Assessment of distribution of plantar pressures and foot characteristics during walking in pregnant women

• Autorzy: Mikeska Ondřej , Gimunová Marta , Zvonař Martin

Identyfikatory

DOI

10.5277/ABB-01373-2019-04

• Języki publikacji: EN

Abstrakty

EN

The main purpose of this research was to analyse the distribution of plantar pressures and foot characteristics during walking between weeks 27 and 36 of pregnancy. The secondary purpose was to test the effect of the customized orthopaedic shoes that were worn by the experimental group. Methods: Pregnant women (n = 73) were divided into 2 groups, control group (n = 38) and experimental group (n = 35) which completed 5 gait trials on a walkway (1.55m) at a self-selected velocity of gait, where force, pressure and remaining foot characteristics were sampled and displayed by Novel database pro m (version 25.3.24). Results: Analysis of foot characteristics did not reveal important changes. Analysis of the distribution of plantar pressures revealed few changes in the pre- and post-measurement of the experimental and control groups between weeks 27 and 36 of pregnancy. In the last measurement, there is a significant increase of peak pressure only in the midfoot area of the left foot (151.1 ± 41.2 kPa) and in the hindfoot area of the right foot (346.3 ± 104.1) of the experimental group. The control group exhibits similar pressure development for both of foot. Conclusions: Monitored parameters demonstrated in certain areas notably development of force and contact area. Results of foot characteristics did not reveal a significant changes. As both groups registered similar values in certain areas in a comparison of pre/post measurement characteristics, the influence of specific orthopaedic shoes cannot be conclusively demonstrated in the experimental group.

Słowa kluczowe

EN

pregnancy; foot; pressure; force

PL

ciąża; stopa; nacisk; siła

• Wydawca: Oficyna Wydawnicza Politechniki Wrocławskiej
• Czasopismo: Acta of Bioengineering and Biomechanics
• Rocznik: 2019
• Tom: Vol. 21, no. 3
• Strony: 49--56
• Opis fizyczny: Bibliogr. 30 poz., rys., tab.

Twórcy

autor

Mikeska Ondřej

• Faculty of Sports Studies, Masaryk University, Brno, Czech Republic

autor

Gimunová Marta

• Faculty of Sports Studies, Masaryk University, Brno, Czech Republic

autor

Zvonař Martin

• Faculty of Sports Studies, Masaryk University, Brno, Czech Republic

Bibliografia

• [1] ALVAREZ R., STOKES I.A.F., ASPIRINIO D.E., TREVINO S., BRAUN T., Dimensional changes of the feet in pregnancy, Journal of Bone and Joint Surgery – Series A, 1988, 70 (2), 271–274.
• [2] BERTUIT J., LEYH C., ROOZE M., FEIPEL V., Plantar Pressure During Gait in Pregnant Women, Journal of the American Podiatric Medical Association, 2016, 106 (6), 398–405.
• [3] BRANCO M.A.C., SANTOS-ROCHA R., VIEIRA F., AGUIAR L., VELOSO A.P., Three-dimensional kinematic adaptations of gait throughout pregnancy and post-partum, Acta Bioeng. Biomech., 2016, 18 (2), 153–162.
• [4] CAVANAGH P., RODGERS M., The arch index: A useful measure from footprints, Journal of Biomechanics, 1987, 20 (5), 547–551.
• [5] CHIOU W., CHIU H., CHAO A., WANG M., CHEN Y., The influence of body mass on foot dimensions during pregnancy, Applied Ergonomics, 2015, 46 (Part A), 212–217.
• [6] COHEN J., Statistical power analysis for the behavioral sciences, Psychology, 2009.
• [7] ELSAYED E., DEVREUX I., EMBABY H., ALSAYED A., ALSHEHRI M., Changes in foot plantar pressure in pregnant women, Journal of Back and Musculoskeletal Rehabilitation, 2017, 30 (4), 863–867.
• [8] FAN Y., QIANXIANG Z., ZHONGQI L., LIJUN L., YUSHUANG W., Dynamic plantar pressure distribution in the last trimester pregnancy of Chinese women during walking, Journal of Medical Imaging and Health Informatics, 2015, 5 (3), 568–571.
• [9] GALLEHER C., A Biomechanical Analysis of Gait During Pregnancy, Physical Therapy, 2001, 81 (4), 1065–1066.
• [10] GAYMER C., WHALLEY H., ACHTEN J., VATISH M., COSTA M., Midfoot plantar pressure significantly increases during late gestation, The Foot, 2009, 19114–19116.
• [11] GIJON-NOGUERON G.A., GAVILAN-DIAZ M., VALLE-FUNES V., JIMENEZ-CEBRIAN A.M., CERVERA-MARIN J.A., MORALES--ASENCIO J.M., Anthropometric foot changes during pregnancy: a pilot study, Journal of The American Podiatric Medical Association, 2013, 103 (4), 314–321.
• [12] GUIRRO E., RIBAS S.I., GUIRRO E.O., Analysis of plantar pressure and postural balance during different phases of pregnancy, Revista Brasileira De Fisioterapia, 2007, 11 (5), 391–396.
• [13] KARADAG-SAYGI E., UNLU-OZKAN F., BASGUL A., Plantar Pressure and Foot Pain in the Last Trimester of Pregnancy, Foot and Ankle International, 2010, 31 (2), 153–157.
• [14] KOLÁŘOVÁ K., ZVONAŘ M., VAVÁČEK M., DUVAČ I., SEBERA M., Plantar Pressure Distribution During and after Pregnancy and the Effect of Biomechanical Shoes, Anthropologia Integra, 2017, 8 (1), 7.
• [15] KOLLER U., WILLEGGER M., WINDHAGER R., WANIVENHAUS A., TRNKA H., SCHUH R., Plantar pressure characteristics in hallux valgus feet, Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society, 2014, 32 (12), 1688–1693.
• [16] LAI Y., LIN H., PAN H., CHANG W., HSU C., RENN J., Impact of foot progression angle on the distribution of plantar pressure in normal children, Clinical Biomechanics, 2014, 29, 196–200.
• [17] LIN C., LAI K., CHOU Y., HO C., The effect of changing the foot progression angle on the knee adduction moment in normal teenagers, Gait and Posture, 2001, 1485–1491.
• [18] MCCRORY J., CAVANAGH P., YOUNG M., BOULTON A., Arch index as a predictor of arch height, Foot, 1997, 7 (2), 79–81.
• [19] NYSKA M., SOFER D., PORAT A., HOWARD C.B., LEVI A., MEIZNER I., Plantar foot pressures in pregnant women, Israel Journal of Medical Sciences, 1997, 33 (2), 139–146.
• [20] OGAMBA M.I., LOVERRO K.L., LAUDICINA N.M., GILL S.V., LEWIS C.L., Changes in Gait with Anteriorly Added Mass: A Pregnancy Simulation Study, Journal of Applied Biomechanics, 2016, 32, 379–387.
• [21] OJUKWU C.P., ONWUMERE T.H., ANEKWU E.M., CHUKWU C.S., Comparative Study of the Foot Arch Index among Pregnant and Non-pregnant Women in a South Eastern Nigeria Community: A Cross-Sectional Analysis, Crescent Journal of Medical and Biological Sciences, 2016, 3 (3), 81.
• [22] OPALA-BERDZIK A., BACIK B., KURKOWSKA M., Biomechanical changes in pregnant women, Physiotherapy, 2009, 17, 51.
• [23] OSMAN N.A., GHAZALI R.M., Biomechanical Evaluation on Gait Pattern of Pregnant Subjects, Journal of Mechanics in Medicine and Biology, 2002, 2 (1), 99.
• [24] RIBEIRO A.P., AMADO JOÃO S.M., CAMARGO NEVES SACCO I., Static and dynamic biomechanical adaptations of the lower limbs and gait pattern changes during pregnancy, Women’s Health (17455057), 2013, 9 (1), 99.
• [25] RIBEIRO A.P., TROMBINI-SOUZA F., NEVES SACCO I. DE C., RUANO R., ZUGAIB M., AMADO JOAO S.M., Changes in the Plantar Pressure Distribution During Gait Throughout Gestation, Journal of the American Podiatric Medical Association, 2011, 101 (5), 415–423.
• [26] SEO J., AHN J., BOEDIJONO D., Point-Connecting Measurements of the Hallux Valgus Deformity: A New Measurement and Its Clinical Application, Yonsei Medical Journal, 2016, 57 (3), 741–747.
• [27] SIMIC M., WRIGLEY T., HINMAN R., HUNT M., BENNELL K., Altering foot progression angle in people with medial knee osteoarthritis: the effects of varying toe-in and toe-out angles are mediated by pain and malalignment, Osteoarthritis and Cartilage, 2013, 21 (Pain in Osteoarthritis), 1272–1280.
• [28] VAROL T., GÖKER A., CEZAYIRLI E., ÖZGÜR S., TUÇ YÜCEL A., Relation between foot pain and plantar pressure in pregnancy, Turkish Journal of Medical Sciences, 2017, 41 (4), 1104–1108.
• [29] WALLACE J., WHITE H., AUGSBURGER S., SHAPIRO R., WALKER J., Foot pressure analysis using the EMED® in typically developing children and adolescents: A summary of current techniques and typically developing cohort data for comparison with pathology, The Foot, 2018, 37, 28–37.
• [30] WETZ H.H., HENTSCHEL J., DRERUP B., KIESEL L., OSADA N., VELTMANN U., Changes in shape and size of the foot during pregnancy, Orthopade, 2006, 35 (11), 1124–1130.

Uwagi

Opracowanie rekordu ze środków MNiSW, umowa Nr 461252 w ramach programu "Społeczna odpowiedzialność nauki" - moduł: Popularyzacja nauki i promocja sportu (2020).