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Effectiveness of Adding a Pelvic Compression Belt to Lumbopelvic Stabilization Exercises for Women With Sacroiliac Joint Pain

A Feasibility Randomized Clinical Trial

Brizzolara, Kelli J. PT, PhD, OCS1; Wang-Price, Sharon PT, PhD, OCS, COMT, FAAOMPT1; Roddey, Toni S. PT, PhD, OCS, FAAOMPT2; Medley, Ann PT, PhD, CEEAA1

Journal of Women’s Health Physical Therapy: May/August 2018 - Volume 42 - Issue 2 - p 76–86
doi: 10.1097/JWH.0000000000000102
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Objectives: To examine the effects of lumbopelvic stabilization exercises (LSE) and pelvic compression belts on muscle behavior in women with sacroiliac joint.

Study Design: Feasibility randomized clinical trial.

Background: Patients with unilateral lumbopelvic pain have been shown to have altered muscle recruitment patterns of the transverse abdominis (TrA) and internal oblique muscles. The effects of LSE and pelvic compression belts on muscle behavior are unknown in this population.

Methods and Measures: Twenty-five women with unilateral sacroiliac joint pain were randomly assigned to the LSE plus belt (LSE + belt) group or the LSE group. Both groups received the same LSE for 12 weeks with the first 4 weeks under supervision. The LSE + belt group also received a pelvic compression belt for the first 4 weeks. Outcome measures, including the Modified Oswestry Low Back Pain Disability Questionnaire, Numeric Pain Rating Scale, and percent change of muscle thickness for the TrA and internal oblique, were collected at baseline, 4 weeks, and 12 weeks. In addition, Global Rating of Change Scale scores were collected at 4 and 12 weeks.

Results: The analysis of variance results revealed no significant interaction for Modified Oswestry Low Back Pain Disability Questionnaire, Numeric Pain Rating Scale, or percent change of TrA and internal oblique; however, all had significant improvements in over time. There was no significant difference in Global Rating of Change Scale scores between groups.

Conclusion: The results of this feasibility study did not offer clear evidence of the benefit of pelvic compression belt over LSE for those with sacroiliac joint pain. All participants demonstrated an increased muscle thickness of TrA in the first 4 weeks.

1Texas Woman's University, T. Boone Pickens Institute of Health Sciences-Dallas, School of Physical Therapy.

2Texas Woman's University, Institute of Health Sciences-Houston, School of Physical Therapy.

This study was funded by a grant from the Texas Physical Therapy Foundation.

The authors declare no conflicts of interest.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (http://journals.lww.com/jwhpt/pages/default.aspx).

Copyright © 2018 by the Section on Women's Health, American Physical Therapy Association.
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