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Reframing beliefs and instiling facts for contemporary management of pregnancy-related pelvic girdle pain
British Journal of Sports Medicine ( IF 18.4 ) Pub Date : 2022-11-01 , DOI: 10.1136/bjsports-2022-105724
Jodie Pulsifer 1 , Susannah Britnell 2 , Adrienne Sim 3 , Jessica Adaszynski 4 , Sinead Dufour 5
Affiliation  

PPGP is a specific category of pelvic girdle pain (PGP) impacting those in the perinatal period and differs in its aetiology as it is related to pregnancy and associated biopsychosocial influences. PGP in pregnancy and through the first postpartum year is common and combined with low back pain is estimated to occur in 56%–72% of antepartum people with 20% reporting severe symptoms during 20–30 weeks’ gestation and 33%–50% reporting symptoms before 20 weeks’ gestation.1 2 PPGP is a significant cause of disability, reduced quality of life and early medical leave from work. People who experience more persistent symptoms in pregnancy can be at risk for poorer long-term outcomes.3 Lack of belief in resolution, increased emotional distress and pain severity have potential for persistent PGP after pregnancy.1 4 Early intervention in pregnancy and instiling the belief that it can improve will create a better long-term prognosis. Despite mounting evidence of the role that psychosocial and physiological factors play, PGP continues to be mainly understood and treated as a purely biomechanical issue. However, congruent with broader literature examining lumbopelvic pain more globally, PPGP must be understood along with the evolution of contemporary pain science regarding the multifaceted nature of pain and the context of each pregnant person’s unique lived experience.5 6 The 2017 Antepartum PGP …

中文翻译:

为现代妊娠相关骨盆带疼痛的管理重塑信念和灌输事实

PPGP 是影响围产期骨盆带疼痛 (PGP) 的一种特殊类别,其病因不同,因为它与妊娠和相关的生物心理社会影响有关。妊娠期和产后第一年的 PGP 很常见,据估计 56%–72% 的产前人群会出现腰痛,其中 20% 的人在妊娠 20–30 周期间出现严重症状,33%–50% 的人报告出现严重症状妊娠 20 周前出现症状。1 2 PPGP 是导致残疾、生活质量下降和提前病假的重要原因。在怀孕期间经历更持久症状的人可能面临更差的长期结果的风险。3 对解决方案缺乏信心、情绪困扰和疼痛严重程度增加有可能在怀孕后出现持续性 PGP。1 4 早期干预妊娠并灌输其可以改善的信念将创造更好的长期预后。尽管越来越多的证据表明社会心理和生理因素所起的作用,但 PGP 仍然主要被理解为一个纯粹的生物力学问题并被视为一个问题。然而,与更广泛的全球范围内检查腰骨盆疼痛的更广泛文献一致,PPGP 必须与当代疼痛科学的发展一起理解疼痛的多方面性质和每个孕妇独特的生活经历的背景。5 6 2017 年产前 PGP ......
更新日期:2022-10-27
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