Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20180042
Brazilian Journal of Pain
Original Article

Gait variables comparison between pregnant women with and without lumbopelvic pain

Vanessa Patrícia Soares de Sousa; Vitória Jéssica Teixeira Dantas; Silvia Oliveira Ribeiro Lira; Alethéa Cury; Caroline N. A. Medeiros; Elizabel de Souza Ramalho Viana

Downloads: 0
Views: 220

Abstract

BACKGROUND AND OBJECTIVES: The various gestational adaptations may lead to changes in the gait pattern. Also, the lumbopelvic pain in this period can impact the gait dynamics. The objective of this study was to compare gait variables between pregnant women with and without lumbopelvic pain, according to the gestational trimesters, and to compare the outcome variables between the second and third gestational trimesters.

METHODS: Analytical and cross-sectional study with 277 pregnant women. They were divided into two groups, considering the gestational trimester as a grouping factor. Subsequently, the two groups were subdivided considering the absence or presence of lumbopelvic pain. All participants were submitted to the evaluation protocol: identification form, visual analog scale, and gait assessment using the Balance Master System®.

RESULTS: The chronological age averages of the second and third-trimester groups were, respectively, 29.9±4.6 and 29.7±3.7 years. When comparing gait variables between pregnant women with and without lumbopelvic pain, a statistically significant difference was observed only for the gait velocity (p=0.04) in the third-trimester group.

CONCLUSION: It is suggested that women in the third trimester with complaints of lumbopelvic pain have reduced gait velocity when compared to those without pain.

Keywords

Gait, Low back pain, Pregnancy

References

Ribeiro SO, Sousa VP, Viana ES. Influence of virtual reality on postural balance and quality of life of pregnant women: controlled clinical trial randomized. Fisioter Mov. 2017;30(^sSuppl 1):111-20.

Aguiar L, Andrade C, Branco M, Santos-Rocha R, Vieira F, Veloso A. Global optimization method applied to the kinematics of gait in pregnant women. J Mech Med Biol. 2016;16(6):1650084.

Sawa R, Doi T, Asai T, Watanabe K, Taniguchi T, Ono R. Differences in trunk control between early and late pregnancy during gait. Gait Posture. 2015;42(4):455-9.

Yoo H, Shin D, Song C. Changes in the spinal curvature, degree of pain, balance ability, and gait ability according to pregnancy period in pregnant and nonpregnant women. J Phys Ther Sci. 2015;27(1):279-84.

Mann L, Kleinpaul JF, Mota CB, Santos SG. Alterações biomecânicas durante o período gestacional: uma revisão. Motriz. 2010;16(3):730-41.

Blaszczyk JW, Opala-Berdzik A, Plewa M. Adaptive changes in spatiotemporal gait characteristics in women during pregnancy. Gait Posture. 2015;43:160-4.

Martins RF, Silva JL. [Back pain is a major problem for many pregnant women]. Rev Assoc Med Bras. 2005;51(3):144-7.

Martins RF, Silva JL Pinto e. Tratamento da lombalgia e dor pélvica posterior na gestação por um método de exercícios. Rev Bras Ginecol Obstet. 2005;27(5):275-82.

NeuroCom Test Protocols. 2015.

Wu W, Meijer OG, Lamoth CJ, Uegaki K, Dieën JH van, Wuisman PI. Gait coordination in pregnancy: transverse pelvic and thoracic rotations and their relative phase. Clin Biomech. 2004;19(5):480-8.

Mann L, Kleinpaul JF, Teixeira CS, Konopka CK. Dor lombo-pélvica e exercício físico durante a gestação. Fisioter Mov. 2008;21(2):99-105.

Arendt-Nielsen L, Graven-Nielsen T, Svarrer H, Svensson P. The influence of low back pain on muscle activity and coordination during gait: a clinical and experimental study. Pain. 1996;64(2):231-40.

Wu WH, Meijer OG, Bruijn SM, Hu H, Dieën JH van, Lamoth CJ. Gait in Pregnancy-related Pelvic girdle Pain: amplitudes, timing, and coordination of horizontal trunk rotations. Eur Spine J. 2008;17(9):1160-9.

Wu W, Meijer OG, Jutte PC, Uegaki K, Lamoth CJ, Wolf G Sander de. Gait in patients with pregnancy-related pain in the pelvis: an emphasis on the coordination of transverse pelvic and thoracic rotations. Clin Biomech. 2002;17(9-10):678-86.

Nakao H, Yoshikawa T, Mimura T, Hara T, Nishimoto K, Fujimoto S. Influence of lower-extremity muscle force, muscle mass and asymmetry in knee extension force on gait ability in community-dwelling elderly women. J Phys Ther Sci. 2006;18(1):73-9.

Sousa VP de, Ribeiro SO, Aquino CM de, Viana ES. Quality of sleep in pregnant woman with low back pain. Fisioter Mov. 2015;28(2):319-26.

Wasan AD, Anderson NK, Giddon DB. Differences in pain, psychological symptoms, and gender distribution among patients with left vs. right-sided chronic spinal pain. Pain Med. 2010;11(9):1373-80.

Mogren IM. BMI, pain and hyper-mobility are determinants of long-term outcome for women with low back pain and pelvic pain during pregnancy. Eur Spine J. 2006;15(7):1093-102.

Bertuit J, Feipel V, Rooze M. Temporal and spatial parameters of gait during pregnancy. Acta Bioeng Biomech. 2015;17(2):93-101.

Branco M, Santos-Rocha R, Vieira F. Biomechanics of gait during pregnancy. Sci World J. 2014;2014:527940.

Gottschall JS, Sheehan RC, Downs DS. Pregnant women exaggerate cautious gait patterns during the transition between level and hill surfaces. J Electromyogr Kinesiol. 2013;23(5):1237-42.

Albino MA, Moccellin AS, Firmento Bda D, Driusso P. [Gait force propulsion modifications during pregnancy: effects of changes in feet's dimensions]. Rev Bras Ginecol Obstet. 2011;33(7):164-9.

Foti T, Davids JR, Bagley A. A biomechanical analysis of gait during pregnancy. J Bone Joint Surg Am. 2000;82(5):625-33.

Butler EE, Colón I, Druzin ML, Rose J. Postural equilibrium during pregnancy: decreased stability with an increased reliance on visual cues. Am J Obstet Gynecol. 2006;195(4):1104-8.

Ersal T, McCrory J, Sienko KH. Theoretical and experimental indicators of falls during pregnancy as assessed by postural perturbations. Gait Posture. 2014;39(1):218-23.

Lou SZ, Chou YL, Chou PH, Lin CJ, Chen UC, Su FC. Sit-to-stand at different periods of pregnancy. Clin Biomech. 2001;16(3):194-8.


Submitted date:
03/20/2018

Accepted date:
06/27/2018

5f1f78160e88255c43dc677b brjp Articles
Links & Downloads

BrJP

Share this page
Page Sections