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Age: 18Years - 40Years
FEMALE
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ID04226716

The Role of Lumbar Proprioceptive Deficits, Psychosocial Factors and Inflammation in Pregnancy-related Pelvic Girdle Pain a Follow-up Study in Multiparous Pregnant Women

Led by Hasselt University · Updated on 2026-03-03

192

Participants Needed

1

Research Sites

52 weeks

Total Duration

On this page

Sponsors

H

Hasselt University

Lead Sponsor

Z

Ziekenhuis Oost-Limburg

Collaborating Sponsor

AI-Summary

What this Trial Is About

Pregnancy-related low back and pelvic girdle pain PPGP affects many pregnant women, and for about 10 of them, the pain continues after childbirth. The causes of PPGP are not well understood. This study aims to explore whether problems with lumbar proprioception, altered body perception of the lower back, psychological factors such as fear of movement, depression, anxiety, and stress, and increased inflammation in the blood are linked to poorer balance and the development or persistence of PPGP in women who have been pregnant before during their pregnancy and postpartum period. The study follows two groups multiparous women those who have had at least one previous pregnancy are assessed multiple times during their first and third trimesters, and again at six weeks and six months after giving birth. Nulliparous women those who have never given birth are measured once or twice for comparison. The research involves behavioral assessments of postural control, lumbar proprioceptive use, body perception of the back, psychosocial factors including fear of movement and mental health, and blood samples to measure inflammation. These evaluations are performed throughout the pregnancy and postpartum periods for multiparous women. Participants will attend visits at specific times before 16 weeks of pregnancy, between 32 and 38 weeks of pregnancy, six weeks postpartum, and six months postpartum for the multiparous group nulliparous participants are assessed once or twice shortly after joining. During these visits, researchers will measure pain, disability, body weight and composition, body perception tasks, questionnaires on psychological factors, and inflammatory markers from blood samples. The main outcomes focus on the presence of PPGP and postural control at these timepoints. This extended follow-up helps understand how these factors change over time and relate to the persistence of pain.

CONDITIONS

Brief Title

The Role of Proprioceptive Deficits, Psychosocial Factors and Inflammation in Pregnancy-related Pelvic Girdle Pain

Who Can Participate

Age: 18Years - 40Years
FEMALE
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Female multiparous women with a singleton pregnancy
  • Pregnant with second or later child
  • No current pregnancy-related pelvic girdle pain (PPGP) during this pregnancy
  • Willing to provide written informed consent
  • Female nulliparous women age- and BMI-matched to pregnant participants
  • Nulliparous women willing to provide written informed consent
Not Eligible

You will not qualify if you...

  • Pregnant for more than 16 weeks at enrollment
  • Current or recent (during this pregnancy) pregnancy-related pelvic girdle pain in multiparous women
  • History of surgery or major trauma to spine or pelvis
  • Surgery or trauma to lower limbs within last two years or ongoing symptoms from earlier trauma
  • Specific balance or vestibular disorders
  • Rheumatic disease or treatment by rheumatologist
  • Neurological abnormalities such as peripheral neuropathy
  • Uncorrected vision problems
  • Acute ankle problems
  • Absolute or relative bed rest due to pregnancy complications
  • Formal psychiatric disorder diagnosis
  • Non-Dutch speaking
  • Nulliparous women with low back or pelvic girdle pain currently or in past six months
  • History of chronic low back or pelvic girdle pain
  • Spinal deformities
  • History of surgery or major trauma to spine, pelvis, or lower limbs
  • Rheumatic disease
  • Neurological abnormalities
  • Psychiatric disorders
  • Uncorrected visual problems
  • Non-Dutch speaking

Research Team

N

Nina Goossens, PhD, PT

L

Lotte Janssens, PhD, PT

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