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The relationship between trunk and pelvis kinematics during pregnancy trimesters

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Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Purpose: Pregnancy is characterized by many musculoskeletal changes that affect daily living activities and walking. The purpose of this study was to examine the effect of pregnancy on pelvic and trunk kinematics, and their relationship during the three pregnancy trimesters. Methods: Three-dimensional pelvis and trunk motions were measured using Qualisys Gait Analysis System in the first, second and third trimesters of pregnancy. The maximum anterior pelvic tilt and maximum trunk flexion during stance phase, pelvic tilt, obliquity and rotation, as well as trunk flexion-extension, lateral bending and rotation were measured. Results: Repeated-measures analysis of variance showed a significant increase in the maximum anterior pelvic tilt during stance phase (p=0.005), and a significant decrease in the pelvic obliquity (p=0.011), maximum trunk flexion during stance phase (p=0.0006), trunk lateral bending (p=0.005) and trunk rotation (p=0.004). A significant negative correlation was found between maximum anterior pelvic tilt and maximum trunk flexion in the first (r=-0.72, p=0.008), second (r=-0.61, p=0.03), and third (r=-0.61,p=0.03) trimesters of pregnancy. Also, there was a significant positive correlation found between pelvic obliquity and trunk lateral bending in the first (r=0.76, p=0.04), second (r=0.59, p=0.04), and third (r=0.59, p=0.04) trimesters of pregnancy. Conclusions: The pregnant women walk with an increased maximum anterior pelvic tilt, a decreased maximum trunk flexion, a decreased pelvic obliquity, as well as a decreased trunk lateral bending and rotation. Pregnancy does not affect the relationship between pelvis and trunk motions.
Słowa kluczowe
Rocznik
Strony
79--85
Opis fizyczny
Bibliogr. 30 poz., tab.
Twórcy
autor
  • Department of Physical Therapy for Women’s Health, Faculty of Physical Therapy, Cairo University, Egypt
autor
  • Department of Biomechanics, Faculty of Physical Therapy, Cairo University, Egypt
  • Department of Biomechanics, Faculty of Physical Therapy, Cairo University, Egypt
  • Department of Physical Therapy for Women’s Health, Faculty of Physical Therapy, Cairo University, Egypt
Bibliografia
  • [1] Bertuit J., Feipel V., Rooze M., Temporal and spatial parameters of gait during pregnancy, Acta Bioeng Biomech, 2015, 17(2): 93-101, doi: 10.5277/ABB-00092.
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  • [3] Branco M., Santos-Rocha R., Aguiar L., Vieira F., Veloso A., Kinematic analysis of gait in the second and third trimesters of pregnancy, J Pregnancy, 2013, 9. 9. doi.org/10.1155/2013/718095.
  • [4] Butler EE, Druzin M, Sullivan EV. Gait adaptations in adulthood: pregnancy, aging, and alcoholism. In, Human Walking, Rose T, Gamble JG, Eds., Lippincott Williams &Wilkins, 2006.
  • [5] Chung C.Y., Park M.S., Lee S.H., Kong S.J., Lee K.M., Kinematic aspects of trunk motion and gender effect in normal adults, J Neuroeng Rehabil, 2010,7:9, doi: 10.1186/1743-2003-7-9.
  • [6] Colliton J., Back pain and pregnancy: active management strategies, Physician Sports Med, 1996, 24(7), 89-93.
  • [7] Falola J.M., Gouthon P., Koussihouede F.E., Agossa B., Brisswalter J., Gait coordination in pregnancy: a study in a rural population in Africa, Sci Sports, 2009, 24(1), 49-51.
  • [8] Feipel V., De Mesmaeker T., Klein P., Rooze M., Three-dimensional kinematics of the lumbar spine during treadmill walking at different speeds, Eur Spine J, 2001, 10(1):16-22.
  • [9] Ferrari A., Benedetti M.G., Pavan E., Frigo C., Bettinelli D., Rabuffetti M., Crenna P., Leardini A., Quantitative comparison of five current protocols in gait analysis, Gait & Posture 2008, 28(2), 207–216.
  • [10] Forczek W., Staszkiewicz R., Changes of kinematic gait parameters due to pregnancy, Acta Bioeng Biomech, 2012,14(4):113-119.
  • [11] Foti T., Davids J.R., Bagley A., A biomechanical analysis of gait during pregnancy, J Bone Joint Surg-Series A, 2000, 82(5), 625-632.
  • [12] Gard S.A., Childress D.S. The effect of pelvic list on the vertical displacement of the trunk during normal walking. Gait & Posture, 1997, 5(3), 233-238.
  • [13] Gilleard W.L., Trunk motion and gait characteristics of pregnant women when walking: report of a longitudinal study with a control group, BMC Pregnancy Childbirth, 2013,13:71. doi: 10.1186/1471-2393-13-71.
  • [14] Haraa R., Sangeuxb M., Bakere R., McGinleya J., Quantification of pelvic soft tissue artifact in multiple static positions, Gait & Posture, 2014, 39(2), 712–717.
  • [15] Huang H.T., Liang J.M., Hung W.T., Guo L.Y., Wu W.L., Adaptive patterns of movement during downward reach and pick-up movements in knee osteoarthritis patients with mild low back pain, J Phys Ther Sci, 2014, 26(10), 1527-1530.
  • [16] Jensen R.K., Doucet S., Treitz T., Changes in segment mass and mass distribution during pregnancy, J Biomech, 1996, 29(2), 251-256.
  • [17] Katonis P., Kampouroglou A., Aggelopoulos A., Kakavelakis K., Lykoudis S., Makrigiannakis A., Alpantaki K., Pregnancy-related low back pain, Hippokratia, 2011, 15(3), 205-210.
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  • [22] Maturi M.S., Afshary P., Abedi P., Effect of physical activity intervention based on a pedometer on physical activity level and anthropometric measures after childbirth: a randomized controlled trial, BMC Pregnancy Childbirth, 2011,11:103. doi: 10.1186/1471-2393-11-103.
  • [23] McCrory J.L., Chambers A.J., Daftary A., Redfern M.S., Ground reaction forces during gait in pregnant fallers and non-fallers, Gait&Posture, 2011, 34(4), 524-528.
  • [24] McCrory J.L., Chambers A.J., Daftary A., Redfern M.S., The pregnant "waddle": an evaluation of torso kinematics in pregnancy, J Biomech, 2014, 47(12), 2964-2968.
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Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-11dcb455-803c-4a90-9b9f-eee7a9ea4831
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