title: The occurrence of strain symptoms in the lumbosacral region and pelvis during pregnancy and after childbirth.
abstract: OBJECTIVE
  The etiology and pathology of pain in the lumbosacral region and pelvis of pregnant women during and after pregnancy have not been fully determined. This study evaluated if lower back pain during pregnancy and after childbirth is connected with static alterations in the alignment of the pelvis, dysfunction of sacroiliac joints, and irritation of the pelvic ligaments and spine in the lumbosacral region.
  
  
  METHODS
  This study was carried out on a group of 30 women in their eighth month of pregnancy and through 3 months after childbirth. Techniques of manual examination were used to determine the strain. Static alteration of the pelvis was evaluated in both the sitting and standing positions on the basis of alignment of the posterior superior iliac spines. Irritation of the iliolumbar ligaments, sacrotuberous, sacroiliac, and interspinous ligaments was evaluated by means of pressure palpation. Disorders of sacroiliac joint function were evaluated with the Patrick FABERE test, the standing Gillet test, and the standing and sitting flexion tests.
  
  
  RESULTS
  The most frequently irritated ligaments in the lumbar region are interspinous (60%), iliolumbar (40%), and sacroiliac (36%).
  
  
  CONCLUSIONS
  In women, in their eighth month of pregnancy and after childbirth, disorders of static alterations in pelvis alignment and sacroiliac joint dysfunction may occur. The state of pregnancy may result in strain symptoms in the lumbosacral region and pelvis with variable pain intensifying in various static positions.
authors.affiliation: Academy of Physical Education, Faculty of Physiotherapy in Wrocław, Al. Paderewskiego 35, Wrocław, Poland. tsipko@wp.pl
authors.forename: Tomasz
authors.initials: T
authors.lastname: Sipko
authors.forename: Dominika
authors.initials: D
authors.lastname: Grygier
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Barczyk
authors.forename: Gabriela
authors.initials: G
authors.lastname: Eliasz
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000175:diagnosis / Q000209:etiology*; D017699:Pelvic Pain / Q000175:diagnosis / Q000209:etiology*; D010865:Pilot Projects; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000209:etiology*; D011644:Puerperal Disorders / Q000175:diagnosis / Q000209:etiology*