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Pregnancy-related changes in centre of pressure during gait

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Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Physical and hormonal modifications occuring during the pregnancy, can lead to an increase in postural instability and to a higher risk of falls during gait. The first objective was to describe the center of pressure (COP) during late pregnancy at different gait velocity. Comparison of nulliparous women with postpartum women were conducted in order to investigate the effects of pregnancy. The second objective was to analyse COP variability between pregnant and non-pregnant women in order to investigate the effects of regnancy on gait variability. Methods: Fifty-eight pregnant women in the last four months of pregnancy, nine postpartum women and twenty-three healthy non-pregnant women performed gait trials at three different speeds: preferred, slow and fast. Results: In the last four months of pregnancy gait velocity decreased. During the pregnancy, gait velocity decreased by 22%, stopover time increased by 6–12%, COP excursion XY decreased by 5% and COP velocity decreased by 16% and 20% along the anteroposterior and transverse axes, respectively. After delivery, gait velocity increased by 3% but remained a lower compared to non-pregnant women (–12%). Intra-individual variability was greater for non-pregnant than pregnant women. Conclusions: COP parameters were influenced by pregnancy. This suggests that pregnant women establish very specific and individual strategies with the aim of maintaining stability during gait.
Słowa kluczowe
Rocznik
Strony
95--102
Opis fizyczny
Bibliogr. 30 poz.
Twórcy
autor
  • Laboratory of Functional Anatomy - Faculty of Motor Sciences – Université Libre de Bruxelles - Brussels, Belgium
autor
  • Laboratory of Anatomy, Biomechanics and Organogenesis - Faculty of Medicine – Université Libre de Bruxelles - Brussels, Belgium
autor
  • Laboratory of Functional Anatomy - Faculty of Motor Sciences – Université Libre de Bruxelles - Brussels, Belgium
autor
  • Laboratory of Anatomy, Biomechanics and Organogenesis - Faculty of Medicine – Université Libre de Bruxelles - Brussels, Belgium
  • Laboratory of Anatomy, Biomechanics and Organogenesis - Faculty of Medicine – Université Libre de Bruxelles - Brussels, Belgium
Bibliografia
  • [1] Abrams B, Parker J D. Maternal weight gain in women with good pregnancy outcome. Obstetrics and Gynecology. 76(1): 1 7, 1990.
  • [2] Abu Osman N A, Mat Ghazali R. Biomechanical evaluation on gait pattern of pregnant subjects. Journal of Mechanics in Medicine and Biology. 2(1): 99 116, 2002.
  • [3] Alvarez R, Stokes I A, Asprinio D E, Trevino S, Braun T. Dimensional changes of the feet in pregnancy. The Journal of Bone and Joint Surgery American volume. 70(2): 271 274, 1988.
  • [4] Bertuit J, Feipel V, Rooze M. Temporal and spatial parameters of gait during pregnancy. Acta of Bioengineering and Biomechanics. 17(2): 93-101, 2015.
  • [5] Bird A R, Menz H B, Hyde C C. The effect of pregnancy on footprint parameters. A prospective investigation. Journal of the American Podiatric Medical Association. 89(8): 405 409, 1999.
  • [6] Block R A, Hess L A, Timpano E V, Serlo C. Physiologic changes in the foot during pregnancy. Journal of the American Podiatric Medical Association. 75(6): 297 299, 1985.
  • [7] Branco M, Santos-Rocha R, Aguiar L, Vieira F, Veloso A. Kinematic analysis of gait in the second and third trimesters of pregnancy. Journal of Pregnancy. 718095, 2013.
  • [8] Branco MAC, Santos-Rocha R, Vieira F, Aguiar L, Veloso AP. Three-dimensional kinematic adaptations of gait throughout pregnancy and post-partum. Acta of Bioengineering and Biomechanics.18(2):153-162, 2016.
  • [9] Butler E E, Colón I, Druzin M L, Rose J. Postural equilibrium during pregnancy: Decreased stability with an increased reliance on visual cues. American Journal of Obstetrics and Gynecology. 195(4): 1104 1108, 2006.
  • [10] Chiu M-C, Wu H-C, Chang L-Y, Wu M-H. Center of pressure progression characteristics under the plantar region for elderly adults. Gait and Posture. 37(3): 408 412, 2013.
  • [11] Dingwell J B, Marin L C. Kinematic variability and local dynamic stability of upper body motions when walking at different speeds. Journal of Biomechanics. 39(3): 444 452, 2006.
  • [12] Dunning K, LeMasters G, Levin L, Bhattacharya A, Alterman T, Lordo K. Falls in workers during pregnancy: Risk factors, job hazards, and high risk occupations. American Journal of Industrial Medicine. 44(6): 664 672, 2003.
  • [13] Eldeeb A M, Hamada H A, Abdel-Aziem A A. The relationship between trunk and pelvis kinematics during pregnancy trimesters. Acta of Bioengineering and Biomechanics. 18(4): 79-85, 2016.
  • [14] Forczek W, Staszkiewicz R. Changes of kinematic gait parameters due to pregnancy. Acta of bioengineering and biomechanics. 14(4): 113 139, 2012.
  • [15] Foti T, Davids J R, Bagley A. A Biomechanical Analysis of Gait During Pregnancy. The Journal of Bone and Joint Surgery. 82(5): 625 625, 2000.
  • [16] Gilleard W L, Brown J M. Structure and function of the abdominal muscles in primigravid subjects during pregnancy and the immediate postbirth period. Physical therapy. 76(7): 750 762, 1996.
  • [17] Goldberg J, Besser MP, Selby-Silverstein L. Changes in foot function throughout pregnancy. Obstetrics and Gynecology. 97(4, S1): S39, 2001.
  • [18] Gottschall J S, Sheehan R C, Downs D S. Pregnant women exaggerate cautious gait patterns during the transition between level and hill surfaces. Journal of Electromyography and Kinesiology. 23(5): 1237-1242, 2013.
  • [19] Hagedorn T J, Dufour A B, Golightly Y M, Riskowski J L, Hillstrom H J, Casey VA, et al. Factors affecting center of pressure in older adults: the Framingham Foot Study. Journal of foot and ankle research. 6(1): 18, 2013.
  • [20] Hansen A, Jensen DV, Larsen E, Wilken-Jensen C, Petersen LK. Relaxin is not related to symptom-giving pelvic girdle relaxation in pregnant women. Acta obstetricia et gynecologica Scandinavica. 75(3): 245 259, 1996.
  • [21] Holt K G, Jeng SF, Ratcliffe R, Hamill J. Energetic Cost and Stability during Human Walking at the Preferred Stride Frequency. Journal of Motor Behavior. 27(2): 164 178, 1995.
  • [22] Inanir A, Cakmak B, Hisim Y, Demirturk F. Evaluation of postural equilibrium and fall risk during pregnancy. Gait and Posture. 39(4): 1122-1125, 2014.
  • [23] Jang J, Hsiao KT, Hsiao-Wecksler E T. Balance (perceived and actual) and preferred stance width during pregnancy. Clinical Biomechanics. 23(4): 468 76, 2008.
  • [24] Kadaba M P, Ramakrishnan H K, Wootten M E, Gainey J, Gorton G, Cochran GVB. Repeatability of kinematic, kinetic, and électromyographie data in normal adult gait. Journal of Orthopaedic Research. 7(6): 849-860, 1989.
  • [25] Lymbery J K, Gilleard W. The stance phase of walking during late pregnancy: temporospatial and ground reaction force variables. Journal of the American Podiatric Medical Association. 95(3): 247 253, 2005.
  • [26] McCrory J L, Chambers A J, Daftary A, Redfern MS. Dynamic postural stability during advancing pregnancy. Journal of Biomechanics. 43(12): 2434 2439, 2010.
  • [27] McCrory J L, Chambers A J, Daftary A, Redfern MS. Ground reaction forces during gait in pregnant fallers and nonfallers. Gait and Posture. 34(4): 524 528, 2011.
  • [28] Nyska M, Sofer D, Porat A, Howard C B, Levi A, Meizner I. Planter foot pressures in pregnant women. Israel Journal of Medical Sciences. 33(2):139 146, 1997.
  • [29] Oliveira L F, Vieira TMM, Macedo A R, Simpson D M, Nadal J. Postural sway changes during pregnancy: A descriptive study using stabilometry. European Journal of Obstetrics and Gynecology and Reproductive Biology. 147(1): 25 28, 2009.
  • [30] Santos B R, Delisle A, Larivière C, Plamondon A, Imbeau D. Reliability of centre of pressure summary measures of postural steadiness in healthy young adults. Gait and Posture. 27(3): 408 415, 2008.
Uwagi
Opracowanie rekordu w ramach umowy 509/P-DUN/2018 ze środków MNiSW przeznaczonych na działalność upowszechniającą naukę (2018).
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-339a8791-fb4b-4415-a814-77b0a1d07c86
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