Evidence map›Paper›PMID 27406174›Full record

ArticleBMC musculoskeletal disorders2016

Predictors and consequences of long-term pregnancy-related pelvic girdle pain: a longitudinal follow-up study.

Helen Elden, Annelie Gutke, Gunilla Kjellby-Wendt, Monika Fagevik-Olsen, Hans-Christian Ostgaard

Registry-linked trialOpen access · goldAbstract readComparative Study
In one paragraph

Article in BMC musculoskeletal disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04620993 (Investigation of the Effect of Biomechanical and Viscoelastic Properties of Plantar Fascia on Pelvic Girdle Pain in Pregnant Women), which is not on this map. Cited by 68 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 5 pooled it
7.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04620993 completednot on this mapstarted 2021, after this paper: background citation

Investigation of the Effect of Biomechanical and Viscoelastic Properties of Plantar Fascia on Pelvic Girdle Pain in Pregnant Women

TypeobservationalSponsorSultan Abdulhamid Han Training and Research Hospital, Istanbul, TurkeyRan2021 to 2021Enrolled73ConditionsPelvic Girdle Pain, Biomechanical and Viscoelastic Properties of Plantar Fascia, Pregnant WomanArmsEvaluation of biomechanics and viscoelastic properties of plantar fascia, Evaluation of navıcular drop, Evaluation of plantar pressure distrubution
3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 5 syntheses or guidelines pooled it, 158 citations in OpenAlex.

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  11. Postural sway changes and quality of life measures in older women with chronic low back pain.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
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  19. Back and pelvic girdle pain from prepregnancy to postpartum: a new pain tracking method considering pain intensity and chronological patterns.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
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  20. Article

8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Helen EldenGothenburg University, Institute of Health and Caring Sciences, Sahlgrenska Academy, S-405 30, Gothenburg, Sweden. helen.elden@gu.se.ORCID 0000-0003-0000-0476
Annelie GutkeDepartment of Health and Rehabilitation/Physiotherapy, Sahlgrenska Academy, Gothenburg University, Institute of Neuroscience and Physiology, S-405 30, Gothenburg, Sweden.
Gunilla Kjellby-WendtDepartment of Occupational Therapy and Physical Therapy, Sahlgrenska University Hospital/ Molndal, S-431 80, Molndal, Gothenburg, Sweden.
Monika Fagevik-OlsenDepartment of Health and Rehabilitation/Physiotherapy, Sahlgrenska Academy, Gothenburg University, Institute of Neuroscience and Physiology, S-405 30, Gothenburg, Sweden.
Hans-Christian OstgaardDepartment of Orthopaedics, Sahlgrenska Academy, Molndal Hospital, S-431 80, Molndal, Sweden.
Sahlgrenska University Hospital · SEUniversity of Gothenburg · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPelvic girdle pain (PGP) is a multifactorial condition, which can be mentally and physically compromising both during and after pregnancy. However, long-term pregnancy-related PGP has been poorly investigated. This longitudinal follow-up study uniquely aimed to describe prevalence and predictors of PGP and its consequences on women's health and function up to 11 years after pregnancy. METHODS/

designA postal questionnaire was sent to 530 women who participated in 1 of 3 randomized controlled studies for PGP in pregnancy. Women who reported experiencing lumbopelvic pain were offered a clinical examination. Main outcome measure was the presence of long term PGP as assessed by an independent examiner. Secondary outcomes were: working hours/week, function (the Disability Rating Index, and Oswestry Disability Index), self-efficacy (the General Self-Efficacy Scale), HRQL (Euro-Qol 5D and EQ-Visual scale), anxiety and depression, (Hospital anxiety and depression scale,) and pain-catastrophizing (Pain Catastrophizing Scale), in women with PGP compared to women with no PGP.

resultsA total of 371/530 (70 %) women responded and 37/ 371 (10 %) were classified with long-term PGP. Pregnancy-related predictors for long-term PGP were number of positive pain provocation tests (OR = 1.79), history of low back pain (LBP) (OR = 2.28), positive symphysis pressure test (OR = 2.01), positive Faber (Patrick's) test (OR = 2.22), and positive modified Trendelenburg test (OR = 2.20). Women with PGP had significantly decreased ability to perform daily activities (p < .001), lower self-efficacy (p = 0.046), decreased HRQL (p < .001), higher levels of anxiety and depression (p < .001), were more prone to pain catastrophizing, and worked significantly fewer hours/week (p = 0.032) compared to women with no PGP.

conclusionsThis unique long-term follow up of PGP highlights the importance of assessment of pain in the lumbopelvic area early in pregnancy and postpartum in order to identify women with risk of long term pain. One of 10 women with PGP in pregnancy has severe consequences up to 11 years later. They could be identified by number of positive pain provocation tests and experience of previous LBP. Access to evidence based treatments are important for individual and socioeconomic reasons.

Indexed as

AdultAge FactorsAnxietyBody Mass IndexCatastrophizationChronic PainDepressionFemaleFollow-Up StudiesHumansLongitudinal StudiesLow Back PainMiddle AgedPain MeasurementPelvic Girdle PainPostpartum PeriodAnxietyDepressionFunctionHealth-related quality of lifeLong-termPain catastrophizingPelvic girdle painPredictorSelf-efficacy

Identifiers

PMID27406174
PMCPMC4941027
OpenAlexW2460326216

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.