women with PGP.

Sections du résumé

BACKGROUND
The Timed Up and Go (TUG) test, a standardized functional mobility test, has been proposed as a physical performance-based measure in pregnant women with pelvic girdle pain (PGP).
OBJECTIVES
This cross-sectional study aimed to investigate physical function by the use of TUG in pregnant women with PGP compared to asymptomatic pregnant and non-pregnant women, and to identify factors associated with increased TUG.
METHODS
In total, 25 pregnant women with PGP, 24 asymptomatic pregnant and 25 asymptomatic non-pregnant women participated. One-way analysis of variance was used to explore difference in TUG between the groups and multiple linear regression analyses to explore associations between TUG and potential explanatory variables.
RESULTS
The time on TUG varied among pregnant women with PGP, and was significantly higher (mean (95% CI) 6.9 (6.5, 7.3) seconds) than for asymptomatic pregnant (5.8 (5.5, 6.0), p < 0.001) and non-pregnant (5.5 (5.4, 5.6), p < 0.001) women. In the total study sample, group, increased BMI and sick leave were significantly associated with increased TUG (p-values≤0.02). In pregnant women with PGP, pain intensity was the only significant clinical factor associated with increased TUG (p = 0.002).
CONCLUSION
Pregnant women with PGP used longer time and showed larger variation in TUG than asymptomatic pregnant and non-pregnant women, this underpins that TUG targets activities relevant to PGP. Our results provide new knowledge about factors influencing TUG time. Importantly, multivariable analyses suggest that pain intensity should be considered when interpreting TUG time in pregnant women with PGP.

Identifiants

pubmed: 31076336
pii: S2468-7812(18)30091-2
doi: 10.1016/j.msksp.2019.03.006
pii:
doi:

Types de publication

Comparative Study Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

110-116

Informations de copyright

Copyright © 2019 Elsevier Ltd. All rights reserved.

Auteurs

Lene Christensen (L)

Dept. of Interdisciplinary Health Sciences, Institute of Health and Society, University of Oslo, Norway, Forskningsveien 3A, Harald Schjelderups hus, 0373 Oslo, Norway. Electronic address: lene.christensen@medisin.uio.no.

Nina K Vøllestad (NK)

Dept. of Interdisciplinary Health Sciences, Institute of Health and Society, University of Oslo, Norway, Forskningsveien 3A, Harald Schjelderups hus, 0373 Oslo, Norway. Electronic address: n.k.vollestad@medisin.uio.no.

Marit B Veierød (MB)

Oslo Centre for Biostatistics and Epidemiology, Dept. of Biostatistics, Institute of Basic Medical Sciences, University of Oslo, Norway, Sognsvannsveien 9, Domus Medica, 0372 Oslo, Norway. Electronic address: m.b.veierod@medisin.uio.no.

Britt Stuge (B)

Division of Orthopaedic Surgery, Oslo University Hospital, Norway. Electronic address: Britt.Stuge@medisin.uio.no.

Jan Cabri (J)

Dept. of Physical Performance, Norwegian School of Sport Sciences, Norway, Sognsveien 220, 0863 Oslo, Norway. Electronic address: Jan.Cabri@nih.no.

Hilde Stendal Robinson (HS)

Dept. of Interdisciplinary Health Sciences, Institute of Health and Society, University of Oslo, Norway, Forskningsveien 3A, Harald Schjelderups hus, 0373 Oslo, Norway. Electronic address: h.s.robinson@medisin.uio.no.

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