Progressive changes in walking kinematics throughout pregnancy—A follow up study

Forczek, Wanda; Ivanenko, Yuri P.; Curyło, Mateusz; Frączek, Barbara; Masłoń, Agata; Salamaga, Marcin; Suder, Agnieszka

doi:10.1016/j.gaitpost.2019.01.004

Cited by 14 publications

(12 citation statements)

References 24 publications

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“…Pregnant women that practised yoga had greater walking speed and were faster in the timed up-and-go test, had shorter double support and turn times during walking, which indicates they have better stability [50]. Pregnant women who exercised had beneficial adaptations to lower limb kinematics during gait [51]. Strategies for fall prevention in other fall prone populations include physical activity, which has been proven to reduce the risk of falling and reduce the occurrence of falls by 30% in the elderly [52,53].…”

Section: Discussionmentioning

confidence: 99%

Risk factors for accidental falls during pregnancy – a systematic literature review

Hrvatin

Rugelj

2021

The Journal of Maternal-Fetal & Neonatal Medicine

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Introduction: Falls during pregnancy occur in 25-27% of women and can cause serious harm to both the mother and the fetus. The objective of this systematic review was to identify intrinsic and extrinsic risk factors for falls during pregnancy by reviewing original studies and addressing possible forms of prevention. Methods: We searched PubMed, Cochrane library, and Web of Science databases for studies assessing risk factors for falling after a fall has occurred or by using posturographic assessment. Results: Fourteen studies were included in the review. The identified extrinsic risk factors include slippery floors, cluttered areas, uneven ground, inappropriate shoes, hurrying, walking on stairs, carrying additional loads, poor lighting or obstructed view, sedentary lifestyle and working in physically demanding jobs. The identified intrinsic factors include age less than 30, height more than 160 cm, advanced pregnancy, unintended pregnancy, multiparity, hyperemesis gravidarum, low back pain, gestational diabetes, increase in abdominal circumference, lower ankle stiffness and joint laxity. Physical activity, maternity support belts, and education are possible strategies for fall prevention. Conclusion: Our systematic review identified 13 intrinsic and 11 extrinsic risk factors for falling during pregnancy. With the knowledge of risk factors and the optimal prevention strategy, healthcare providers could incorporate this information in the treatment of pregnant women and reduce the risk of falling.

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Section: Discussionmentioning

confidence: 99%

Risk factors for accidental falls during pregnancy – a systematic literature review

Hrvatin

Rugelj

2021

The Journal of Maternal-Fetal & Neonatal Medicine

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“…La marcha durante el embarazo sigue siendo un foco de estudio de amplio interés entre investigadores debido a que llega a parecerse a la marcha de un adulto mayor tal y como lo plantean Forczek et al (2019). A su vez, se modifica totalmente la mecánica y predispone a caídas o tropiezos en casi un 25% de las mujeres gestantes (Ersal, McCrory y Sienko, 2014;Jang, Hsiao y Hsiao-Wecksler, 2008).…”

Section: Discussionunclassified

“…Así como en esta pesquisa se encuentra que hay una adaptación en el trabajo muscular de las articulaciones de MMII, Catena et al (2020) también identifican un aumento de la flexión de cadera y rodilla al caminar. Forczek et al (2019) encontraron que los cambios a la distribución plantar en la marcha pueden estar dados como mejoría en la respuesta de la estabilidad lateral durante la marcha; además tiene un origen musculoesquelético de aumento de pronación de pie y ancho de pie por retención de líquidos.…”

Section: Discussionunclassified

Alteraciones musculoesqueléticas y adaptaciones biomecánicas durante los trimestres de embarazo: una revisión sistemática

Salazar

2021

PensarMov.

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El embarazo es un proceso progresivo que involucra cambios de tipo hormonal, mecánico, fisiológico y emocional en la mujer, y que causa que el sistema musculoesquelético se adapte constantemente. Estos cambios, suelen identificarse a través de la postura y la biomecánica de los movimientos en la vida diaria. En esta investigación se realizó una revisión sistemática para encontrar las principales alteraciones y adaptaciones durante el embarazo, incluyendo artículos del 2008 al 2018, con mujeres gestantes sanas, con un solo feto, sin alteraciones musculoesqueléticas previas, de Índice de Masa Corporal (IMC) normal y cualquier metodología de investigación excepto estudios de caso. Se identificaron 13 estudios que refieren evaluar las tres etapas de gestación, edades desde los 20 a los 35 años, así como con diversos objetivos de investigación. La postura de la mujer gestante presenta un aumento de la lordosis lumbar, la curvatura torácica y el ángulo de inclinación anterior de la pelvis. La tarea de sentarse y levantarse de una silla requiere de mayor control del movimiento así como de tiempo de ejecución. La oscilación y las fuerzas de reacción del suelo del Centro de Presión corporal aumentan al estar de pie, lo que resulta en una mayor distancia entre los pies como estrategia de control del equilibrio. Finalmente, la biomecánica de la marcha se adapta a una menor velocidad, longitud de paso y etapa de despegue de los pies del piso, con un aumento del ancho de paso y una mayor base de apoyo. En la gestación, la mujer desarrolla adaptaciones de tipo anatómicas y mecánicas como respuesta a los cambios progresivos experimentados.

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“…Another 15 articles used 3-D camera motion capture systems using 13 different protocols. Twelve of the 15 articles were walking protocols [160,161,[170][171][172][162][163][164][165][166][167][168][169] and 2 used a stand to sit motion protocol [173,174].…”

Section: Tests Usedmentioning

confidence: 99%

Assessing physical fitness during pregnancy: validity and reliability of fitness tests, and relationship with maternal and neonatal health-related outcomes. A systematic review

Romero‐Gallardo

Roldan-Reoyo

Castro‐Piñero

et al. 2021

Preprint

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Background: Physical fitness (PF) is a powerful marker of health throughout the lifespan. In pregnant women, higher PF is associated with better maternal and fetal health, better delivery outcomes and earlier postpartum recovery. The assessment of PF during pregnancy requires special considerations to preserve fetal and maternal health; thus, providing a compilation of the most frequently used fitness tests, and assessing their validity, reliability, and association with maternal and neonatal health-related outcomes is of scientific and clinical interest. Objectives: To systematically review studies evaluating one or more components of PF in pregnant women, to answer two research questions: 1) What fitness tests have been previously employed in pregnant women? and 2) What is the validity and reliability of these tests and their relationship with health-related outcomes? Data Sources: PubMed and Web of Science. Methods: Two independent reviewers systematically examined the articles in each database. The information from the included articles was summarized by a single researcher. Results: A total of 149 articles containing a sum of 191 fitness tests were included. Among the 191 fitness tests, 99 (i.e.,52%) assessed cardiorespiratory fitness through 75 different protocols, 28 (15%) assessed muscular fitness through 16 different protocols, 14 (7%) assessed flexibility through 13 different protocols, 45 (24%) assessed balance through 40 different protocols, 2 assessed speed with the same protocol and 3 were multidimensional tests using one protocol. A total of 19 articles with 23 tests (13%) assessed either validity (n=4), reliability (n=6), or the relationship of PF with health-related outcomes (n=16). Conclusion: PF during pregnancy has been assessed through a wide variety of protocols, mostly lacking validity and reliability data.

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Progressive changes in walking kinematics throughout pregnancy—A follow up study

Cited by 14 publications

References 24 publications

Risk factors for accidental falls during pregnancy – a systematic literature review

Risk factors for accidental falls during pregnancy – a systematic literature review

Alteraciones musculoesqueléticas y adaptaciones biomecánicas durante los trimestres de embarazo: una revisión sistemática

Assessing physical fitness during pregnancy: validity and reliability of fitness tests, and relationship with maternal and neonatal health-related outcomes. A systematic review

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