{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T02:38:13Z","timestamp":1780627093927,"version":"3.54.1"},"reference-count":56,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2022,1,26]],"date-time":"2022-01-26T00:00:00Z","timestamp":1643155200000},"content-version":"vor","delay-in-days":21,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Fundacja dla Szpitala Specjalistycznego \u015bw. Zofii w Warszawie in Warsaw, Poland"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Pregnancy-related pelvic girdle pain (PGP) may persist or occur postpartum and negatively affects women\u2019s lives. There is uncertainty regarding the association between the structures of the bony pelvis, diastasis recti abdominis (DRA), pain processing, and PGP and to what extent these factors should be considered during physical therapy. This study aimed to evaluate the differences between women with and without PGP shortly after delivery regarding the separation of a pubic symphysis, DRA, and pain catastrophizing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Women diagnosed with PGP 24 to 72\u00a0hours after vaginal delivery were matched to pain-free controls according to age and parity. Ultrasound evaluations of diastasis recti (interrecti distance [IRD]) during rest and curl-up task and pubic symphysis (interpubic width) were performed. The Pain Catastrophizing Scale was used to assess the level of catastrophizing. A special Cox regression model was used to fit a conditional logistic regression for a 1:2 matched case\u2013control study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty-five women with clinically diagnosed PGP and 70 matched controls were included in the study. The PGP group had a significantly higher pre-pregnancy body mass index than the control group. After adjusting for body mass index in multiple conditional logistic regression, the interpubic distance (odds ratio =\u20091.64; 95% CI\u2009=\u20091.22 to 2.20) and IRD during curl-up (odds ratio =\u20092.01; 95% CI\u2009=\u20091.08 to 3.74) were significantly associated with PGP. Pain catastrophizing and IRD at rest were not associated with PGP in univariable or multivariable analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Pain catastrophizing is similar for women with and without PGP early postpartum. However, the degree of the pubic symphysis and rectus abdominis separation during the curl-up task are positively associated with PGP shortly after delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Impact<\/jats:title><jats:p>This study indicates that a reconsideration of the way we look at DRA is warranted. The development of a more comprehensive assessment including objective measurements and a biopsychosocial understanding is needed to inform directions for further postpartum physical therapy.<\/jats:p><\/jats:sec>","DOI":"10.1093\/ptj\/pzab311","type":"journal-article","created":{"date-parts":[[2021,12,31]],"date-time":"2021-12-31T04:17:59Z","timestamp":1640924279000},"source":"Crossref","is-referenced-by-count":14,"title":["Association Among Pelvic Girdle Pain, Diastasis Recti Abdominis, Pubic Symphysis Width, and Pain Catastrophizing: A Matched Case\u2013Control Study"],"prefix":"10.1093","volume":"102","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5067-8261","authenticated-orcid":false,"given":"Ma\u0142gorzata","family":"Starzec-Proserpio","sequence":"first","affiliation":[{"name":"Department of Midwifery, Centre of Postgraduate Medical Education , Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daria","family":"Lipa","sequence":"additional","affiliation":[{"name":"St. Sophia Specialist Hospital , Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacek","family":"Szyma\u0144ski","sequence":"additional","affiliation":[{"name":"First Department of Obstetrics and Gynecology, Centre of Postgraduate Medical Education , Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agata","family":"Szyma\u0144ska","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation , Faculty of Medical Sciences, , Warsaw, Poland"},{"name":"Medical University of Warsaw , Faculty of Medical Sciences, , Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Kajdy","sequence":"additional","affiliation":[{"name":"Department of Reproductive Health, Centre of Postgraduate Medical Education , Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Baranowska","sequence":"additional","affiliation":[{"name":"Department of Midwifery, Centre of Postgraduate Medical Education , Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,1,5]]},"reference":[{"key":"2023011908395268500_ref1","doi-asserted-by":"crossref","first-page":"794","DOI":"10.1007\/s00586-008-0602-4","article-title":"European guidelines for the diagnosis and treatment of pelvic girdle pain","volume":"17","author":"Vleeming","year":"2008","journal-title":"Eur Spine J"},{"key":"2023011908395268500_ref2","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1111\/j.1533-2500.2009.00327.x","article-title":"Pelvic girdle pain and low back pain in pregnancy: a review","volume":"10","author":"Vermani","year":"2010","journal-title":"Pain Pract"},{"key":"2023011908395268500_ref3","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1007\/s00586-003-0615-y","article-title":"Pregnancy-related pelvic girdle pain (PPP), I: terminology, clinical presentation, and prevalence","volume":"13","author":"Wu","year":"2004","journal-title":"Eur Spine J"},{"key":"2023011908395268500_ref4","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1186\/s12891-016-1154-0","article-title":"Predictors and consequences of long-term pregnancy-related pelvic girdle pain: a longitudinal follow-up study","volume":"17","author":"Elden","year":"2016","journal-title":"BMC Musculoskelet Disord"},{"key":"2023011908395268500_ref5","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1186\/s12998-016-0088-9","article-title":"Sick leave and healthcare utilisation in women reporting pregnancy related low back pain and\/or pelvic girdle pain at 14 months postpartum","volume":"24","author":"Bergstr\u00f6m","year":"2016","journal-title":"Chiropr Man Therap"},{"key":"2023011908395268500_ref6","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.math.2007.03.003","article-title":"Diagnosis and classification of pelvic girdle pain disorders, part 2: illustration of the utility of a classification system via case studies","volume":"12","author":"O'Sullivan","year":"2007","journal-title":"Man Ther"},{"key":"2023011908395268500_ref7","doi-asserted-by":"crossref","first-page":"550","DOI":"10.3109\/17453677408989178","article-title":"Pelvic girdle relaxation from an orthopaedic point of view","volume":"45","author":"Hagen","year":"1974","journal-title":"Acta Orthop Scand"},{"key":"2023011908395268500_ref8","doi-asserted-by":"crossref","DOI":"10.1056\/NEJMicm0807117","article-title":"Images in clinical medicine. 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