caa a22 4500 445832649 CHVBK 20180317145320.0 cr unu---uuuuu 170323e20110301xx s 000 0 eng 10.1007/s00586-010-1487-6 doi (NATIONALLICENCE)springer-10.1007/s00586-010-1487-6 Impact of postpartum lumbopelvic pain on disability, pain intensity, health-related quality of life, activity level, kinesiophobia, and depressive symptoms [Elektronische Daten] [Annelie Gutke, Mari Lundberg, Hans Östgaard, Birgitta Öberg] The majority of women recover from pregnancy-related lumbopelvic pain within 3months of delivery. Since biomechanical and hormonal changes from pregnancy are largely reversed by 3months postpartum, consequently, it is assumed that other factors might interfere with recovery. Relative to the fear-avoidance model and with reference to previous studies, we chose to investigate some pre-decided factors to understand persistent lumbopelvic pain. The evaluation of lumbopelvic pain postpartum is mostly based on self-administered questionnaires or interviews. Clinical classification of the lumbopelvic pain may increase our knowledge about postpartum subgroups. Two hundred and seventy-two consecutively registered pregnant women evaluated at 3months postpartum, answered questionnaires concerning disability (Oswestry disability index), pain intensity on visual analog scale, health-related quality of life (HRQL, EQ5D), activity level, depressive symptoms (Edinburgh postnatal Depression Scale) and kinesiophobia (Tampa Scale for Kinesiophobia). Women were classified into lumbopelvic pain subgroups according to mechanical assessment of the lumbar spine, pelvic pain provocation tests, standard history, and pain drawings. Multiple linear regression analysis was performed to explain the variance of disability. Thirty-three percent of postpartum women were classified with lumbopelvic pain; 40% reported moderate to severe disability. The impacts were similar among subgroups. Pain intensity, HRQL and kinesiophobia explained 53% of postpartum disability due to lumbopelvic pain. In conclusion, one of three postpartum women still had some lumbopelvic pain and the impacts were equivalent irrespective of symptoms in lumbar or pelvic areas. The additional explanations of variance in disability by HRQL and kinesiophobia were minor, suggesting that pain intensity was the major contributing factor. Springer-Verlag, 2010 Postpartum nationallicence Disability nationallicence Prevalence nationallicence Pain intensity nationallicence Low back pain (LBP) nationallicence Gutke Annelie Division of Physiotherapy, Department of Medical and Health Sciences, Linköping University, 581 83, Linköping, Sweden aut Lundberg Mari Division of Occupational Orthopedics, Department of Orthopedics, Sahlgrenska University Hospital, Göteborg University, Göteborg, Sweden aut Östgaard Hans Department of Orthopedic Surgery, Sahlgrenska University Hospital, Mölndal, Sweden aut Öberg Birgitta Division of Physiotherapy, Department of Medical and Health Sciences, Linköping University, 581 83, Linköping, Sweden aut European Spine Journal Springer-Verlag 20/3(2011-03-01), 440-448 0940-6719 20:3<440 2011 20 586 https://doi.org/10.1007/s00586-010-1487-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-010-1487-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Gutke Annelie Division of Physiotherapy, Department of Medical and Health Sciences, Linköping University, 581 83, Linköping, Sweden aut NATIONALLICENCE 700 1- Lundberg Mari Division of Occupational Orthopedics, Department of Orthopedics, Sahlgrenska University Hospital, Göteborg University, Göteborg, Sweden aut NATIONALLICENCE 700 1- Östgaard Hans Department of Orthopedic Surgery, Sahlgrenska University Hospital, Mölndal, Sweden aut NATIONALLICENCE 700 1- Öberg Birgitta Division of Physiotherapy, Department of Medical and Health Sciences, Linköping University, 581 83, Linköping, Sweden aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/3(2011-03-01), 440-448 0940-6719 20:3<440 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer