The Effects of a Water Based Exercise Programme and a Land Based Exercise Programme on Women Experiencing Pregnancy Related Pelvic Girdle Pain

Study Overview
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Brief Summary
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This study aimed to address whether a water exercise programme improves pain and quality of life in pregnant patients with Pelvic Girdle Pain (PGP) compared to a land-based exercise programme and the feasibility of undertaking a large-scale research programme.

Detailed Description
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This study aimed to address whether a water exercise programme improves pain and quality of life in pregnant patients with Pelvic Girdle Pain (PGP) compared to a land-based exercise programme and the feasibility of undertaking a large-scale research programme. Twenty-three participants with diagnosed PGP, recruited at St George's Hospital London, were randomised into two groups (water or land exercise). Each group received, four, once-weekly exercise sessions on land or water. Exercise effects on PGP were measured using a variety of outcome measures. Outcomes were assessed at baseline and post four weeks exercise.

Official Title
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The Effects of a Water Based Exercise Programme and a Land Based Exercise Programme on Women Experiencing Pregnancy Related Pelvic Girdle Pain : a Randomised Controlled Feasibility Study.

Conditions
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Pregnancy Related, Pelvic Girdle Pain

Intervention / Treatment
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* Other: water based exercise
* Other: land based exercise
* Behavioral: advice


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Participants were over eighteen years old, over twelve weeks pregnant and able to speak English. Exclusion Criteria: Participants were excluded from the study if they had uncontrolled blood pressure, placenta praevia, pre-eclampsia, obstetric cholestatsis, uncontrolled asthma, unstable respiratory or cardiac conditions, had open skin wounds or MRSA

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: a randomised controlled feasibility study
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Water Exercise + advice<br>Each group undertook four, once weekly exercise sessions (including a warm up, cool down, relaxation, pelvic control and stability exercise). Both programmes focused on similar exercise and muscle groups, but due to the aquatic medium programmes were unable to be exactly matched. | Other: water based exercise<br> <br> Behavioral: advice<br>* general advice given to all subjects<br>|
| Experimental: Land Exercise + advice<br>Each group undertook four, once weekly exercise sessions (including a warm up, cool down, relaxation, pelvic control and stability exercise). Both programmes focused on similar exercise and muscle groups, but due to the aquatic medium programmes were unable to be exactly matched. | Other: land based exercise<br> <br> Behavioral: advice<br>* general advice given to all subjects<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pelvic Girdle Pain Questionnaire (PGPQ) | A score change of 7 was set as a clinically significant difference | 4 weeks (pre and post intervention) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual Analogue Scale (VAS) | score change of 1.5 was set as clinically significant | 4 weeks (pre and post intervention) | 
| Patient Specific Functional Score (PSFS) | score change of 1 was set as clinically significant | 4 weeks (pre and post intervention) | 
| Active Straight Leg Raise (ASLR). | score change of 1 was set as clinically significant | 4 weeks (pre and post intervention) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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pregnancy, hydrotherapy, quality of life, physical therapy, pelvic girdle pain