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Trial registered on ANZCTR
Registration number
ACTRN12614000472673
Ethics application status
Approved
Date submitted
30/04/2014
Date registered
6/05/2014
Date last updated
17/05/2019
Date data sharing statement initially provided
17/05/2019
Date results provided
17/05/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Evaluation of physiotherapy management in pregnancy related pelvic girdle pain
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Scientific title
Evaluation of physiotherapy management in pregnancy related pelvic girdle pain
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Secondary ID [1]
284511
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
pregnancy related pelvic girdle pain
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Condition category
Condition code
Musculoskeletal
292129
292129
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0
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Other muscular and skeletal disorders
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Physical Medicine / Rehabilitation
292157
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0
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Physiotherapy
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Reproductive Health and Childbirth
292158
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0
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Other reproductive health and childbirth disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The number of interventional treatment arms is one.
1. Therapist assisted exercises. These are Muscle energy techniques for either anterior pelvic rotation or posterior pelvic rotation (as diagnosed by the physiotherapist). These are applied for 8-10secs and repeated 4-6 times within the one session.
The washout period between interventions will be 10 minutes.
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Intervention code [1]
289272
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Treatment: Other
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Comparator / control treatment
Transcutaneous electrical nerve stimulation (TENS). The TENS unit will be on but will not emit any current through the electrodes which will be placed over the buttock region for 10 minutes. This is a sham treatment as it has no treatment value as there will be no output.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Pelvic girdle pain as assessed by visual analogue scale (VAS).
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Assessment method [1]
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Timepoint [1]
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Immediately prior to intervention and post intervention
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Primary outcome [2]
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Timed single limb stance (SLS) bilaterally.
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Assessment method [2]
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Timepoint [2]
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Immediately prior to intervention and post intervention
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Primary outcome [3]
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Timed up and go test (TUG) which is a timed test for rising uop out of a chair, walking 3 metres, turning around and then walking 3 metres back to chair and sitting down .
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Assessment method [3]
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Timepoint [3]
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Immediately prior to intervention and post intervention
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Secondary outcome [1]
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Pelvic Girdle Pain Questionnaire, which measures quality of life, activity limitations and symptoms.
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Assessment method [1]
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Timepoint [1]
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Immediately prior to intervention and at one week post intervention.
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Eligibility
Key inclusion criteria
The inclusion criteria are the report of pregnancy related pelvic girdle pain (PPGP) during two or more of the following activities: walking, standing, climbing a flight of stairs, turning over in bed or getting out of a chair. Clinical examination will confirm the diagnosis of PPGP based on positive findings on the following tests on the side of the reported symptoms: positive posterior pelvic pain provocation test (P4) and positive active straight leg raise (ASLR). Pain location will be confirmed by drawings filled in by the participant on a body chart.
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Minimum age
17
Years
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Maximum age
40
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Exclusion criteria are known chronic orthopaedic, inflammatory or rheumatologial disorders, fracture, uncontrolled medical or obstetric condition and complications due to pregnancy,low back pain in past 12 months that is unrelated to the pregnancy, sensory disturbance in the lower limb on one or both sides, unilateral or bilateral lower limb weakness, pain below knee, ataxic gait, stocking like numbness, unexplained incontinence, unremitting and severe back pain not altered by different patient posture or position.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Crossover
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
12/05/2014
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Actual
12/05/2014
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Date of last participant enrolment
Anticipated
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Actual
3/09/2017
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Date of last data collection
Anticipated
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Actual
17/09/2017
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Sample size
Target
80
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Accrual to date
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Final
80
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Westmead Research Foundation
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Address [1]
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PO Box 533
Wentworthville NSW 2145
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Dragana Ceprnja
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Address
Physiotherapy Department
Westmead Hospital
PO Box 533
Wentworthville NSW 2145
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Westerns Sydney LHD Westmead
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Ethics committee address [1]
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PO Box 533 Wentworthville NSw 2145
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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05/06/2013
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Approval date [1]
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23/10/2013
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Ethics approval number [1]
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HREC 2013/9/4.2(3803) HREC/13/Wmead/288
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Summary
Brief summary
Pregnancy related pelvic girdle pain (PPGP) has been reported to affect 71% of women who are pregnant and receive care at Westmead Hospital (Pierce et al. 2012). Pelvic girdle pain during pregnancy often causes a reduced ability to transfer, stand and walk and is thought to be related to non-optimal stability of the pelvic girdle (Vleeming et al. 2008). People with PPGP are often referred to physiotherapy but few clinical trials have evaluated the effectiveness of physiotherapy treatments in this disabling condition (Elden et al. 2005). The aim of this randomised cross-over repeated measures study is to determine whether there is a measurable difference in outcomes for pain and function in patients receiving therapist-assisted exercises compared to a control intervention. Ethical approval has been granted for this project at Westmead Hospital, Sydney NSW (Western Sydney Local Health District). This study will directly affect physiotherapy practice by determining the efficacy of a commonly used exercise intervention for the management of PPGP.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Mrs Dragana Ceprnja
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Address
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Physiotherapy Department
Westmead Hospital
PO Box 533
wentworthville NSW 2145
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Country
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Australia
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Phone
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+61 029845 6500
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Dragana Ceprnja
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Address
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Physiotherapy Department
Westmead Hospital
PO Box 533
wentworthville NSW 2145
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Country
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Australia
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Phone
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+610298456500
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dragana Ceprnja
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Address
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Physiotherapy Department
Westmead Hospital
PO Box 533
wentworthville NSW 2145
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Country
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Australia
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Phone
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+610298456500
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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