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Pelvic girdle pain: European guidelines for the diagnosis and treatment of pelvic girdle pain.

Date of latest update: December, 2007. Date of next update: In 3-5 years. Patient group: Adults with pelvic girdle pain Pelvic Girdle Pain During Pregnancy

Historical articles show that pregnancy-related pelvic girdle pain has been recognizes for centuries. Mentioned by Hippocrates [1] and later described in medical literature by Snelling.
. Intended audience: Health care providers, professional associations, and groups developing guidelines. Indirectly, the guidelines also aim to inform a wider audience including consumers, and health promotion agencies. Additional versions: The original 50 page report with details of basic studies (eg of pelvic anatomy and biomechanics) related to this guideline can be accessed via the Pedro database, or directly at: http://www.backpaineurope.org/ web/files/WG4_Guidelines.pdf. Expert working group: Two physical therapists, two orthopaedic surgeons and a clinical anatomist a·nat·o·mist
n.
An expert in or a student of anatomy.



anatomist

one skilled in anatomy.
 from the Netherlands, Denmark, Norway, and Sweden comprised the guideline development group. Funded by: European Commission, Research Directorate-General, Department of Policy, Co-ordination and Strategy. Consultation with: Feedback was received from an additional 15 professionals representing a variety of disciplines from 12 European countries. Approved by: Not specifically documented. Location: The guidelines are accepted to be published in European Spine J, and are currently available [E-pub ahead of print] on: http://www. backpaineurope.org/web/html/links.html

Description: 26 page document. This document outlines the optimal diagnostic processes and the most effective treatment for reducing pain and improving disability in people with pelvic girdle musculoskeletal pain, commonly arising with pregnancy, trauma, arthritis, and osteoarthritis. Definitions of pelvic girdle pain and joint stability are discussed, and the prevalence of pelvic girdle pain in the pregnant and non-pregnant populations is outlined. The evidence for the use of various clinical/manual therapy tests to diagnose pelvic girdle pain in both pregnant and non-pregnant populations is discussed and descriptions of the tests are provided in an Appendix. Evidence for other diagnostic examinations such as imaging (CT, MRI 1. (application) MRI - Magnetic Resonance Imaging.
2. MRI - Measurement Requirements and Interface.
, bone scan), injections, pain referral maps and external fixation frames is outlined. Evidence for treatment of pelvic girdle pain is discussed, and includes exercises, manipulation and mobilisation, massage, pelvic belts, acupuncture, pharmacology, SIJ injections, radiofrequency denervation denervation /de·ner·va·tion/ (de?ner-va´shun) interruption of the nerve connection to an organ or part.
denervation
, and surgery. A summary of recommendations is provided on pages 19-20 and details of how recommendations are formed and graded are provided. The guidelines are supported by 155 references.

Sandra Brauer

The University of Queensland The University of Queensland (UQ) is the longest-established university in the state of Queensland, Australia, a member of Australia's Group of Eight, and the Sandstone Universities. It is also a founding member of the international Universitas 21 organisation.  
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Title Annotation:Appraisal: Clinical Practice Guidelines
Author:Brauer, Sandra
Publication:Australian Journal of Physiotherapy
Geographic Code:8AUST
Date:Jun 1, 2008
Words:355
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