Plantar Pressure and Foot Pain in the Last Trimester of Pregnancy

Karadağ-Saygı, Evrim; Unlu-Ozkan, Feyza; Başgül, Alin

doi:10.3113/fai.2010.0153

Cited by 46 publications

(54 citation statements)

References 19 publications

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“…UnluOzkan e Basgul [17] encontraram aumento da pressão plantar no antepé no último trimestre gestacional, durante tarefas estáticas e dinâmicas. Por outro lado, durante o mesmo período, Gaymer et al [18] observaram aumento da pressão no mediopé, a qual retornou aos valores normais após a gestação.…”

Section: Discussionunclassified

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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Section: Discussionunclassified

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

Wittkopf¹,

Kretzer²,

Borges³

et al. 2015

Sci Med

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“…In contrast to the study by Gaymer et al (26), we found that increased midfoot plantar pressure was related to pain. Various researchers reported that foot alterations due to the increase in body weight as well as hormonal changes during pregnancy played roles in foot pain (3,27).…”

Section: Discussionmentioning

confidence: 99%

Relation between foot pain and plantar pressure in pregnancy

VAROL¹,

Göker²,

Cezayirli³

et al. 2017

Turk J Med Sci

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Background/aim: Hormonal and structural changes that occur during pregnancy cause alterations in body biomechanics. These alterations reach their peak in the last trimester. Adaptive changes that appear in the foot result in pain in the foot and ankle. Pedobarography is a noninvasive measurement method that can be used to understand the origin of such pain. Materials and methods:One hundred and thirty-one pregnant women who did not have a foot or ankle problem prior to pregnancy volunteered to take part in the study. Pain was quantified by a visual analog scale (VAS). A cut-off value of 2.95 was taken to divide the subjects into two groups: Group 1 (n = 70) with VAS scores of <2.95 and Group 2 (n = 61) with VAS scores of ≥2.95. Plantar pressure measurements were taken by Tekscan HR Mat using midgait protocol.Results: Forces experienced by the total right foot area, right forefoot, and the midfoot for both feet were significantly higher in Group 2 (P < 0.05). Contact area was significantly larger in Group 2 (P < 0.05). Conclusion:Results indicate that presence and severity of foot pain during pregnancy are related to the force distribution along the foot, especially at midfoot and the contact area.

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“…Pregnancy‐related changes in trunk motion during a walking task may indicate altered musculoskeletal loads with potential for injury or pain, and pregnancy was shown to induce significant changes in postural control when women stood with a reduced support base (12). Progression of symptoms is seen especially in the third trimester as the center of gravity changes due to weight gain (20). Pregnancy may result in strain symptoms in the lumbosacral region and pelvis, with variable pain intensifying in various static positions (21).…”

Section: Discussionmentioning

confidence: 99%

Spinal curvature and characteristics of postural change in pregnant women

Okanishi

Kito

Akiyama

et al. 2012

Acta Obstet Gynecol Scand

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Objective. Pregnant women often report complaints due to physiological and postural changes. Postural changes during pregnancy may cause low back pain and pelvic girdle pain. This study aimed to compare the characteristics of postural changes in pregnant compared with non‐pregnant women. Design. Prospective case–control study. Setting. Pregnancy care center. Population. Fifteen women at 17–34 weeks pregnancy comprised the study group, while 10 non‐pregnant female volunteers comprised the control group. Methods. Standing posture was evaluated in the sagittal plane with static digital pictures. Two angles were measured by image analysis software: (1) between the trunk and pelvis; and (2) between the trunk and lower extremity. Spinal curvature was measured with Spinal Mouse® to calculate the means of sacral inclination, thoracic and lumbar curvature and inclination. Main outcome measures. The principal components were calculated until eigenvalues surpassed 1. Results. Three distinct factors with eigenvalues of 1.00–2.49 were identified, consistent with lumbosacral spinal curvature and inclination, thoracic spine curvature, and inclination of the body. These factors accounted for 77.2% of the total variance in posture variables. Eleven pregnant women showed postural characteristics of lumbar kyphosis and sacral posterior inclination. Body inclination showed a variety of patterns compared with those in healthy women. Conclusions. Spinal curvature demonstrated a tendency for lumbar kyphosis in pregnant women. Pregnancy may cause changes in spinal curvature and posture, which may in turn lead to relevant symptoms. Our data provide a basis for investigating the effects of spinal curvature and postural changes on symptoms during pregnancy.

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Plantar Pressure and Foot Pain in the Last Trimester of Pregnancy

Abstract: We believe that based on the observed pressure changes, foot pain in pregnancy due to changes in body mass and distribution may be relieved by exercise and shoewear modifications.

Cited by 46 publications

References 19 publications

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

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

Relation between foot pain and plantar pressure in pregnancy

Spinal curvature and characteristics of postural change in pregnant women

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