OBJECTIVES: The objectives of this study were to investigate the influence of pelvic belts on the stability of the pelvis and to discuss the treatment of peripartum pelvic instability. STUDY DESIGN: In six human pelvis-spine preparations, sagittal rotation in the sacroiliac joints was induced by bidirectional forces directed at the acetabula. Weight-bearing was mimicked by the application of a compressive force to the spine. The biomechanical effect of a pelvic belt was measured in 12 sacroiliac joints. RESULTS: The pelvic belt caused a significant decrease in the sagittal rotation in the sacroiliac joints. The effect of a 100 N belt did not differ significantly from that of a 50 N belt. CONCLUSION: The combination of a pelvic belt and muscle training enhances pelvic stability. The load of the belt can be relatively small; location is more important. The risk of symphysiodesis, especially as a result of the insertion of bone grafts, is emphasized.
OBJECTIVES: The objectives of this study were to investigate the influence of pelvic belts on the stability of the pelvis and to discuss the treatment of peripartum pelvic instability. STUDY DESIGN: In six human pelvis-spine preparations, sagittal rotation in the sacroiliac joints was induced by bidirectional forces directed at the acetabula. Weight-bearing was mimicked by the application of a compressive force to the spine. The biomechanical effect of a pelvic belt was measured in 12 sacroiliac joints. RESULTS: The pelvic belt caused a significant decrease in the sagittal rotation in the sacroiliac joints. The effect of a 100 N belt did not differ significantly from that of a 50 N belt. CONCLUSION: The combination of a pelvic belt and muscle training enhances pelvic stability. The load of the belt can be relatively small; location is more important. The risk of symphysiodesis, especially as a result of the insertion of bone grafts, is emphasized.
Authors: Niels Hammer; Mario Scholze; Thomas Kibsgård; Stefan Klima; Stefan Schleifenbaum; Thomas Seidel; Michael Werner; Ronny Grunert Journal: J Anat Date: 2018-12-09 Impact factor: 2.610
Authors: Annelies L Pool-Goudzwaard; Marijke C P H Slieker ten Hove; Mark E Vierhout; Paul H Mulder; Jan J M Pool; Chris J Snijders; Rob Stoeckart Journal: Int Urogynecol J Pelvic Floor Dysfunct Date: 2005-04-01