Skip to main content
Erschienen in: European Spine Journal 9/2012

01.09.2012 | Review Article

Is pregnancy related pelvic girdle pain associated with altered kinematic, kinetic and motor control of the pelvis? A systematic review

verfasst von: Daniela Aldabe, Stephan Milosavljevic, Melanie Dawn Bussey

Erschienen in: European Spine Journal | Ausgabe 9/2012

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To determine the level of evidence for altered mechanical and motor control of the pelvis being associated with pregnancy-related pelvic girdle pain (PPGP).

Methods

This systematic review was undertaken by following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Six different databases were used for the electronic search. Observational cohorts, cross sectional or case–control studies focused on the association between altered kinematic/kinetic and motor control of the pelvis and PPGP during pregnancy were included. Study selection was conducted by two reviewers who firstly screened for titles, then for abstracts and finally for full articles. The Newcastle–Ottawa scale and the guidelines proposed by the Cochrane back review group were used to assess risk of bias and quality of evidence, respectively.

Results

354 references were identified, and after excluding unwanted articles, 10 studies met the final inclusion criteria. Studies not related to motor control or pelvic mobility were the main reason for exclusion. Seven studies were case–control and three were prospective cohort studies. Seven studies were ranked as high while three were ranked as low quality. Among the high quality studies, six found association between PPGP and altered motor control and mobility of the pelvis.

Conclusions

The level of evidence for an association between PPGP and altered motor control and kinematic or kinetic parameters of the pelvis was found to be moderate.
Literatur
1.
Zurück zum Zitat Vleeming A et al (2008) European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J 17(6):794–819PubMedCrossRef Vleeming A et al (2008) European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J 17(6):794–819PubMedCrossRef
2.
Zurück zum Zitat Bjelland EK et al (2010) Pelvic girdle pain in pregnancy: the impact of parity. Am J Obstet Gynecol 203(2):146e1–146e6CrossRef Bjelland EK et al (2010) Pelvic girdle pain in pregnancy: the impact of parity. Am J Obstet Gynecol 203(2):146e1–146e6CrossRef
3.
Zurück zum Zitat Robinson HS et al (2006) Pelvic girdle pain in pregnancy: the impact on function. Acta Obstet Gynecol Scand 85(2):160–164PubMedCrossRef Robinson HS et al (2006) Pelvic girdle pain in pregnancy: the impact on function. Acta Obstet Gynecol Scand 85(2):160–164PubMedCrossRef
4.
Zurück zum Zitat Larsen EC et al (1999) Symptom-giving pelvic girdle relaxation in pregnancy I: prevalence and risk factors. Acta Obstet Gynecol Scand 78(2):105–110PubMedCrossRef Larsen EC et al (1999) Symptom-giving pelvic girdle relaxation in pregnancy I: prevalence and risk factors. Acta Obstet Gynecol Scand 78(2):105–110PubMedCrossRef
5.
Zurück zum Zitat Hansen A et al (1999) Symptom-giving pelvic girdle relaxation in pregnancy, II: symptoms and clinical signs. Acta Obstet Gynecol Scand 78(2):111–115PubMedCrossRef Hansen A et al (1999) Symptom-giving pelvic girdle relaxation in pregnancy, II: symptoms and clinical signs. Acta Obstet Gynecol Scand 78(2):111–115PubMedCrossRef
6.
Zurück zum Zitat Björklund K, Bergstrom S (2000) Is pelvic pain in pregnancy a welfare complaint? Acta Obstet Gynecol Scand 79(1):24–30PubMedCrossRef Björklund K, Bergstrom S (2000) Is pelvic pain in pregnancy a welfare complaint? Acta Obstet Gynecol Scand 79(1):24–30PubMedCrossRef
7.
Zurück zum Zitat Vermani E, Mittal R, Weeks A (2010) Pelvic girdle pain and low back pain in pregnancy: a review. Pain Pract 10(1):60–71PubMedCrossRef Vermani E, Mittal R, Weeks A (2010) Pelvic girdle pain and low back pain in pregnancy: a review. Pain Pract 10(1):60–71PubMedCrossRef
8.
Zurück zum Zitat Vermani E, Mittal R, Weeks A (2009) Pelvic girdle pain and low back pain in pregnancy: a review. Pain Pract 10(1):60–71CrossRef Vermani E, Mittal R, Weeks A (2009) Pelvic girdle pain and low back pain in pregnancy: a review. Pain Pract 10(1):60–71CrossRef
9.
Zurück zum Zitat Keriakos R et al (2011) Pelvic girdle pain during pregnancy and puerperium. J Obstet Gynaecol 31(7):572–580PubMedCrossRef Keriakos R et al (2011) Pelvic girdle pain during pregnancy and puerperium. J Obstet Gynaecol 31(7):572–580PubMedCrossRef
10.
Zurück zum Zitat Bastiaanssen JM et al (2005) A historical perspective on pregnancy-related low back and/or pelvic girdle pain. Eur J Obstet Gynecol Reprod Biol 120(1):3–14PubMedCrossRef Bastiaanssen JM et al (2005) A historical perspective on pregnancy-related low back and/or pelvic girdle pain. Eur J Obstet Gynecol Reprod Biol 120(1):3–14PubMedCrossRef
11.
Zurück zum Zitat Ritchie JR (2003) Orthopedic considerations during pregnancy. Clin Obstet Gynecol 46(2):456–466PubMedCrossRef Ritchie JR (2003) Orthopedic considerations during pregnancy. Clin Obstet Gynecol 46(2):456–466PubMedCrossRef
12.
Zurück zum Zitat Albert H, Godskesen M, Westergaard J (2000) Evaluation of clinical tests used in classification procedures in pregnancy-related pelvic joint pain. Eur Spine J 9(2):161–166PubMedCrossRef Albert H, Godskesen M, Westergaard J (2000) Evaluation of clinical tests used in classification procedures in pregnancy-related pelvic joint pain. Eur Spine J 9(2):161–166PubMedCrossRef
13.
Zurück zum Zitat Vleeming A et al (2002) Possible role of the long dorsal sacroiliac ligament in women with peripartum pelvic pain. Acta Obstet Gynecol Scand 81(5):430–436PubMedCrossRef Vleeming A et al (2002) Possible role of the long dorsal sacroiliac ligament in women with peripartum pelvic pain. Acta Obstet Gynecol Scand 81(5):430–436PubMedCrossRef
14.
Zurück zum Zitat Albert H et al (1997) Circulating levels of relaxin are normal in pregnant women with pelvic pain. Eur J Obstet Gynecol Reprod Biol 74(1):19–22PubMedCrossRef Albert H et al (1997) Circulating levels of relaxin are normal in pregnant women with pelvic pain. Eur J Obstet Gynecol Reprod Biol 74(1):19–22PubMedCrossRef
15.
Zurück zum Zitat Björklund K et al (2000) Symphyseal distention in relation to serum relaxin levels and pelvic pain in pregnancy. Acta Obstet Gynecol Scand 79(4):269–275PubMedCrossRef Björklund K et al (2000) Symphyseal distention in relation to serum relaxin levels and pelvic pain in pregnancy. Acta Obstet Gynecol Scand 79(4):269–275PubMedCrossRef
16.
Zurück zum Zitat Kristiansson P, Svardsudd K, von Schoultz B (1999) Reproductive hormones and aminoterminal propeptide of type III procollagen in serum as early markers of pelvic pain during late pregnancy. Am J Obstet Gynecol 180(1):128–134PubMedCrossRef Kristiansson P, Svardsudd K, von Schoultz B (1999) Reproductive hormones and aminoterminal propeptide of type III procollagen in serum as early markers of pelvic pain during late pregnancy. Am J Obstet Gynecol 180(1):128–134PubMedCrossRef
17.
Zurück zum Zitat Aldabe D et al (2012) Pregnancy-related pelvic girdle pain and its relationship with relaxin levels during pregnancy: a systematic review. Eur Spine J 1–8 Aldabe D et al (2012) Pregnancy-related pelvic girdle pain and its relationship with relaxin levels during pregnancy: a systematic review. Eur Spine J 1–8
18.
Zurück zum Zitat Atlihan D et al (2000) Anatomy of the anterior sacroiliac joint with reference to lumbosacral nerves. Clin Orthop Relat Res 376:236–241PubMedCrossRef Atlihan D et al (2000) Anatomy of the anterior sacroiliac joint with reference to lumbosacral nerves. Clin Orthop Relat Res 376:236–241PubMedCrossRef
19.
Zurück zum Zitat Richardson CA et al (2002) The relation between the transversus abdominis muscles, sacroiliac joint mechanics, and low back pain. Spine (Phila Pa 1976) 27(4):399–405CrossRef Richardson CA et al (2002) The relation between the transversus abdominis muscles, sacroiliac joint mechanics, and low back pain. Spine (Phila Pa 1976) 27(4):399–405CrossRef
20.
Zurück zum Zitat Vleeming A et al (2007) European guidelines on the diagnosis and treatment of pelvic girdle pain. In: Andry V et al (eds) Movement, stability & lumbopelvic pain, 2nd edn. Churchill Livingstone, Edinburgh, pp 465–470CrossRef Vleeming A et al (2007) European guidelines on the diagnosis and treatment of pelvic girdle pain. In: Andry V et al (eds) Movement, stability & lumbopelvic pain, 2nd edn. Churchill Livingstone, Edinburgh, pp 465–470CrossRef
21.
Zurück zum Zitat Mens JM et al (1999) The active straight leg raising test and mobility of the pelvic joints. Eur Spine J 8(6):468–473PubMedCrossRef Mens JM et al (1999) The active straight leg raising test and mobility of the pelvic joints. Eur Spine J 8(6):468–473PubMedCrossRef
22.
Zurück zum Zitat Pool-Goudzwaard AL et al (1998) Insufficient lumbopelvic stability: a clinical, anatomical and biomechanical approach to ‘a-specific’ low back pain. Man Ther 3(1):12–20PubMedCrossRef Pool-Goudzwaard AL et al (1998) Insufficient lumbopelvic stability: a clinical, anatomical and biomechanical approach to ‘a-specific’ low back pain. Man Ther 3(1):12–20PubMedCrossRef
23.
Zurück zum Zitat Snijders CJ, Vleeming A, Stoeckart R (1993) Transfer of lumbosacral load to iliac bones and legs: part 1: biomechanics of self-bracing of the sacroiliac joints and its significance for treatment and exercise. Clin Biomech 8(6):285–294CrossRef Snijders CJ, Vleeming A, Stoeckart R (1993) Transfer of lumbosacral load to iliac bones and legs: part 1: biomechanics of self-bracing of the sacroiliac joints and its significance for treatment and exercise. Clin Biomech 8(6):285–294CrossRef
24.
Zurück zum Zitat Snijders C, Vleeming A, Stoeckart R (1993) Transfer of lumbosacral load to iliac bones and legs: part 2: loading of the sacroiliac joints when lifting in a stooped posture. Clin Biomech 8(6):295–301CrossRef Snijders C, Vleeming A, Stoeckart R (1993) Transfer of lumbosacral load to iliac bones and legs: part 2: loading of the sacroiliac joints when lifting in a stooped posture. Clin Biomech 8(6):295–301CrossRef
25.
Zurück zum Zitat Snijders CJ et al (1995) Why leg crossing? The influence of common postures on abdominal muscle activity. Spine (Phila Pa 1976) 20(18):1989–1993CrossRef Snijders CJ et al (1995) Why leg crossing? The influence of common postures on abdominal muscle activity. Spine (Phila Pa 1976) 20(18):1989–1993CrossRef
26.
Zurück zum Zitat Moher D et al (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med 151(4): 264–269, W64 Moher D et al (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med 151(4): 264–269, W64
27.
Zurück zum Zitat Berlin JA (1997) Does blinding of readers affect the results of meta-analyses? University of Pennsylvania Meta-analysis Blinding Study Group. Lancet 350(9072):185–186PubMedCrossRef Berlin JA (1997) Does blinding of readers affect the results of meta-analyses? University of Pennsylvania Meta-analysis Blinding Study Group. Lancet 350(9072):185–186PubMedCrossRef
28.
Zurück zum Zitat Furlan AD et al (2009) 2009 updated method guidelines for systematic reviews in the Cochrane Back Review Group. Spine (Phila Pa 1976) 34(18):1929–1941CrossRef Furlan AD et al (2009) 2009 updated method guidelines for systematic reviews in the Cochrane Back Review Group. Spine (Phila Pa 1976) 34(18):1929–1941CrossRef
30.
Zurück zum Zitat Roffey DM et al (2010) Causal assessment of awkward occupational postures and low back pain: results of a systematic review. Spine J 10(1):89–99PubMedCrossRef Roffey DM et al (2010) Causal assessment of awkward occupational postures and low back pain: results of a systematic review. Spine J 10(1):89–99PubMedCrossRef
31.
Zurück zum Zitat Wai EK et al (2010) Causal assessment of occupational bending or twisting and low back pain: results of a systematic review. Spine J 10(1):76–88PubMedCrossRef Wai EK et al (2010) Causal assessment of occupational bending or twisting and low back pain: results of a systematic review. Spine J 10(1):76–88PubMedCrossRef
32.
Zurück zum Zitat Vleeming A et al (2008) European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J 17(6):794–819PubMedCrossRef Vleeming A et al (2008) European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J 17(6):794–819PubMedCrossRef
33.
Zurück zum Zitat Albert HB et al (2006) Risk factors in developing pregnancy-related pelvic girdle pain. Acta Obstet Gynecol Scand 85(5):539–544PubMedCrossRef Albert HB et al (2006) Risk factors in developing pregnancy-related pelvic girdle pain. Acta Obstet Gynecol Scand 85(5):539–544PubMedCrossRef
34.
35.
Zurück zum Zitat Robinson HS et al (2010) Pelvic girdle pain—associations between risk factors in early pregnancy and disability or pain intensity in late pregnancy: a prospective cohort study. BMC Musculoskelet Disord 11:91PubMedCrossRef Robinson HS et al (2010) Pelvic girdle pain—associations between risk factors in early pregnancy and disability or pain intensity in late pregnancy: a prospective cohort study. BMC Musculoskelet Disord 11:91PubMedCrossRef
36.
Zurück zum Zitat Wu WH et al (2004) Pregnancy-related pelvic girdle pain (PPP), I: terminology, clinical presentation, and prevalence. Eur Spine J 13(7):575–589PubMedCrossRef Wu WH et al (2004) Pregnancy-related pelvic girdle pain (PPP), I: terminology, clinical presentation, and prevalence. Eur Spine J 13(7):575–589PubMedCrossRef
37.
Zurück zum Zitat Björklund K et al (1996) Ultrasonographic measurement of the symphysis pubis: a potential method of studying symphyseolysis in pregnancy. Gynecol Obstet Invest 42(3):151–153PubMedCrossRef Björklund K et al (1996) Ultrasonographic measurement of the symphysis pubis: a potential method of studying symphyseolysis in pregnancy. Gynecol Obstet Invest 42(3):151–153PubMedCrossRef
38.
Zurück zum Zitat Johnson CR (1930) Stereoroentgenometry: a method for mensuration of the roentgen ray. Am J Surg 8(1):151–163CrossRef Johnson CR (1930) Stereoroentgenometry: a method for mensuration of the roentgen ray. Am J Surg 8(1):151–163CrossRef
39.
Zurück zum Zitat Vlaanderen E et al (2005) Low back pain, the stiffness of the sacroiliac joint: a new method using ultrasound. Ultrasound Med Biol 31(1):39–44PubMedCrossRef Vlaanderen E et al (2005) Low back pain, the stiffness of the sacroiliac joint: a new method using ultrasound. Ultrasound Med Biol 31(1):39–44PubMedCrossRef
40.
Zurück zum Zitat Buyruk HM et al (1999) Measurement of sacroiliac joint stiffness in peripartum pelvic pain patients with Doppler imaging of vibrations (DIV). Eur J Obstet Gynecol Reprod Biol 83(2):159–163PubMedCrossRef Buyruk HM et al (1999) Measurement of sacroiliac joint stiffness in peripartum pelvic pain patients with Doppler imaging of vibrations (DIV). Eur J Obstet Gynecol Reprod Biol 83(2):159–163PubMedCrossRef
41.
Zurück zum Zitat Buyruk HM et al (1995) The measurements of sacroiliac joint stiffness with colour Doppler imaging: a study on healthy subjects. Eur J Radiol 21(2):117–121PubMedCrossRef Buyruk HM et al (1995) The measurements of sacroiliac joint stiffness with colour Doppler imaging: a study on healthy subjects. Eur J Radiol 21(2):117–121PubMedCrossRef
42.
Zurück zum Zitat Basmajian J, De Luca C (1985) Muscles alive: their functions revealed by electromyography, 5th edn. Williams & Wilkins, Baltimore Basmajian J, De Luca C (1985) Muscles alive: their functions revealed by electromyography, 5th edn. Williams & Wilkins, Baltimore
43.
Zurück zum Zitat Elliott BC, Alderson JA, Denver ER (2007) System and modelling errors in motion analysis: implications for the measurement of the elbow angle in cricket bowling. J Biomech 40(12):2679–2685PubMedCrossRef Elliott BC, Alderson JA, Denver ER (2007) System and modelling errors in motion analysis: implications for the measurement of the elbow angle in cricket bowling. J Biomech 40(12):2679–2685PubMedCrossRef
44.
Zurück zum Zitat Barker SP, Freedman W, Hillstrom H (2006) A novel method of producing a repetitive dynamic signal to examine reliability and validity of gait analysis systems. Gait Posture 24(4):448–452PubMedCrossRef Barker SP, Freedman W, Hillstrom H (2006) A novel method of producing a repetitive dynamic signal to examine reliability and validity of gait analysis systems. Gait Posture 24(4):448–452PubMedCrossRef
45.
Zurück zum Zitat Damen L et al (2001) Pelvic pain during pregnancy is associated with asymmetric laxity of the sacroiliac joints. Acta Obstet Gynecol Scand 80(11):1019–1024PubMedCrossRef Damen L et al (2001) Pelvic pain during pregnancy is associated with asymmetric laxity of the sacroiliac joints. Acta Obstet Gynecol Scand 80(11):1019–1024PubMedCrossRef
46.
Zurück zum Zitat Damen L et al (2002) The prognostic value of asymmetric laxity of the sacroiliac joints in pregnancy-related pelvic pain. Spine (Phila Pa 1976) 27(24):2820–2824CrossRef Damen L et al (2002) The prognostic value of asymmetric laxity of the sacroiliac joints in pregnancy-related pelvic pain. Spine (Phila Pa 1976) 27(24):2820–2824CrossRef
47.
Zurück zum Zitat Sihvonen T et al (1998) Functional changes in back muscle activity correlate with pain intensity and prediction of low back pain during pregnancy. Arch Phys Med Rehabil 79(10):1210–1212PubMedCrossRef Sihvonen T et al (1998) Functional changes in back muscle activity correlate with pain intensity and prediction of low back pain during pregnancy. Arch Phys Med Rehabil 79(10):1210–1212PubMedCrossRef
48.
Zurück zum Zitat Dumas GA et al (2010) Fatigability of back extensor muscles and low back pain during pregnancy. Clin Biomech 25(1):1–5CrossRef Dumas GA et al (2010) Fatigability of back extensor muscles and low back pain during pregnancy. Clin Biomech 25(1):1–5CrossRef
49.
Zurück zum Zitat de Groot M et al (2008) The active straight leg raising test (ASLR) in pregnant women: differences in muscle activity and force between patients and healthy subjects. Man Ther 13(1):68–74PubMedCrossRef de Groot M et al (2008) The active straight leg raising test (ASLR) in pregnant women: differences in muscle activity and force between patients and healthy subjects. Man Ther 13(1):68–74PubMedCrossRef
50.
Zurück zum Zitat Wu WH et al (2008) Gait in pregnancy-related pelvic girdle pain: amplitudes, timing, and coordination of horizontal trunk rotations. Eur Spine J 17(9):1160–1169PubMedCrossRef Wu WH et al (2008) Gait in pregnancy-related pelvic girdle pain: amplitudes, timing, and coordination of horizontal trunk rotations. Eur Spine J 17(9):1160–1169PubMedCrossRef
51.
Zurück zum Zitat Björklund K, Nordström ML, Bergström S (1999) Sonographic assessment of symphyseal joint distention during pregnancy and post partum with special reference to pelvic pain. Acta Obstet Gynecol Scand 78(2):125–130PubMedCrossRef Björklund K, Nordström ML, Bergström S (1999) Sonographic assessment of symphyseal joint distention during pregnancy and post partum with special reference to pelvic pain. Acta Obstet Gynecol Scand 78(2):125–130PubMedCrossRef
52.
Zurück zum Zitat Abramson D, Roberts S, Wilson PD (1934) Relaxation of the pelvic joints in pregnancy. Surg Gynecol Obstet 58:595–613 Abramson D, Roberts S, Wilson PD (1934) Relaxation of the pelvic joints in pregnancy. Surg Gynecol Obstet 58:595–613
53.
Zurück zum Zitat Gwozdz A, Oko S (1968) Radiological evaluation of the changes of pubic symphysis during pregnancy and puerperium. Gynaecologia 165(1):31–37PubMed Gwozdz A, Oko S (1968) Radiological evaluation of the changes of pubic symphysis during pregnancy and puerperium. Gynaecologia 165(1):31–37PubMed
54.
Zurück zum Zitat Damen L et al (2002) The prognostic value of asymmetric laxity of the sacroiliac joints in pregnancy-related pelvic pain. Spine 27(24):2820–2824PubMedCrossRef Damen L et al (2002) The prognostic value of asymmetric laxity of the sacroiliac joints in pregnancy-related pelvic pain. Spine 27(24):2820–2824PubMedCrossRef
55.
Zurück zum Zitat Damen L et al (2001) Pelvic pain during pregnancy is associated with asymmetric laxity of the sacroiliac joints. Acta Obstet Gynecol Scand 80(11):1019–1024PubMedCrossRef Damen L et al (2001) Pelvic pain during pregnancy is associated with asymmetric laxity of the sacroiliac joints. Acta Obstet Gynecol Scand 80(11):1019–1024PubMedCrossRef
56.
Zurück zum Zitat Mens JM et al (2010) Relation between subjective and objective scores on the active straight leg raising test. Spine (Phila Pa 1976) 35(3):336–339CrossRef Mens JM et al (2010) Relation between subjective and objective scores on the active straight leg raising test. Spine (Phila Pa 1976) 35(3):336–339CrossRef
57.
Zurück zum Zitat Ostgaard HC, Zetherstrom G, Roos-Hansson E (1994) The posterior pelvic pain provocation test in pregnant women. Eur Spine J 3(5):258–260PubMedCrossRef Ostgaard HC, Zetherstrom G, Roos-Hansson E (1994) The posterior pelvic pain provocation test in pregnant women. Eur Spine J 3(5):258–260PubMedCrossRef
58.
Zurück zum Zitat Wu WH et al (2008) Gait in pregnancy-related pelvic girdle pain: amplitudes, timing, and coordination of horizontal trunk rotations. Eur Spine J 17(9):1160PubMedCrossRef Wu WH et al (2008) Gait in pregnancy-related pelvic girdle pain: amplitudes, timing, and coordination of horizontal trunk rotations. Eur Spine J 17(9):1160PubMedCrossRef
59.
Zurück zum Zitat Vleeming A, Stoeckart R, Snijders C (1989) The sacrotuberous ligament: a conceptual approach to its dynamic role in stabilizing the sacroiliac joint. Clin Biomech 4(4):201–203CrossRef Vleeming A, Stoeckart R, Snijders C (1989) The sacrotuberous ligament: a conceptual approach to its dynamic role in stabilizing the sacroiliac joint. Clin Biomech 4(4):201–203CrossRef
60.
Zurück zum Zitat Snijders CJ et al (1998) EMG recordings of abdominal and back muscles in various standing postures: validation of a biomechanical model on sacroiliac joint stability. J Electromyogr Kinesiol 8(4):205–214PubMedCrossRef Snijders CJ et al (1998) EMG recordings of abdominal and back muscles in various standing postures: validation of a biomechanical model on sacroiliac joint stability. J Electromyogr Kinesiol 8(4):205–214PubMedCrossRef
Metadaten
Titel
Is pregnancy related pelvic girdle pain associated with altered kinematic, kinetic and motor control of the pelvis? A systematic review
verfasst von
Daniela Aldabe
Stephan Milosavljevic
Melanie Dawn Bussey
Publikationsdatum
01.09.2012
Verlag
Springer-Verlag
Erschienen in
European Spine Journal / Ausgabe 9/2012
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-012-2401-1

Weitere Artikel der Ausgabe 9/2012

European Spine Journal 9/2012 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.