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Center of plantar pressure during gait in pregnancy-related pelvic girdle pain and the effect of pelvic belts

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Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Many pregnant women suffer from pelvic girdle pain (PGP) during pregnancy. Etiologies are multifactorial and affect the joint stability of the sacroiliac joint. Pelvic belts could restore stability and reduce pain during gait. The center of pressure (COP) is a reliable parameter to assess gait and balance. The objectives of this study were to analyze the COP during gait in pregnant women with PGP, to evaluate the effect of pelvic belts and to compare two types of belts on COP parameters. Materials and Methods: 46 pregnant women with PGP, 58 healthy pregnant women and 23 non-pregnant women participated in the study. The motor task consisted of three gait trials at different velocities on an electronic walkway. Two pelvic belts for pregnant women were used. An analysis of variance was performed to determine the effects of the progression of the pregnancy, gait speed, presence of pregnancy and occurrence of pain on the COP parameters. Results: Compared to the control group, pregnant women with PGP had a higher stance time, but COP displacement and velocity were lower. The COP parameters varied between pregnant women with and without pelvic girdle pain, the use of a belt during pregnancy decreased the walking velocity. No difference was found according to the type of belt. Conclusions: Differences in COP parameters during gait between pregnant women with or without PGP were minimal. Pelvic girdle pain did not affect the center of pressure. Wearing a belt during pregnancy modified the center of pressure velocity during gait in pregnant women with PGP.
Rocznik
Strony
69--76
Opis fizyczny
Bibliogr. 27 poz., rys., tab., wykr.
Twórcy
autor
  • School of Health Sciences (HESAV), University of Applied Sciences and Arts Western Switzerland (HES-SO), Lausanne, Switzerland
autor
  • Laboratory of Functional Anatomy, Faculty of Motor Sciences, Université Libre de Bruxelles (ULB), Brussels, Belgium
autor
  • Laboratory of Functional Anatomy, Faculty of Motor Sciences, Université Libre de Bruxelles (ULB), Brussels, Belgium
Bibliografia
  • [1] ALBERT H., GODSKESEN M., WESTERGAARD J., Prognosis in four syndromes of pregnancy-related pelvic pain, Acta Obstet. Gynecol. Scand., 2001, 80(6), 505–510.
  • [2] ALDABE D., MILOSAVLJEVIC S., BUSSEY M.D., Is pregnancy related pelvic girdle pain associated with altered kinematic, kinetic and motor control of the pelvis? A systematic review, Eur. Spine J., 2012, 21(9), 1777–1787.
  • [3] ALVAREZ R., STOKES I.A., ASPRINIO D.E., TREVINO S., BRAUN T., Dimensional changes of the feet in pregnancy, J. Bone Joint Surg. Am., 1988, 70(2), 271–274.
  • [4] BERTUIT J., LEYH C., ROOZE M., FEIPEL V., Pregnancyrelated changes in center of pressure during gait, Acta Bioeng. Biomech., 2017, article in press.
  • [5] BERTUIT J., FEIPEL V., ROOZE M., Temporal and spatial parameters of gait during pregnancy, Acta Bioeng. Biomech., 2015, 17(2), 93–101.
  • [6] BERTUIT J., LEYH C., ROOZE M., FEIPEL V., Plantar Pressure During Gait in Pregnant Women, J. Am. Podiatr. Med. Assoc., 2016, 106(6), 398–405.
  • [7] BERTUIT J., VAN LINT C.E., ROOZE M., FEIPEL V., Pregnancy and pelvic girdle pain: analysis of pelvic belt on pain, J. Clin. Nurs., 2017, 25.
  • [8] BLOCK R.A., HESS L.A., TIMPANO E.V., SERLO C., Physiologic changes in the foot during pregnancy, J. Am. Podiatr. Med. Assoc., 1985, 75(6), 297–299.
  • [9] CARR C.A., Use of a maternity support binder for relief of pregnancy-related back pain, J. Obstet. Gynecol. Neonatal. Nurs., 2003, 32(4), 495–502.
  • [10] CHIU M.-C., WU H.-C., CHANG L.-Y., Gait speed and gender effects on center of pressure progression during normal walking, Gait Posture, 2013, 37(1), 43–48.
  • [11] DØRHEIM S., BJORVATN B., EBERHARD-GRAN M., Sick leave during pregnancy: a longitudinal study of rates and risk factors in a Norwegian population, BJOG Int. J. Obstet. Gynaecol., 2013, 120(5), 521–530.
  • [12] FLACK N.A., HAY-SMITH E.J.C., STRINGER M.D., GRAY A.R., WOODLEY S.J., Adherence, tolerance and effectiveness of two different pelvic support belts as a treatment for pregnancyrelated symphyseal pain – a pilot randomized trial, BMC Pregnancy Childbirth., 2015, 15, 36.
  • [13] FORCZEK W., STASZKIEWICZ R., Changes of kinematic gait parameters due to pregnancy, Acta Bioeng. Biomech., 2012, 14(4), 113–119.
  • [14] INANIR A., CAKMAK B., HISIM Y., DEMIRTURK F., Evaluation of postural equilibrium and fall risk during pregnancy, Gait Posture, 2014, 39(4), 1122–1125.
  • [15] KERBOURCH F., BERTUIT J., FEIPEL V., ROOZE M., Pregnancy and Pelvic Girdle PainAnalysis of Center of Pressure During Gait, J. Am. Podiatr. Med. Assoc., 2017, 107(4), 299–306.
  • [16] MENS J.M.A., VLEEMING A., STOECKART R., STAM H.J., SNIJDERS C.J., Understanding Peripartum Pelvic Pain, Spine, 1996, 21, 1363–1370.
  • [17] MENS J., POOL-GOUDZWAARD A., STAM H.J., Mobility of the pelvic joints in pregnancy-related lumbopelvic pain: a systematic review, Obstet. Gynecol. Surv., 2009, 64(3), 200.
  • [18] NYSKA M., SOFER D., PORAT A., HOWARD C.B., LEVI A., MEIZNER I., Planter foot pressures in pregnant women, Isr. J. Med. Sci., 1997, 33(2), 139–146.
  • [19] OLIVEIRA L.F., VIEIRA T.M.M., MACEDO A.R., SIMPSON D.M., NADAL J., Postural sway changes during pregnancy: A descriptive study using stabilometry, Eur. J. Obstet. Gynecol. Reprod. Biol., 2009, 147(1), 25–28.
  • [20] ROBINSON H.S., MENGSHOEL A.M., VEIERØD M.B., VØLLESTAD N., Pelvic girdle pain: potential risk factors in pregnancy in relation to disability and pain intensity three months postpartum, Man. Ther., 2010, 15(6), 522–528.
  • [21] SEGAL N.A., BOYER E.R., TERAN-YENGLE P., GLASS N.A., HILLSTROM H.J., YACK H.J., Pregnancy leads to lasting changes in foot structure, Am. J. Phys. Med. Rehabil. Assoc. Acad. Physiatr., 2013, 92(3), 232–240, DOI: 10.1097/ PHM.0b013e31827443a9.
  • [22] SNIJDERS C.J., VLEEMING A., STOECKART R., Transfer of lumbosacral load to iliac bones and legs: Part 1: Biomechanics of self-bracing of the sacroiliac joints and its significance for treatment and exercise, Clin. Biomech., 1993, 8(6), 285–294.
  • [23] SOISSON O., LUBE J., GERMANO A. et al., Pelvic belt effects on pelvic morphometry, muscle activity and body balance in patients with sacroiliac joint dysfunction, PloS One, 2015, 10(3), e0116739, DOI: 10.1371/journal.pone.0116739.
  • [24] TITIANOVA E.B., MATEEV P.S., TARKKA I.M., Footprint analysis of gait using a pressure sensor system, J. Electromyogr. Kinesiol., 2004, 14(2), 275–281.
  • [25] VLEEMING A., ALBERT H.B., ÖSTGAARD H.C., STURESSON B., STUGE B., European guidelines for the diagnosis and treatment of pelvic girdle pain, Eur. Spine J., 2008, 17(6), 794–819.
  • [26] VLEEMING A., STOECKART R., VOLKERS A.C., SNIJDERS C.J., Relation between form and function in the sacroiliac joint. Part I: Clinical anatomical aspects, Spine, 1990, 15(2), 130.
  • [27] WHITCOME K., SHAPIRO L.J., LIEBERMAN D.E., Fetal load and the evolution of lumbar lordosis in bipedal hominins, Nature, 1997, 450.
Uwagi
Opracowanie rekordu w ramach umowy 509/P-DUN/2018 ze środków MNiSW przeznaczonych na działalność upowszechniającą naukę (2019).
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-e82fcbde-5c5b-493e-ae8e-fe3c5d3f62bb
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