Generalized joint hypermobility and risk of pelvic girdle pain in pregnancy: does body mass index matter?


Journal

Physiotherapy theory and practice
ISSN: 1532-5040
Titre abrégé: Physiother Theory Pract
Pays: England
ID NLM: 9015520

Informations de publication

Date de publication:
Dec 2022
Historique:
pubmed: 15 4 2021
medline: 16 11 2022
entrez: 14 4 2021
Statut: ppublish

Résumé

Women with generalized joint hypermobility may be at increased risk of pregnancy-related pelvic girdle pain, but evidence is inconclusive. In this prospective cohort study of 283 pregnant women in Norway, we aimed to study the association of generalized joint mobility with pelvic girdle pain, and to evaluate if pre-pregnancy body mass index was a modifier of the association. Generalized joint hypermobility was defined as a score of ≥5/9 positive tests on the Beighton score measured in early pregnancy. Primary outcome was evening pain intensity in gestation week 30, measured by a 100 mm visual analogue scale. We applied linear regression analyses to estimate age-adjusted unstandardized beta coefficients. Evening pain intensity was similar among women with Beighton score ≥ 5/9 and women with Beighton score < 5/9 (age-adjusted mean difference 2.8 mm; 95% CI: -9.2 to 14.9 mm). Women with Beighton score ≥ 5/9 and pre-pregnancy body mass index ≥ 25 kg/m Overall, evening pain intensity was similar among pregnant women with and without generalized joint hypermobility. However, women with a combination of generalized joint hypermobility and body mass index ≥25 kg/m

Sections du résumé

BACKGROUND UNASSIGNED
Women with generalized joint hypermobility may be at increased risk of pregnancy-related pelvic girdle pain, but evidence is inconclusive.
OBJECTIVES UNASSIGNED
In this prospective cohort study of 283 pregnant women in Norway, we aimed to study the association of generalized joint mobility with pelvic girdle pain, and to evaluate if pre-pregnancy body mass index was a modifier of the association.
METHODS UNASSIGNED
Generalized joint hypermobility was defined as a score of ≥5/9 positive tests on the Beighton score measured in early pregnancy. Primary outcome was evening pain intensity in gestation week 30, measured by a 100 mm visual analogue scale. We applied linear regression analyses to estimate age-adjusted unstandardized beta coefficients.
RESULTS UNASSIGNED
Evening pain intensity was similar among women with Beighton score ≥ 5/9 and women with Beighton score < 5/9 (age-adjusted mean difference 2.8 mm; 95% CI: -9.2 to 14.9 mm). Women with Beighton score ≥ 5/9 and pre-pregnancy body mass index ≥ 25 kg/m
CONCLUSIONS UNASSIGNED
Overall, evening pain intensity was similar among pregnant women with and without generalized joint hypermobility. However, women with a combination of generalized joint hypermobility and body mass index ≥25 kg/m

Identifiants

pubmed: 33849378
doi: 10.1080/09593985.2021.1913774
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2222-2229

Auteurs

Hilde Stendal Robinson (H)

Department of Interdisciplinary Health Sciences, Institute of Health and Society, University of Oslo, Oslo, Norway.

Anne Lindgren (A)

Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Department of Physiotherapy, Sundsvall Hospital, Sundsvall, Sweden.

Elisabeth Krefting Bjelland (EK)

Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Department of Obstetrics and Gynecology, Akershus University Hospital, Lørenskog, Norway.
Department of Physiotherapy, Oslo Metropolitan University, Oslo, Norway.

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