Measurement of sacroiliac joint stiffness in peripartum pelvic pain patients with Doppler imaging of vibrations (DIV)

被引:38
作者
Buyruk, HM
Stam, HJ
Snijders, CJ
Laméris, JS
Holland, WPJ
Stijnen, TH
机构
[1] Univ Rotterdam Hosp, Inst Rehabil, NL-3015 GD Rotterdam, Netherlands
[2] Erasmus Univ Rotterdam, Dept Biomed Phys & Technol, NL-3000 DR Rotterdam, Netherlands
[3] Univ Rotterdam Hosp, Dept Radiodiag, NL-3015 GD Rotterdam, Netherlands
[4] Univ Hosp Rotterdam, Cent Instrumentat Dept, NL-3000 DR Rotterdam, Netherlands
[5] Erasmus Univ Rotterdam, Dept Epidemiol & Biostat, NL-3000 DR Rotterdam, Netherlands
来源
EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY | 1999年 / 83卷 / 02期
关键词
Doppler; instability; low back pain; peripartum pelvic pain; sacroiliac joints; stiffness;
D O I
10.1016/S0301-2115(98)00331-5
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objectives. The research question of the present study was: are sacroiliac joint stiffness levels of peripartum pelvic pain patients different from those of healthy subjects? Study design. A cross-sectional comparative sacroiliac joint stiffness analysis of peripartum pelvic pain patients with healthy subjects. In previous studies we introduced a new technique, Doppler imaging of vibrations (DIV), to assess sacroiliac joint stiffness using colour Doppler imaging and vibrations. The measurements were performed on a group of peripartum pelvic pain patients (n = 56) and on a control group (n = 52). The differences in sacroiliac joint stiffness between the patient group and the control group were tested statistically by means of the Wilcoxon's two sample test, the chi-square test and Student's t-tests. Results. Both patients and controls displayed stiff as well as unstiff joints with no significant difference. There was a significant difference between the groups with regard to the relative difference of sacroiliac joint stiffness between left and right. Conclusions. A diagnostic tool which can possibly be developed in the future could demonstrate an objective finding among women with peripartum pelvic pain. DIV is easy to apply and non-invasive. Asymmetric stiffness of the sacroiliac joints seems to be more directly related to low back pain and pelvic pain, not the stiffness level of a single sacroiliac joint. (C) 1999 Elsevier Science Ireland Ltd. All rights reserved.
引用
收藏
页码:159 / 163
页数:5
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