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Exploring the effect of pelvic belt configurations upon athletic lumbopelvic pain

Sawle, Leanne, Freeman, Jennifer, Marsden, Jonathan and Matthews, Martin John 2012. Exploring the effect of pelvic belt configurations upon athletic lumbopelvic pain. Prosthetics and Orthotics International 37 (2) , pp. 124-131. 10.1177/0309364612448806

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Abstract

Background: Lumbopelvic injuries are often refractory to treatment and can limit return to sport. Research shows that 50 Newtons (N) of force applied transversely to the pelvis improves lumbopelvic stability and pain. This study applies transverse and diagonal forces to the pelvis in athletes with lumbopelvic pain, and investigates effects on pain and function. Objective: To investigate the effects of transverse and diagonal compressive forces applied to the pelvis of athletes with lumbopelvic pain Study Design: A randomized, repeated measures design using 20 athletes with lumbopelvic pain. Methods: No belt and four pelvic belt configurations (50 N force) were tested. Outcome measures were: resting pain, pain on active straight leg raise (ASLR), resisted hip adduction force and pain on 1-metre broad jump. Force on the adduction test was determined via load cell. Results: Data were analyzed using repeated measures ANOVA. Squeeze test showed significant effect of condition F (4, 76) = 2.7, P < 0.05. On ASLR ipsilateral to the side of pain, pain decreased across conditions (F (4, 76) = 2.5 P = 0.05). Conclusion: Results suggest application of diagonal forces towards the site of pain may have additional benefits in improving pain and function. Such information may inform the development of an orthosis. Clinical relevance The results may be used clinically to determine the effectiveness of different belt placements (with belts or straps) in managing athletic lumbopelvic pain. The results offer an alternative to the application of transverse belts, and may inform new approaches in the development of orthotics.

Item Type: Article
Date Type: Published Online
Status: Published
Schools: Engineering
Subjects: T Technology > TA Engineering (General). Civil engineering (General)
Uncontrolled Keywords: Physiotherapy, rehabilitation
Publisher: Informa Healthcare
ISSN: 0309-3646
Date of Acceptance: 26 April 2012
Last Modified: 04 Jun 2017 09:36
URI: http://orca-mwe.cf.ac.uk/id/eprint/97486

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