Suchergebnisse

European Union, QREN-InAlentejo-Programa Operacional do Alentejo, 2007–2013/National Strategic Reference Framework, project title Parque de Ciência e Tecnologia do Alentejo, Laboratório de Investigação em Desporto e Saúde/Alentejo's Science and Technology Park, Sport and Health Research Center, Instituto Politécnico de Santarém, Escola Superior de Desporto de Rio Maior/Escola Superior de Saúde de Santarém/Polytechnic Institute of Santarém, and Sport Sciences School of Rio Maior/Health School of Santarém. Project coordinator is Rita Santos-Rocha (Project reference: ALENT-07-0262-FEDER-001883) ; During pregnancy women experience several changes in the body's physiology, morphology, and hormonal system. These changes may affect the balance and body stability and can cause discomfort and pain. The adaptations of the musculoskeletal system due to morphological changes during pregnancy are not fully understood. Few studies clarify the biomechanical changes of gait that occur during pregnancy and in postpartum period.Purposes. The purpose of this review was to analyze the available evidence on the biomechanical adaptations of gait that occur throughout pregnancy and in postpartum period, specifically with regard to the temporal, spatial, kinematic, and kinetic parameters of gait.Methods. Three databases were searched and 9 studies with a follow-up design were retrieved for analysis.Results. Most studies performed temporal, spatial, and kinematic analysis. Only three studies performed kinetic analysis.Conclusion. The adaptation strategies to the anatomical and physiological changes throughout pregnancy are still unclear, particularly in a longitudinal perspective and regarding kinetic parameters.

The present publication was supported by the following projects: (1) funder, Fundação para a Ciência e Tecnologia (FCT)/Portuguese Foundation for Science and Technology, project title: Effect of Biomechanical Loading on the Musculoskeletal System in Women during Pregnancy and the Postpartum Period; promoter, CIPER/FMH-UL/ESDRM-IPS; Principal Researcher, Rita Santos-Rocha; and project reference, PTDC/DES/102058/2008; (2) funder, European Union: QREN-InAlentejo-Programa Operacional do Alentejo-2007–2013/National Strategic Reference Framework, project title: Alentejo's Science and Technology Park, Sport and Health Research Center; promoter: Polytechnic Institute of Santarém, Sport Sciences School of Rio Maior/Health School of Santarém; Project Coordinator, Rita Santos-Rocha; and project reference, ALENT-07-0262-FEDER-001883. ; Biomechanical adaptations that occur during pregnancy can lead to changes on gait pattern. Nevertheless, these adaptations of gait are still not fully understood. The purpose was to determine the effect of pregnancy on the biomechanical pattern of walking, regarding the kinetic parameters. A three-dimensional analysis was performed in eleven participants. The kinetic parameters in the joints of the lower limb during gait were compared at the end of the first, second, and third trimesters of pregnancy and in the postpartum period, in healthy pregnant women. The main results showed a reduction in the normalized vertical reaction forces, throughout pregnancy, particularly the third peak. Pregnant women showed, during most of the stance phase, medial reaction forces as a motor response to promote the body stability. Bilateral changes were observed in hip joint, with a decrease in the participation of the hip extensors and in the eccentric contraction of hip flexors. In ankle joint a decrease in the participation of ankle plantar flexors was found. In conclusion, the overall results point to biomechanical adjustments that showed a decrease of the mechanical load of women throughout pregnancy, with exception for few unilateral changes of hip joint moments.