Low Level Laser Therapy in Persistent Pelvic Girdle Pain
Sweden60 participantsStarted 2016-03
Plain-language summary
Persistent pregnancy-related pelvic girdle pain is common, 2-5% av all women given birth is suffering from disabling daily pain with high impact on quality of life.
A prospective double-blinded randomised controlled trial will be performed with a baseline assessment 7-10 months after childbirth with follow-up directly and 6 months after a treatment period with low level laser therapy (LLLT) or sham laser treatment, given at 12 planned treatment sessions during four weeks. 60 women will be included in the study.
If LLLT can reduce pain and improve function there will be a new treatment option for this condition.
Who can participate
Age range18 Years
SexFEMALE
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion criteria
✓. Ongoing sacral pain with onset during the preceding pregnancy reported on a present pain drawing
✓. Pain intensity ≥40 mm as worst during the past week on a 100 mm visual analogue scale (VAS)
✓. One positive pain provocation test of either Posterior Pelvic Pain Provocation (P4) test, Menell's test or Patrick's faber test
✓. Provoked pain by a gentle pressure on the ischial spine, ipsilaterally to reported sacral pain, at least unilaterally
Exclusion criteria
✕. A positive urinary human Chorionic Gonadotropin (hCG) test
✕. Nerve root affection in the lumbo-sacral spine
✕. Inflammatory disease with pelvic bone and/or spinal manifestation
✕. Known endometriosis, gynaecologic cancer or ongoing malign disease
✕. Previous surgery of the lumbar spine
✕
What they're measuring
1
Pain intensity (100 mm VAS) Worst during the past week
Timeframe: Baseline to 6 months after treatment
2
P4-test Pressure (1, 5, 10 or 15kg) added to provoke sacral pain
Timeframe: Baseline to 6 months after treatment
3
6 minute walk test, 6MWT, distance (m)
Timeframe: Baseline to 6 months after treatment
4
Disability rating index, DRI. Function past week %