Effect of Pregnancy and Obesity on Arch of Foot

Dunn, John C.; Dunn, C.L.; Habbu, Rohan; Bohay, Donald R.; Anderson, John G.

doi:10.1111/j.1757-7861.2012.00179.x

Cited by 15 publications

(25 citation statements)

References 12 publications

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“…A gestante deste estudo apresentou aumento de 12 kg do início ao final da gravidez, mantendo-se entre os limites recomendados (11,4 a 15,9 kg) [10]. No puerpério da paciente, a massa corpórea relativa durante as duas avaliações foi de 4,3 kg e 4 kg.…”

Section: Discussionunclassified

“…Estudos com gestantes demonstram a mesma relação e indicam que os efeitos podem ser mantidos para além do puerpério, e que a primeira gestação parece ter mais efeito sobre esses valores [4,10]. Já Jelen et al [16] não evidenciaram mudanças neste índice em gestantes, tanto nas tarefas estáticas quanto nas dinâmicas.…”

Section: Discussionunclassified

“…Acredita-se que o arco plano, ou queda do arco plantar, possa influenciar no tamanho do pé. Neste sentido, Dunn et al [10] concluíram que alterações no tamanho dos pés podem tornar-se duradouras a curto e longo prazo no puerpério, o que pode ser observado frequentemente pela mudança no tamanho do calçado para um número maior.…”

Section: Discussionunclassified

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Características biomecânicas dos pés no período gravídico-puerperal: estudo de caso

Wittkopf¹,

Kretzer²,

Borges³

et al. 2015

Sci Med

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2 Professor(a) doutor(a) do Programa de Pós-Graduação em Fisioterapia da UDESC, Florianópolis, SC. RESUMOObjetivos: Avaliar as variações antropométricas e a distribuição de pressão plantar dos pés durante o ciclo gravídico-puerperal de uma paciente. Descrição do caso: Este estudo descritivo-exploratório analisou uma gestante por meio de oito avaliações, seis durante a gestação (na 26ª, 28ª, 30ª, 32ª, 34ª e 36ª semana da gestação) e duas no puerpério (10º e 50º dia após o parto). Foram avaliadas seis variáveis antropométricas dos pés e tornozelos. Por meio do escaneamento dos pés, obteve-se indiretamente o ângulo da impressão plantar. O Sistema Pedar-Mobile (Novel GmbH), avaliou o índice do arco plantar e o pico de pressão máxima plantar tanto estático como dinâmico. Durante o período gestacional o comprimento e o perímetro do mediopé direito apresentaram-se maiores do que o esquerdo. Ocorreu diminuição do ângulo plantar com a evolução da gestação. A variação do índice do arco plantar na tarefa estática mostrou variação mínima em todo o período avaliado, enquanto na dinâmica demonstrou diminuição progressiva dos valores durante a gestação e aumento no período puerperal. As médias dos picos de pressão plantar na tarefa dinâmica foram mais elevadas durante o período gestacional em comparação ao puerpério. Conclusões: Estes dados mostram alterações nas características biomecânicas dos pés no ciclo gravídico-puerperal, ressaltando aumento na perimetria e diminuição do arco plantar.DESCRITORES: gestação; deformidades do pé; biomecânica; saúde; postura. ABSTRACT Aims:To evaluate anthropometric variations and distribution of plantar pressure during pregnancy and puerperium. Case description: In this descriptive exploratory study, a pregnant woman was submitted to eight assessments, six of them during pregnancy (at 26, 28, 30, 32, 34, and 36 weeks of gestation) and two in the postpartum period (at 10 and 50 days postpartum). Six foot and ankle anthropometric parameters were assessed. The footprint angle was indirectly obtained by scanning electron microscopy. The Pedar-Mobile (Novel GmbH) system assessed the plantar arch index and maximum peak plantar pressure both statically and dynamically. The right mid-foot length and circumference were larger than those of the left mid-foot during the gestational period. Footprint angle decreased as the gestational period progressed. The plantar arch index in static footprints varied slightly throughout the study period, but it progressively decreased during pregnancy and increased in the postpartum period. The average peak plantar pressure in dynamic footprints was higher during pregnancy than in the postpartum period. Conclusions: These data reveal changes in the biomechanics of feet during pregnancy and puerperium, indicating an increase in circumference measurement and a reduction in plantar arch.

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Características biomecânicas dos pés no período gravídico-puerperal: estudo de caso

Wittkopf¹,

Kretzer²,

Borges³

et al. 2015

Sci Med

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“…Hormonal and physical changes during pregnancy compromise the integrity of the supporting soft tissues of the foot arches through joint laxity due to the effect of relaxin and other hormones and the increased body weight [1] . A decrease in arch height leads to a loss of the longitudinal arch (pes planus) and has been reported during pregnancy, with the majority of cases lasting into postpartum periods and beyond [6] . This pregnancy-related decrease in arch height usually results from hormonal and physical changes, including increased ligamentous laxity, weight gain, and a shift in the center of gravity [2,3,[5][6][7][8][9] .…”

Section: Introductionmentioning

confidence: 99%

“…A decrease in arch height leads to a loss of the longitudinal arch (pes planus) and has been reported during pregnancy, with the majority of cases lasting into postpartum periods and beyond [6] . This pregnancy-related decrease in arch height usually results from hormonal and physical changes, including increased ligamentous laxity, weight gain, and a shift in the center of gravity [2,3,[5][6][7][8][9] . The loss of arch height affects the weight bearing of the foot, resulting to pain, irritation, or discomfort in the foot and other lower limb joints [3] due to the synchrony in their biomechanics [8] .…”

Section: Introductionmentioning

confidence: 99%

Correlation between Foot Arch Index and the Intensity of Foot, Knee, and Lower Back Pain among Pregnant Women in a South-Eastern Nigerian Community

Ojukwu¹,

Anyanwu

Nwafor³

2017

Med Princ Pract

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Objectives: The aim of this study was to assess the arch height index of pregnant women and its correlation with foot pain, anterior knee pain, and lower back pain. Subjects and Methods: Two hundred and fifteen consenting pregnant women participated in this cross-sectional study. The arch height index was assessed from their foot prints, while pain intensity was rated on a numerical rating scale. Data were summarized with descriptive statistics and the Pearson correlation was used to determine correlations between the variables at p < 0.05. Results: Of the 215 pregnant women, 123 (57.2%) and 127 (59.9%) had low arch heights on the right and left feet, respectively, and the mean arch height indices were 0.27 ± 0.71 for the right foot and 0.28 ± 0.07 for the left foot. The prevalence of foot, knee, and lower back pain was 65 (30.2%), 43 (20.0%), and 93 (43.3%), respectively. The Pearson correlation analysis did not reveal any significant relationship (p > 0.05) between foot pain and each of the right (r = -0.010, p = 0.886) and left (r = 0.004, p = 0.955) arch indices as well as between knee pain and each of the right (r = 0.042, p = 0.536) and left (r = 0.045, p = 0.515) arch indices. A similar trend was observed for the lower back, which also did not show any significant relationship to each of the right (r = 0.026, p = 0.703) and left (r = 0.097, p = 0.157) arch indices. Conclusion: The study participants had a high prevalence of low foot arches, indicating pes planus. Lower back pain was more common than foot and knee pain. The foot arch heights did not show any relationships between the intensities of foot, anterior knee, and lower back pain.

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The prognostic value of elevated ezrin in patients with osteosarcoma

Lun

et al. 2013

Tumor Biol.

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Published studies researching the prognostic significance of ezrin expression in patients with osteosarcoma are inconclusive and heterogeneous. We conducted a meta-analysis to assess its prognostic value more precisely. The hazard ratios with corresponding 95 % confidence intervals were calculated to evaluate the effects. Five studies with 318 osteosarcoma patients were included to estimate the relationship between ezrin and disease-free survival, and ezrin and overall survival. Compared with osteosarcoma patients with low or negative ezrin expression, patients with high ezrin expression tended to be associated with lower disease-free survival, but the difference was not significant. However, patients with high ezrin expression were obviously associated with lower overall survival. Therefore, the findings from this systematic review suggest that ezrin expression is an effective biomarker of prognosis in patients with osteosarcoma.

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Effect of Pregnancy and Obesity on Arch of Foot

Cited by 15 publications

References 12 publications

Características biomecânicas dos pés no período gravídico-puerperal: estudo de caso

Características biomecânicas dos pés no período gravídico-puerperal: estudo de caso

Correlation between Foot Arch Index and the Intensity of Foot, Knee, and Lower Back Pain among Pregnant Women in a South-Eastern Nigerian Community

The prognostic value of elevated ezrin in patients with osteosarcoma

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