Pelvic Belt Research Articles

Epidemiology of skin infection in homeless population in Marseille

Purpose: To describe homeless demographics, chronic medical conditions, ectoparasite and vector-borne disease prevalence over a 19 year-period of time. Methods & Materials: Single-day cross sectional surveys were performed from 2000-2018 using standardized questionnaires and clinical examination of 2387 participants. Samples were collected including: Body lice (2000-2018): Detection of Bartonella quintana, Rickettsia spp., Borrelia spp., Acinetobacter spp., Acinetobacter baumannii (qPCR) Human skin (2014) from hair, neck, arm pits, pelvic belt: Acinetobacter spp., Acinetobacter baumannii. Blood (2014): Acinetobacter spp. (qPCR, culture) Detection of Sarcoptes scabiei (2018): physical examination, dermatoscopy, qPCR (skin scrapings) Results: The population was characterized by a majority of males (95.6%) from North African (49.0%) with a relatively high prevalence of chronic homelessness (44.0%). Pruritus (26.5%) and scratch lesions (17.4%) were recorded. The prevalence of body lice (10.2%) significantly decreased overtime (14.4% in 2000; 1% in 2018). Positive associations were reported between body lice infestations and older age, duration of stays in France for migrants, frequent consumption of alcohol, and tobacco smoking during the 2000-2017 time period. During 2013-2018, we observed Bartonella quintana (1%), Rickettsia spp. (0%) and Borrelia spp. (0%) among 588 body lice specimens. In 2014, Acinetobacter baumannii was found in crushed body lice (42.3%). Homeless infested with body lice were at a greater risk of carrying A. baumannii on the skin (OR = 13, p = 0.004); all blood samples were negative for Acinetobacter spp.. In 2018 we found no scabies in homeless sufffering pruritus. Conclusion: The decreasing prevalence of body louse and louse-borne infection in recent years could possibly be due to the changes in the characteristics of the population but also to the effect of delousing interventions conducted in the shelters by our team or by the shelter staff following our recommendations (providing showers, clothes, laundry and ivermectin treatment).For A. baumannii, we found no evidence that lice can transmit the bacteria through blood circulation, suggesting that infection of lice is due to direct contact with the skin rather than blood feeding. Several risk factors for body lice were identified, allowing a better identification of individuals at higher risk on whom to base targeted preventive interventions.

An Elastic Two-Pocket Pelvic Belt for the Application of Local Lumbo-Pelvic Heat in Labour

Background: When labor pain appears, pharmacological and non-pharmacological techniques can be offered as pain relief methods. Midwives may offer local heat application as a pain relief method. This paper presents the design, implementation and evaluation of the prototypes of a non-pharmacological method consisting of a thermal belt designed by midwives, which provides comfort and pain relief through the application of thermotherapy on both lumbar and suprapubic areas during labour. Method: Prototypes of a thermal belt were designed, tested and protected as a business model. A randomized, parallel, open, non-blind clinical trial was conducted at the University Hospital Germans Trias i Pujol, from Badalona (Barcelona) to assess the beneficial effects of heat application on lumbo-suprapubic pain during initial stages of labour. Participants were pregnant women in the prodromal, early and active labour (up to 4-5 cm of dilation), with lumbo-suprapubic pain. The intervention group received local heat at a temperature between 38-39°C on the lumbo-suprapubic areas for 30 minutes using an elastic pelvic belt as a pain relief device and was compared to a control group in which no heat was used. Results: show that the application of local heat on lumbo-suprapubic areas during labour is effective since, after the intervention, pain level in the study group decreased significantly in the Visual Analogic Scale; and the thermal belt obtained a positive response amongst pregnant women who used it: tested with a global satisfaction index mean score of 80,94% over 100%. Conclusion: Heat application on both lumbar and suprapubic areas in case of labor pain is effective in relieving pain. The heat pads subjection device, a new abdominal two-pocket belt, obtained positive feedback from women in the study group who used it and answered the satisfaction questionnaire.

Plantar Pressure During Gait in Pregnancy-Related Pelvic Girdle Pain and the Influence of Pelvic Belts

ABSTRACT Introduction Many pregnant women experience pelvic girdle pain (PGP) during pregnancy. Etiologies are multifactorial and affect the joint stability of the sacroiliac joint. Pelvic belts could restore stability and help reduce pain during gait. The objectives were to analyze plantar pressure during gait in pregnant women with PGP, to evaluate the effect of pelvic belts, and to compare the effects of two types of belts on plantar pressure parameters. Materials and Methods Forty-six pregnant women with PGP, 58 healthy pregnant women, and 23 nonpregnant women were recruited. The motor task consisted of three-gait trials on a walkway. Plantar pressure was analyzed with four variables. Two types of pelvic belts for pregnant women were used. Results Plantar pressure in women with PGP compared with controls showed differences in all parameters: they displayed lower gait velocity and lower values for most pressure variables at the rear and forefoot (medial side). Conversely, these values were higher for the midfoot (lateral side). These alterations were also found in healthy pregnant women. There was no difference in plantar pressure between groups, those who had or had not used belts, and between the types of belt. Conclusions Pregnant women, with or without PGP, showed nearly the same changes in plantar pressure during gait. PGP did not change plantar pressure parameters. Wearing any of the belts during pregnancy did not have an effect on plantar pressure parameters during gait in pregnant women with PGP.

Effects of pelvic stability on instep shooting speed and accuracy in junior soccer players

Objective: The purpose of this study was to determine the effect of wearing a pelvic compression belt on ball speed and accuracy in instep shoots of youth soccer players. Design: Randomized cross-over design. Methods: We included 20 male junior soccer players with experience of more than 5 years. Participants were randomly assigned to two conditions: application of a pelvic compression belt and instep shooting or no application. Instep shooting was performed three times at a distance of 20 meters from the position of the goal post, and the ball speed was measured using a speed gun at a position 5 meters behind the goal post. The shooting accuracy was measured based on a 5-point scale. The shooting accuracy was measured by scoring 5 points at 2.44 meters in the middle of the goal area of area A, 3 points at 2.44 meters in the goal area of area B, and 0 in the case of shooting outside the goal area C. Results: After applying a pelvic compression belt, the mean speed of the ball was significantly increased (p<0.05). The maximum speed of the ball was significantly increased (p<0.05). The accuracy of the ball was significantly increased (p<0.05). Conclusions: Through this study, we expect that the use of the pelvic compression belt can be applied as a training method to improve the shooting ability of soccer players. Clinically, pelvic compression belts are expected to help rehabilitation soccer players to improve their shooting accuracy.

Terrorist attack in Nice – The experience of general surgeons

After the attacks in Paris, France was again struck by terrorism in the city of Nice during the night of July 14, 2016. At 22:33 in the evening, a 19-ton truck drove into the crowd of holiday celebrators. The attack resulted in 458 wounded and 86 deaths. The purpose of this study was to describe the management of patients with abdominal trauma admitted alive in our institution, in the context of a massive influx of victims. We performed a retrospective analysis of the management of adults with abdominal trauma arising from the terrorist attack in Nice. Among the 182 victims admitted to our trauma center, eleven patients presented with abdominal trauma. The median age was 44 years [14-63] and the median Injury Severity Score (ISS) was 34 [9-59]. Eight patients underwent urgent surgical treatment in the operating room including six for abdominal trauma. These patients were treated according to the principles of surgical damage control, albeit without the need for temporary abdominal closure or packing. Three patients could have had their lesions managed non-operatively had they been admitted outside this surge episode, which saturated the technical means of the receiving hospital. The terrorist attack that victimized the citizens of Nice resulted in the second largest number of dead of any attack on French soil. A large number of patients were admitted to the city's only center for adult trauma care. The management of these patients posed diagnostic, therapeutic and logistical problems. Increased use of pre-hospital pelvic restraint belts may help to reduce vehicular trauma. We do not feel that non-operative management of abdominal lesions can be envisaged in the context of a mass influx of victims. We recommend surgical hemostasis for patients with secondary hemorrhagic risk from visceral trauma in the context of a massive influx of victims.

An index to quantify deviations from normal trunk mobility: Clinical correlation and initial test of validity

BackgroundIn case of people suffering from chronic low back pain, specific movements of the hip, pelvis, and trunk are associated with pain. Comparing range of motion measurements for multiple planes and from different segments and lines in reference to those of healthy individuals seems interesting but present interpretations challenge in relation to important number of variables and correlation with clinical data. MethodsThe proposed index is based on using principal component analysis to quantify differences in trunk mobility between patients with chronic low back pain and a control group. Kinematic data were recorded for the cervical and thoracic vertebrae, the lumbar spine, and the pelvic and scapular belts during repeated trials (hip flexion and extension, hip bending, and trunk twists). Angular motion values were calculated. Principal component analysis was used to convert 10 discrete variables (kinematical data) extracted from control data into 10 independent variables. FindingsThe proposed index comprises the sum of the variables. Initial demonstration of its clinical utility and statistical tests of this index validity were revealed. It establishes correlations between the psychosocial impact of chronic low back pain, trunk mobility (as summarized by the index) and the positive effects of functional restoration program. InterpretationThis index let to assess the absolute potential benefits of rehabilitation in term of kinematic motion. Functional restoration program promotes the physical functioning of patients by increasing their range of motion. This index uses kinematic motion to assess the potential benefits of such rehabilitation program.

Pelvic belts and pregnancy-related pelvic girdle pain: influence on temporal and spatial gait parameters

ABSTRACT The aims of this study were to analyze temporal and spatial parameters of gait during pregnancy in women with and without PGP, to evaluate the effect of pelvic belts on temporal and spatial gait parameters, and to compare two types of belts. A total of 46 pregnant women with PGP, 58 healthy pregnant women and 23 non-pregnant women were recruited. Temporal and spatial parameters were analysed by an walkway. Two pelvic belts for pregnant women were used. An analysis of variance for repeated measures were used. In pregnant women with PGP, compared to healthy pregnant women, gait cycle and stance phase times were lower and single support time was higher. Compared to the non-pregnant women, gait velocity and step length were lower. Stance phase and double support times were higher. During pregnancy, wearing a pelvic belt modified gait velocity, single support phase, step length, step width, stance phase and toe in/out in pregnant women with PGP. Gait adaptations in pregnant women with PGP showed nearly the same changes found in women without PGP. The belts had an effect on gait in pregnant women with PGP, probably through a biomechanical and proprioceptive mechanism.

Center of plantar pressure during gait in pregnancy-related pelvic girdle pain and the effect of pelvic belts.

Many pregnant women suffer from pelvic girdle pain (PGP) during pregnancy. Etiologies are multifactorial and affect the joint stability of the sacroiliac joint. Pelvic belts could restore stability and reduce pain during gait. The center of pressure (COP) is a reliable parameter to assess gait and balance. The objectives of this study were to analyze the COP during gait in pregnant women with PGP, to evaluate the effect of pelvic belts and to compare two types of belts on COP parameters. 46 pregnant women with PGP, 58 healthy pregnant women and 23 non-pregnant women participated in the study. The motor task consisted of three gait trials at different velocities on an electronic walkway. Two pelvic belts for pregnant women were used. An analysis of variance was performed to determine the effects of the progression of the pregnancy, gait speed, presence of pregnancy and occurrence of pain on the COP parameters. Compared to the control group, pregnant women with PGP had a higher stance time, but COP displacement and velocity were lower. The COP parameters varied between pregnant women with and without pelvic girdle pain, the use of a belt during pregnancy decreased the walking velocity. No difference was found according to the type of belt. Differences in COP parameters during gait between pregnant women with or without PGP were minimal. Pelvic girdle pain did not affect the center of pres- sure. Wearing a belt during pregnancy modified the center of pressure velocity during gait in pregnant women with PGP.

The effect of a wheelchair with pelvic support belt on respiratory function

The effect of a wheelchair with pelvic support belt on respiratory function

Pregnancy and pelvic girdle pain: Analysis of pelvic belt on pain.

To analyse pain and functional capacity in women with pelvic girdle pain and to evaluate the effect of pelvic belt on these parameters. Two types of belts were to compare. Pelvic girdle pain is very common during pregnancy. To prevent and relieve pelvic pain, women can use a set of techniques and tools such as a pelvic belt. While scientific evidence is lacking, commercial industries suggest the effectiveness of pelvic belts. Randomised control trial. Forty-six pregnant women with pelvic girdle pain were evaluated. Pain analysis included a quantitative and a qualitative assessment. A daily activities questionnaire was used for functional capacity evaluation. Women were tested at two times during the pregnancy for a longitudinal evaluation, and they used one of the two belt models during their pregnancy. Pelvic pain started between the 14th-21st week of pregnancy. Pain intensity was 60±20mm. Daily activities could increase pain. The use of belts reduced pain. The intensity of pain decreased by 20mm on a visual analogue scale. The daily activities were also easier. However, all these conclusions are valid only if pregnant women used belts regularly on short periods. The belts appear to be interesting tools to reduce pelvic pain and improve comfort of pregnant women. This effect might be explained by an analgesic effect with proprioceptive and biomechanical effect. The different types of belts could have differential effects on global, sacroiliac joint and back pain during pregnancy, but this hypothesis requires confirmation. Relevant for patient: to use an easy and validated tool. Relevant for clinical practice: to suggest a tool scientifically validated for patient. Relevant to economic issues: belts decrease pelvic pain and increase comfort of pregnant women. Sick leave could decrease.

The transverse abdominal muscle is excessively active during active straight leg raising in pregnancy-related posterior pelvic girdle pain: an observational study

BackgroundMany studies suggest that impairment of motor control is the mechanical component of the pathogenesis of painful disorders in the lumbo-sacral region; however, this theory is still unproven and the results and recommendations for intervention remain questionable. The need for a force to compress both innominate bones against the sacrum is the basis for treatment of pregnancy-related pelvic girdle pain (PGP). Therefore, it is advised to use a pelvic belt and do exercises to enhance contraction of the muscles which provide this compression. However, our clinical experience is that contraction of those muscles appears to be excessive in PGP. Therefore, in patients with long-lasting pregnancy-related posterior PGP, there is a need to investigate the contraction pattern of an important muscle that provides a compressive force, i.e. the transverse abdominal muscle (TrA), during a load transfer test, such as active straight leg raising (ASLR).MethodsTrA thickness was measured by means of ultrasound imaging at rest and during ASLR in 43 non-pregnant women with ongoing posterior PGP that started during a pregnancy or delivery, and in 39 women of the same age group who had delivered at least once and had no current PGP (healthy controls).ResultsIn participants with PGP, the median TrA thickness increase with respect to rest during ipsilateral and contralateral ASLR was 31% (SD 46%) and 31% (SD 57%), respectively. In healthy controls, these values were 11% (SD 25%) and 13% (SD 22%), respectively.ConclusionsSignificant excessive contraction of the TrA is present during ASLR in patients with long-lasting pregnancy-related posterior PGP. The present findings do not support the idea that contraction of the TrA is decreased in long-lasting pregnancy-related PGP. This implies that there is no rationale for the prescription of exercises to enhance contraction of TrA in patients with long-lasting pregnancy-related PGP.

Clinical outcome following anterior arthrodesis in patients with presumed sacroiliac joint pain

BackgroundIt has been reported that in 13–32% of patients with chronic low back pain, the pain may originate in the sacroiliac (SI) joints. When treatment of these patients with analgesics and physiotherapy has failed, a surgical solution may be discussed. Results of such surgery are often based on small series, retrospective analyses or studies using a minimal invasive technique, frequently sponsored by manufacturers. PurposeTo report the clinical outcome concerning pain, function and quality of life following anterior arthrodesis in patients presumed to have SI joint pain using validated questionnaires pre- and post-operatively. An additional aim was to describe the symptoms of the patients included and the preoperative investigations performed. Material and methodsOver a 6 year period we treated 55 patients, all women, with a mean age of 45 years (range 28–65) and a mean pelvic pain duration of 9.1 years (range 2–30). The pain started in connection with minor trauma in seven patients, pregnancy in 20 and unspecified in 28. All patients had undergone long periods of treatment including physiotherapy, manipulation, needling, pelvic belt, massage and chiropractic without success, and 15 had been operated for various spinal diagnoses without improvement. The patients underwent thorough neurological investigation, plain X-ray and MRI of the spine and plain X-ray of the pelvis. They were investigated by seven clinical tests aimed at indicating pain from the SI joints. In addition, all patients underwent a percutaneous mechanical provocation test and extra-articular local anaesthetic blocks against the posterior part of the SI joints. Before surgery all patients answered the generic Short-Form-36 (SF-36) questionnaire, the disease specific Balanced Inventory for Spinal Disorders (BIS) questionnaire and rated their level of pelvic and leg pain (VAS, 0–100). At follow-up at a mean of 2 years 49 patients completed the same questionnaires (89%). ResultsAt follow-up 26 patients reported a lower level of pelvic pain than before surgery, 16 the same level and six a higher level. Applying Svensson's method RPpelvic pain=0.3976, with 95% CI (0.2211, 0.5740) revealed a statistically significant systematic improvement in pelvic pain. At follow-up 28 patients reported a higher quality of life and 26 reported sleeping better than pre-operatively. In most patients the character of the pelvic pain was dull and aching, often accompanied by a stabbing component in connection with sudden movements. Referred pain down the leg/s even to the feet and toes was noted by half of the patients and 29 experienced frequency of micturition. ConclusionsIt is apparent that in some patients the SI joints may cause long-term pain that can be treated by arthrodesis. We speculate that continued pain despite a healed arthrodesis may be due to persistent pain from adjacent ligaments. The next step should be a prospective randomized study comparing posterior fusion and ligament resection with non-surgical treatment. ImplicationsAnterior arthrodesis can apparently relieve pain in some patients with presumed SI joint pain. The problem is how to identify these patients within the low back pain group.

Effects of a Pelvic Belt on Hip Muscle Forces and Abdominal Muscle Activities During Isometric Hip Adduction and Abduction

Effects of a Pelvic Belt on Hip Muscle Forces and Abdominal Muscle Activities During Isometric Hip Adduction and Abduction

Does a pelvic belt reduce hip adduction weakness in pregnancy-related posterior pelvic girdle pain? A case-control study.

The cause of non-specific lumbopelvic pain is unknown. Pregnancy-related pelvic girdle pain seems to be a subgroup that deserves a specific treatment. One of the options is the use of a pelvic belt. To objectify the influence of a pelvic belt in patients with pelvic girdle pain. Case-control study. Outpatient clinic. A total of 49 women with long-lasting posterior pelvic girdle pain and 37 parous women of the same age group without pelvic girdle pain. Hip adduction force was measured by asking the participant to squeeze a hand-held dynamometer between the knees. This was firstly performed without a pelvic belt and then with a pelvic belt. The increase of hip adduction force after applying the pelvic belt was expressed in percentages. After tightening a pelvic belt hip adduction force increased 25.9±33.9% in patients with pelvic girdle pain (P<0.0001) and 1.0±8.6% in participants without (P=0.67). The difference between groups was significant (P<0.00001). A pelvic belt has a positive influence on hip adduction force in pregnancy-related posterior pelvic girdle pain. The results show an objective positive effect of the pelvic belt in women with long-lasting pregnancy-related posterior pelvic girdle pain in a test-situation. The results support the idea that the use of a belt could be part of a multidisciplinary rehabilitation of those patients.

Patient Reported Outcomes from Sacroiliac Joint Fusion.

Study DesignRetrospective, case series.PurposeThe purpose of this study is to determine morbidity, complications, and patient reported outcomes from minimally invasive sacroiliac joint (SIJ) fusion.Overview of LiteratureLumbar back pain emanating from the SIJ can be surgically treated via a percutaneous approach in the appropriately selected patient with minimal morbidity and acceptable functional outcomes.MethodsPatients diagnosed by >2 physical examination maneuvers and subjective relief from a computed tomography–guided lidocaine-bupivacaine-steroid injection underwent SIJ fusion after failing conservative management with a combination of oral anti-inflammatory medications, physical therapy, and pelvic belt stabilization. Perioperative data collected include estimated blood loss (EBL) and operative time. Oswestry disability index, 12-item short form health survey (SF-12), visual analogue score, and functional status were analyzed. All complications were noted.ResultsThe study cohort of 45 cases (69% female) achieved postoperative survey follow-up at 9.9 and 32.3 months. SF-12 physical component summary statistically improved while all other scores were equivalent. Mean EBL and operative time were 22 mL and 36 minutes, respectively. Initial survey showed that 64% of patients discontinued narcotics (29/45), 71% do not use an assistive device (32/45), and 15.6% do not work due to pain (7/45). 73% of patients stated they would have the surgery again (33/45). For the second survey, 65% of patients discontinued narcotics (26/40), 70% did not use an assistive device (28/40), and 17.5% did not work due to pain (7/40). A history of thoracolumbar instrumentation (16/45) did not significantly affect outcomes. Three complications described by screw malposition with neurologic deficit (6.7%) were treated with screw repositioning (1 case) and removal of a single superior implant (2 cases) with time to revision of 2.2 months. All three ultimately had resolution of radicular pain.ConclusionsPercutaneous SIJ fusion offers minimal morbidity and acceptable functional outcomes. While women and those with a prior history of lumbar instrumentation may be at increased risk of having SIJ dysfunction requiring surgical intervention, it was not found to affect postoperative functional outcomes when compared to the non-instrumented group.

Effect of a pelvic wedge and belt on the medial and lateral hamstring muscles during knee flexion.

[Purpose] This study developed a pelvic wedge and belt and investigated their effects on the selective activation of medial and lateral hamstring muscles during knee flexion. [Subjects and Methods] Nine adults were enrolled. The participants performed exercises without and with the pelvic wedge and belt, and the electromyographic activities of the medial and lateral hamstring muscles were recorded. [Results] The activity of the medial hamstring was increased significantly when using the pelvic wedge and belt, while the activity of the lateral hamstring did not differ significantly. [Conclusion] The pelvic wedge and belt provide a self-locked position during knee flexion in the prone position. Prone knee flexion in this position is an effective self-exercise for balanced strengthening of the medial hamstring.

Effects of pelvic compression belts on the kinematics and kinetics of the lower extremities during sit-to-stand maneuvers.

[Purpose] To investigate the effects of a pelvic compression belt (PCB) and chair height on the kinematics and kinetics of the lower extremity during sit-to-stand (STS) maneuvers in healthy people. [Subjects and Methods] Twenty-two people participated in this study. They were required to perform STS maneuvers under four conditions. Hip joint moment and angular displacement of the hip, knee, and ankle were measured. A PCB was also applied below the anterior superior iliac spine. [Results] The angular displacement of the ankle joint increased while performing STS maneuvers from a normal chair with a PCB in phase 1, and decreased during phase 2 when performing STS maneuvers from a high chair. The overall angular displacement in phase 3 was decreased while rising from a chair with a PCB and rising from a high chair. When performed STS maneuvers from a high chair, the angular displacement of the hip, knee, and ankle joint decreased considerably in phase 3. This decreased lower extremity motion in phase 3 indicated that participants required less momentum to complete the maneuver. [Conclusion] The results of this study suggest that a PCB might be appropriate for patients with pelvic girdle pain and lower back pain related to pregnancy.

Treatments for Pregnancy-related Lumbopelvic Pain: A Systematic Review of Physiotherapy Modalities

(Acta Obstet Gynecol Scand. 2015;94(11):1156–1167) Pelvic girdle pain (PGP) during pregnancy occurs between the posterior iliac crests and the gluteal folds, and may radiate down the thighs, while low back pain (LBP) is localized beneath the ribs, but above the gluteal folds, and may or may not radiate down the legs. Lumbopelvic pain, which denotes the absence of distinction between PGP and LBP, is experienced by 50% of parturients and its prevalence increases as pregnancy advances. The distinction between PGP and LBP is important in order to select appropriate targeted treatment options. Earlier studies have reported that the majority of pregnant women with lumbopelvic pain have PGP (50% with PGP, 17% with lumbar pain, and 33% with combined PGP and LBP). Various treatments have been recommended by physiotherapists for lumbopelvic pain, including mobilization, exercises, use of pelvic belts, acupuncture, and manipulative therapy.

골반압박벨트가 뭇갈래근과 척추세움근의 근두께에 융합적으로 미치는 영향

본 연구는 초음파 영상(ultrasound imaging)을 이용하여 네발기기 자세(quadruped position)에서 골반압박벨트(pelvic compression belt)가 뭇갈래근과 척추세움근의 근두께에 융합적으로 미치는 영향을 알아보기 위해 실시되었다. 대상자는 30명의 남자대학생으로 실험에 자발적으로 참여한 자로 선정하였다. 골반압박벨트를 위앞엉덩뼈가시아래(anterior superior iliac spines)에 착용한 상태와 착용하지 않은 상태에서 네발기기 자세를 실시하였고, 초음파영상 진단장치를 이용하여 근 두께를 측정하였다. 자료분석은 반복측정분산분석을 이용하였다. 연구결과, 뭇갈래근의 경우 골반압박벨트를 착용하였을 때가 착용하지 않았을 때보다 근두께가 유의하게 증가하였고(p<.05), 척추세움근의 경우도 골반압박벨트를 착용하였을 때가 착용하지 않았을 때보다 근두께가 유의하게 증가하였다(p<.05). 따라서 본 연구결과를 통해 골반압박벨트의 착용이 요통환자에게 효과적이며, 임상에서 다양한 네발기기 자세운동의 처방과 적용 시에 유용한 자료로 활용하고자 한다. The purpose of this study was to determine the effectiveness of the pelvic compression belt on the thickness of the erector spinae and multifidus during hip extension on quadruped position. Thirty male university students volunteered to participate in this study. The pelvic compression belt was positioned below the anterior superior iliac spines with the stabilizing pressure using elastic compression bands. Subjects were instructed to perform hip extension in quadruped position with and without applying the pelvic compression belt. The thickness of the erector spinae and multifidus was measured ultrasound during prone position, quadruped position without applying pelvic compression belt and quadruped position applying pelvic compression belt. Data were analyzed using repeated ANOVA. Muscle thickness of multifidus was significantly higher applying the pelvic compression belt than without applying the pelvic compression belt (p<.05). Muscle thickness of elector spinae was significantly higher applying the pelvic compression belt than without applying the pelvic compression belt (p<.05). Therefore, the research can contribute to the prescription and application of quadruped position exercises in clinical practices.

Back Support Shape with Pelvic Support Belt Affects Asymmetrical Seated Posture and Pressure Points During Reaching Tasks in Post-Stroke Patients

To investigate the effect of different back support shapes on asymmetrical seated posture and pressure points during a reaching task in post-stroke hemiplegic patients.