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Indian Journal of Obstetrics and Gynecology

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Active Straight Leg Raising Test (ASLRT) in Examination of Posterior Pelvic Pain in Pregnancy (PPPP): An Overview of Evidence

Kumar Senthil P. , Kumar Senthil P. , Vijaya Revankar , Eva Chris , Sisodia Vaishali

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Indian Journal of Obstetrics and Gynecology 2(1):p 21-22, January - June 2014. | DOI:

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Abstract

The objective of this short communication was to provide an overview of evidence for Active Straight Leg Raising Test (ASLRT) in Examination of Posterior Pelvic Pain in Pregnancy (PPPP) through a search of PubMed database. There were three studies on measurement properties of ASLRT and they showed acceptable reliability, sensitivity and specificity for clinical use in women with PPPP. One study comparing ASLRT between patients and healthy controls showed altered muscle activation patterns, and another study found correlation between ASLRT scores and serum relaxin levels in women with PPPP. Although the identified studies did not find association between ASLRT and age, parity, duration of the postpartum period, height, or weight, number of previous deliveries, BMI, cause (pregnancy-related or not), the existence of urinary incontinence and/or level of fatigue, future studies exploring the mechanisms and inter=relationships are necessary.

Keywords: Orthopedic gynecology; Gynecological examination; Obstetric pelvic pain; Gestational back pain

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