Three-dimensional kinematic adaptations of gait throughout pregnancy and post-partum

• Autorzy: Branco M. A. C. , Santos-Rocha R. , Vieira F. , Aguiar R. , Veloso A. P.

Identyfikatory

DOI

10.5277/ABB-00418-2015-05

• Języki publikacji: EN

Abstrakty

EN

Purpose: The kinematic analysis of gait during pregnancy provides more information about the anatomical changes and contributes to exercise and rehabilitation prescription. The purposes were to describe and quantify the spatial, temporal and kinematic parameters in the joints of the lower limb during gait at the end of the first, second and third trimesters of pregnancy and in the postpartum period. Methods: A three-dimensional analysis was performed in eleven pregnant women. Repeated measures ANOVA was performed for comparisons between periods. Results: The longitudinal effect of pregnancy was not observed in spatial and temporal parameters. In joint kinematics the effect of pregnancy was observed in all joints for the three planes of motion. The hip joint and pelvis are the structures with more changes, and the results point to an increase in the anterior tilt of the pelvis as the pregnancy progresses, as well as a decrease of the amplitudes of the hip joint. The results suggested that pregnant women need to maintain the stability of the body, and become more efficient in locomotion. Conclusions: In general, the results retrieve the values from the beginning of pregnancy, indicating that the body was self-organized in order to overcome the morphological and physiological changes which women suffer during pregnancy, indicating that they have the ability to adapt depending on the demands, and after the effect of pregnancy is over, they return to values similar to those found in early pregnancy

Słowa kluczowe

EN

pregnancy; biomechanics; joint kinematics; temporal parameters; gait

PL

ciąża; biomechanika; kinematyka; własności temporalne; chód

• Wydawca: Oficyna Wydawnicza Politechniki Wrocławskiej
• Czasopismo: Acta of Bioengineering and Biomechanics
• Rocznik: 2016
• Tom: Vol. 18, no. 2
• Strony: 153--162
• Opis fizyczny: Bibliogr. 16 poz., rys., tab., wykr.

Twórcy

autor

Branco M. A. C.

• ESDRM-IPSantarém – Sport Sciences School of Rio Maior, Polythecnic Institute of Santarém, Portugal
• CIPER - Neuromechanics of Human Movement Research Group, Laboratory of Biomechanics and Functional Morphology, Interdisciplinary Centre for the Study of Human Performance, FMH-ULisboa

autor

Santos-Rocha R.

• ESDRM-IPSantarém – Sport Sciences School of Rio Maior, Polythecnic Institute of Santarém, Portugal
• CIPER - Neuromechanics of Human Movement Research Group, Laboratory of Biomechanics and Functional Morphology, Interdisciplinary Centre for the Study of Human Performance, FMH-ULisboa

autor

Vieira F.

• FMH-ULisboa – Faculty of Human Kinetics, University of Lisbon, Portugal
• CIPER - Neuromechanics of Human Movement Research Group, Laboratory of Biomechanics and Functional Morphology, Interdisciplinary Centre for the Study of Human Performance, FMH-ULisboa

autor

Aguiar R.

• FMH-ULisboa – Faculty of Human Kinetics, University of Lisbon, Portugal.
• CIPER - Neuromechanics of Human Movement Research Group, Laboratory of Biomechanics and Functional Morphology, Interdisciplinary Centre for the Study of Human Performance, FMH-ULisboa

autor

Veloso A. P.

• FMH-ULisboa – Faculty of Human Kinetics, University of Lisbon, Portugal.
• CIPER - Neuromechanics of Human Movement Research Group, Laboratory of Biomechanics and Functional Morphology, Interdisciplinary Centre for the Study of Human Performance, FMH-ULisboa

Bibliografia

• [1] A.C.O.G., Your pregnancy and childbirth: month to month., 5th ed., Washington, DC: American College of Obstetricians and Gynecologists, 2010, XIV, 467, pp. 2010.
• [2] BELL A.L., BRAND R.A., PEDERSEN D.R., Prediction of Hip-Joint Center Location from External Landmarks, Hum. Movement Sci., 1989, Vol. 8(1), 3–16.
• [3] BELL A.L., PEDERSEN D.R., BRAND R.A., A comparison of the accuracy of several hip center location prediction methods, J. Biomech., 1990, Vol. 23(6), 617–621.
• [4] 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, 718095.
• [5] CAPPOZZO A., CAPPELLO A., DELLACROCE U., PENSALFINI F., Surface-marker cluster design criteria for 3-D bone movement reconstruction, IEEE T. Bio-Med. Eng., 1997, Vol. 44(12), 1165–1174.
• [6] CARPES F., GRIEBELER D., KLEINPAUL J., MANN L., MOTA C., Women Able-Bodied Gait Kinematics During and Post Pregnancy Period, Braz. J. Biomech., 2008, Vol. 9(16).
• [7] FOTI T., DAVIDS J.R., BAGLEY A., A biomechanical analysis of gait during pregnancy, J. Bone Joint Surg. Am., 2000, Vol. 82A(5), 625–632.
• [8] GILLEARD W., Trunk motion and gait characteristics of pregnant women when walking: report of a longitudinal study with a control group, BMC Pregnancy Childb., 2013, Vol. 13(1), 71.
• [9] HAGAN L., WONG C.K., Gait in Pregnant Women: Spinal and Lower Extremity Changes From Pre- to Postpartum, Journal of Women’s Health Physical Therapy, 2010, Vol. 34(2), 46–56.
• [10] HUANG T.-H., LIN S.-C., HO C.-S., YU C.-Y., CHOU Y.-L., The gait analysis of pregnant women, Biomedical Engineering – Applications, Basis & Communications, 2002, Vol. 14(2), 4.
• [11] Los Amigos Research Education Institute Inc, Service R.L.A.M.C.P., Center R.L.A.N.R., Department R.L.A.M.C.P.T., Service R.L.A.N.R.C.P., Department R.L.A.N.R.C.P.T., Observational Gait Analysis: Los Amigos Research and Education Institute, Rancho Los Amigos National Rehabilitation Center, 2001.
• [12] LYMBERY J.K., GILLEARD W., The stance phase of walking during late pregnancy – Temporospatial and ground reaction force variables, J. Am. Podiat. Med. Assn., 2005, Vol. 95(3), 247–253.
• [13] ROBERTSON D., DOWLING J.J., Design and responses of Butterworth and critically damped digital filters, J. Electromyogr. Kines., 2003, Vol. 13(6), 569–573.
• [14] ROBERTSON D.G.E., CALDWELL G.E., HAMILL J., KAMEN G., WHITTLESEY S.N., Research Methods in Biomechanics, 2nd ed., Champaign, IL, USA: Human Kinetics, 2014.
• [15] STEWART A., MARFELL-JONES M., OLDS T., DE RIDDER H., International standards for anthropometric assessment Lower Hutt, New Zealand: ISAK, 2011.
• [16] WHITCOME K.K., SHAPIRO L.J., LIEBERMAN D.E., Fetal load and the evolution of lumbar lordosis in bipedal hominins, Nature, 2007, Vol. 450(7172), 1075–U11.

Uwagi

PL

Opracowanie ze środków MNiSW w ramach umowy 812/P-DUN/2016 na działalność upowszechniającą naukę.