Plantar Pressure During Gait in Pregnant Women

2016 ◽  
Vol 106 (6) ◽  
pp. 398-405 ◽  
Author(s):  
Jeanne Bertuit ◽  
Clara Leyh ◽  
Marcel Rooze ◽  
Véronique Feipel
Keyword(s):  
Pregnant Women ◽  
Contact Area ◽  
Plantar Pressure ◽  
Late Pregnancy ◽  
Specific Pattern ◽  
Control Group ◽  
Peak Time ◽  
Reduced Pressure ◽  
Plantar Pressures ◽  
Nulliparous Women

Background: During pregnancy, physical and hormonal modifications occur. Morphologic alterations of the feet are found. These observations can induce alterations in plantar pressure. This study sought to investigate plantar pressures during gait in the last 4 months of pregnancy and in the postpartum period. A comparison with nulliparous women was conducted to investigate plantar pressure modifications during pregnancy. Methods: Fifty-eight women in the last 4 months of pregnancy, nine postpartum women, and 23 healthy nonpregnant women (control group) performed gait trials on an electronic walkway at preferred speeds. The results for the three groups were compared using analysis of variance. Results: During pregnancy, peak pressure and contact area decreased for the forefoot and rearfoot. These parameters increased significantly for the midfoot. The gait strategy seemed to be lateralization of gait with an increased contact area of the lateral midfoot and both reduced pressure and a later peak time on the medial forefoot. In the postpartum group, footprint parameters were modified compared with the pregnant group, indicating a trend toward partial return to control values, although differences persisted between the postpartum and control groups. Conclusions: Pregnant women had altered plantar pressures during gait. These findings could define a specific pattern of gait footprints in late pregnancy because plantar pressures had characteristics that could maintain a stable and safe gait.

scholarly journals Effectiveness of Deep Dry Needling vs Ischemic Compression in the Latent Myofascial Trigger Points of the Shortened Triceps Surae from Triathletes on Ankle Dorsiflexion, Dynamic, and Static Plantar Pressure Distribution: A Clinical Trial

Pain Medicine ◽  
2019 ◽  
Vol 21 (2) ◽  
pp. e172-e181 ◽  
Author(s):  
María Benito-de-Pedro ◽  
Ricardo Becerro-de-Bengoa-Vallejo ◽  
Marta Elena Losa-Iglesias ◽  
David Rodríguez-Sanz ◽  
Daniel López-López ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Plantar Pressure ◽  
Ankle Dorsiflexion ◽  
Triceps Surae ◽  
Control Group ◽  
Single Session ◽  
Dry Needling ◽  
Myofascial Trigger Points ◽  
Plantar Pressures ◽  
Before And After

Abstract Objective To determine the immediate efficacy of a single session of deep dry needling (DDN) vs ischemic compression (ICT) in a latent myofascial trigger point (MTrP) of the shortened triceps surae from triathletes for ankle dorsiflexion and redistribution of plantar pressures and stability. Design A randomized simple blind clinical trial (NCT03273985). Setting An outpatient clinic. Subjects Thirty-four triathletes with a latent MTrP in the shortened gastrocnemius. Methods Triathletes were randomized to receive a single session of DDN (N = 17) or ICT (N = 17) in a latent MTrP of the shortened triceps surae. The primary outcome was ankle dorsiflexion range of motion (ROM) by a universal goniometer. Secondary objectives were distribution of dynamic and static plantar pressures by T-Plate platform pressure, with measurements both before and after five, 10, 15, 20, and 25 minutes of treatment. Results There were no statistically significant differences (P > 0.05) for ankle dorsiflexion ROM or dynamic and static plantar pressures between the experimental group treated with DDN and the control group treated with ICT before and after treatment. Conclusions DDN vs ICT carried out in latent MTrPs of the shortened gastrocnemius of triathletes did not present differences in terms of dorsiflexion ROM of the tibiofibular-talar joint or in static and dynamic plantar pressure changes before and immediately after treatment.

Promoting positive motherhood among nulliparous pregnant women with an intense fear of childbirth: RCT intervention

2011 ◽  
Vol 17 (4) ◽  
pp. 520-534 ◽  
Author(s):  
Katariina Salmela-Aro ◽  
Sanna Read ◽  
Hanna Rouhe ◽  
Erja Halmesmäki ◽  
Riikka Maria Toivanen ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Late Pregnancy ◽  
Positive Parenting ◽  
Fear Of Childbirth ◽  
Education Group ◽  
Nulliparous Women ◽  
Intense Fear ◽  
Group Sessions ◽  
And Control

This RCT intervention among nulliparous pregnant women with an intense fear of childbirth sought to promote preparedness for childbirth and to enhance positive parenting. Pregnant women (n = 8,611) filled in a ‘fear of childbirth’ questionnaire. Nulliparous women with severe fear of childbirth (n = 355) were randomized into intervention (n = 131; 41 refused) and control (n = 224) groups. They rated themselves on a preparedness scale in middle and late pregnancy, and on a motherhood scale three months after childbirth. The intervention included six psycho-education group sessions during pregnancy and one after childbirth. This intervention increased the mothers’ preparedness for childbirth, which predicted an increase in positive motherhood.

Effect of Running Shoe Type on the Distribution and Magnitude of Plantar Pressures in Individuals with Low- or High-Arched Feet

2009 ◽  
Vol 99 (4) ◽  
pp. 330-338 ◽  
Author(s):  
Joseph M. Molloy ◽  
Douglas S. Christie ◽  
Deydre S. Teyhen ◽  
Nancy S. Yeykal ◽  
Bradley S. Tragord ◽  
...  
Keyword(s):  
Motion Control ◽  
Negative Correlation ◽  
Contact Area ◽  
Plantar Pressure ◽  
Arch Height ◽  
Plantar Pressures ◽  
Pressure Distributions ◽  
Test Conditions ◽  
Running Shoes ◽  
Arch Index

Background: Research addressing the effect of running shoe type on the low- or high-arched foot during gait is limited. We sought 1) to analyze mean plantar pressure and mean contact area differences between low- and high-arched feet across three test conditions, 2) to determine which regions of the foot (rearfoot, midfoot, and forefoot) contributed to potential differences in mean plantar pressure and mean contact area, and 3) to determine the association between the static arch height index and the dynamic modified arch index. Methods: Plantar pressure distributions for 75 participants (40 low arched and 35 high arched) were analyzed across three conditions (nonshod, motion control running shoes, and cushioning running shoes) during treadmill walking. Results: In the motion control and cushioning shoe conditions, mean plantar contact area increased in the midfoot (28% for low arched and 68% for high arched), whereas mean plantar pressure decreased by approximately 30% relative to the nonshod condition. There was moderate to good negative correlation between the arch height index and the modified arch index. Conclusions: Cushioning and motion control running shoes tend to increase midfoot mean plantar contact area while decreasing mean plantar pressure across the low- or high-arched foot. (J Am Podiatr Med Assoc 99(4): 330–338, 2009)

scholarly journals Alterations in the Plantar Pressure Patterns of Overweight and Obese Schoolchildren Due to Backpack Carriage

2013 ◽  
Vol 103 (4) ◽  
pp. 306-313 ◽  
Author(s):  
Massimiliano Pau ◽  
Bruno Leban ◽  
Marco Pau
Keyword(s):  
Contact Area ◽  
Plantar Pressure ◽  
Normal Weight ◽  
The Body ◽  
Long Term Effects ◽  
Contact Areas ◽  
Regular School ◽  
Plantar Pressures ◽  
School Day ◽  
Load Action

Background: Among other adverse consequences, childhood obesity is known to influence foot structure and functionality. Yet little information is available regarding how the physiologic foot-ground interaction is altered when a localized load is carried, as occurs in the case of schoolbags. We investigated plantar contact area and pressure modifications induced by backpack carriage under actual conditions. We hypothesized that a localized load acting on the body would further increase the already excessive plantar pressure that exists with overweight and obese status. Methods: Seventy overweight and obese schoolchildren aged 6 to 11 years underwent two 30-sec trials on a pressure platform during a regular school day, with and without a backpack. Total and subregion contact areas along with peak plantar pressures were obtained, and results were compared with those of an equal-numbered group of normal-weight schoolchildren. Results: Overweight and obese children generally had larger contact areas and higher peak plantar pressures compared with their normal-weight peers. In overweight and normal-weight participants, the backpack induced a similar generalized increase in contact area and pressures. However, the largest changes were observed in the forefoot, suggesting that load action tends to modify the physiologic pressure patterns. Conclusions: Backpack carriage raises the already elevated peak plantar pressures in overweight children during upright stance and modifies the physiologic pressure patterns. Further investigations are needed to clarify the features of such phenomenon when dynamic activities are performed and to verify the existence of fatigue and overexertion on the foot as well as other possible negative long-term effects. (J Am Podiatr Med Assoc 103(4): 306–313, 2013)

scholarly journals The effect of delivery ball and warm shower on the childbirth experience of nulliparous women: A randomized controlled clinical trial

2021 ◽  
Author(s):  
parvaneh sharifipour ◽  
Masoomeh Kheirkhah ◽  
Mojgan Rajati ◽  
hamid haghani
Keyword(s):  
Clinical Trial ◽  
Pregnant Women ◽  
Control Group ◽  
Controlled Clinical Trial ◽  
Control Groups ◽  
Childbirth Experience ◽  
Nulliparous Women ◽  
Significant Difference ◽  
The Mean ◽  
And Control

Abstract Background Childbirth is a unique experience that affects women’s life. Therefore, this study was performed to determine the effect of delivery ball and warm shower on the childbirth experience of primiparous women. Methods This study is a clinical trial that was carried out on primiparous pregnant women referred to Motazedi Hospital in Kermanshah, Iran. Sampling was done by continuous method and pregnant women were divided into three groups of delivery ball-warm shower (n = 33), delivery ball (n = 33) and control (n = 33). Exercise with ball at the dilation of 4 cm was similar in the two groups of delivery ball-warm shower and delivery ball, but the first group also used warm shower at the dilatation of 7 cm. The control group only received the routine delivery care. Demographic information form consisting of pregnancy history and information about the mother and infant were completed and the childbirth experience questionnaire (CEQ) were completed by the women two hours after the childbirth. Results There was a statistically significant difference in the mean score of childbirth experience after the intervention between the two groups of delivery ball-warm shower and control (P = 0.001), and also between the delivery ball and control groups (P = 0.001). There was a statistically significant difference in the mean scores of professional support between the two groups of delivery ball-warm shower and control (P = 0.02) and also between the delivery ball and control groups (p = 0.02). There was a statistically significant difference in the mean scores of participation between the two groups of delivery ball-warm shower and control (P = 0.003) and also between the delivery ball and control groups (P = 0.01). There was also a statistically significant difference in the mean scores of sense of security between the two groups of delivery ball-warm shower and control (P = 0.01). Conclusion Delivery ball and warm shower were effective interventions to create a positive childbirth experience. This method was more effective than using delivery ball alone in childbirth experience. To achieve a positive experience of childbirth in mothers, the use of both intervention (delivery ball and warm shower) is recommended.

scholarly journals What Should Be the Determinant of Treatment for Juveniles with Flexible Flatfeet?

2020 ◽  
Author(s):  
JunNa Zhai ◽  
YuSheng Qiu ◽  
Lina Shao
Keyword(s):  
Exercise Therapy ◽  
Contact Area ◽  
Plantar Pressure ◽  
Living Standards ◽  
Repeated Measure ◽  
Control Group ◽  
Pressure Data ◽  
Flexible Flatfoot ◽  
Load Rate ◽  
Experimental Group

Abstract Background: It is still controversial that if juveniles with flexible flatfeet need to be treated. Some believed they did not need the treatment unless they felt pain after exercise. However, as living standards rise, the amount of exercise among teenagers is declining. The juveniles with flexible flatfeet don’t feel pain not because they don’t have symptoms, but because they rarely walk. This study recruited juveniles with flexible flatfoot to find out if there was other determinant of treatment. Methods: We recruited an experimental group with 20 severe flexible flatfeet and a control group with 20 severe flexible flatfeet. The contact area and load rate were measured separately. Then the subjects of experimental group were treated by exercise therapy for 8 weeks, and the plantar pressure data were measured again. The repeated measure was used to analyze the data. Results: The contact area and load rate of mid foot decreased significantly in experimental group after 8-week treatment. All the subjects of experimental group did not feel any uncomfortable during the treatment. While the two kinds of data in control group were not changed much between pre-after measurements. Conclusion: Exercise therapy could effectively improve the severe flexible flatfoot. If the juveniles with flexible flatfoot need the treatment should not depend on the symptoms only, but also on the severity. The juveniles with severe flexible flatfoot should be treated as soon as diagnosed.

Preparation for the first childbirth: assessment of the impact on some characteristics of psychological status

2020 ◽  
Vol 21 (3) ◽  
pp. 17-20
Author(s):  
O. V. Prokhorova ◽  
Keyword(s):  
Pregnant Women ◽  
Psychological Status ◽  
Control Group ◽  
Cross Sectional ◽  
Psychological Component ◽  
Nulliparous Women ◽  
Situational Anxiety ◽  
Personal Anxiety ◽  
The Impact ◽  
Optimal Type

Aim. To study of the influence of complex psycho-preventive preparation for childbirth in primiparous patients on some features of their psycho-emotional status. Materials and methods. A cross-sectional prospective study of 286 nulliparous women in full-term pregnancy, aged 21 to 35 years, was carried out, among them 142 pregnant women (the main group) attended courses of complex psycho-preventive preparation for childbirth in the third trimester of pregnancy. The control group consisted of 144 primiparas who did not attend antenatal training courses. To assess the psychological status of pregnant women, the method for assessing the psychological component of the gestational dominant (PCGD) was used according to I. V. Dobryakov. Anxiety was assessed according to the scale of situational and personal anxiety Ch.D. Spielberger and Yu.L. Khanina. Results. It was revealed that attending birth-giving women 4.8 times more often leads to the formation of the optimal type of psychological component of the gestational dominant. The effects of attending antenatal training classes on the level of situational anxiety in pregnant women are manifested in the form of a significant decrease in its level – OR 0.28 (95% CI 0.15-0.54). Conclusion. Comprehensive antenatal preparation for childbirth in primiparous leads to an improvement in some emotional characteristics of pregnant women, including the formation of the optimal type of psychological component of the gestational dominant and a decrease in situational anxiety.

Changes in baroreceptor sensitivity for heart rate during normotensive pregnancy and the puerperium

2000 ◽  
Vol 98 (3) ◽  
pp. 259-268 ◽  
Author(s):  
Melanie J. BLAKE ◽  
Allison MARTIN ◽  
Brad N. MANKTELOW ◽  
Charles ARMSTRONG ◽  
Aidan W. HALLIGAN ◽  
...  
Keyword(s):  
Heart Rate ◽  
Pregnant Women ◽  
Early Pregnancy ◽  
High Frequency ◽  
Post Partum ◽  
Late Pregnancy ◽  
Late Gestation ◽  
Control Group ◽  
Pulse Interval ◽  
Normotensive Pregnancy

Normal pregnancy is associated with marked changes in cardiovascular haemodynamics, which in part may be due to changes in autonomic control mechanisms. Baroreflex sensitivity for heart rate (BRS) was calculated in the supine and standing positions using power spectral analysis of pulse interval (PI) and systolic blood pressure (SBP) in 16 normotensive pregnant women and 10 normotensive non-pregnant controls. The pregnant women were studied on three occasions during their pregnancy (early, mid- and late gestation) and once during the puerperium. Supine total SBP variability increased between early and late pregnancy by 79% [95% confidence intervals (CI) 30%, 145%; P < 0.001], and supine high-frequency PI variability decreased by 75% (CI 51%, 88%; P < 0.001). Supine BRS fell by 50% (P < 0.001), with values returning to early-pregnancy levels in the puerperium, which were similar to those recorded in the control group. Standing SBP variability and BRS values were unchanged during pregnancy and post partum. The low/high frequency ratio of PI variability, taken as a surrogate measure of sympathovagal balance, increased by 137% (CI 42%, 296%; P < 0.01) in the supine but not the standing position from early to late pregnancy. This was due to a decrease in high-frequency variability rather than to an increase in low-frequency variability, suggesting that these changes may have been due to vagal withdrawal rather than increased sympathetic activity. Normotensive pregnancy is associated with a marked decrease in supine BRS, although the exact mechanisms for these changes remain unclear. Further studies are required to define whether changes in BRS and sympathovagal tone in early pregnancy can be used to predict the onset of pregnancy-induced hypertension.

scholarly journals Platelet count estimation: a prognostic index in pregnancy induced hypertension

2018 ◽  
Vol 7 (2) ◽  
pp. 476
Author(s):  
Aakriti Gupta ◽  
Jyoti Hak ◽  
Isha Sunil ◽  
Amita Gupta
Keyword(s):  
Platelet Count ◽  
Pregnant Women ◽  
Prognostic Index ◽  
Disease Process ◽  
Late Pregnancy ◽  
Control Group ◽  
The Mean ◽  
The Difference ◽  
And Control ◽  
In Pregnancy

Background: Hypertension in pregnancy is one of the serious complications of pregnancy with an incidence of 5% to 7% of all pregnancies, particularly in cases with preeclampsia and eclampsia. Though platelet count during pregnancy is within the normal non pregnant reference values, there is a tendency for the platelet count to fall in late pregnancy. The frequency and intensity of maternal thrombocytopenia varies and is dependent on the intensity of the disease process and duration of PIH syndrome.Methods: A prospective observational study was conducted on 200 pregnant women attending OPD Or Inpatients in the Department of Obstetrics and Gynecology, SMGS Hospital, GMC Jammu from November 2015 to October 2016. Pregnant women beyond 28 weeks gestation of pregnancy are included and divided into two groups i.e. the study and control group. Platelet counts will be done every 4 weeks in controls and weekly in subjects from 28 weeks till delivery.Results: The mean platelet count observed among cases of mild preecclampsia, severe preeclampsia and ecclampsia was 2.26, 1.63 and 0.99 lakh/mm3 respectively. The difference in mean platelet count among cases and controls was statistically significant. The association of platelet count with severity of different categories of PIH was analysed statistically and was highly significant.Conclusions: Platelet count is a very important investigation for the antenatal mother having PIH, as it is directly related to maternal and perinatal outcome. Routine and regular monitoring of platelet count can be included in the routine antenatal checkup among the pregnant women with PIH.

Effect of Neutral-Cushioned Running Shoes on Plantar Pressure Loading and Comfort in Athletes with Cavus Feet

2008 ◽  
Vol 36 (11) ◽  
pp. 2139-2146 ◽  
Author(s):  
Caleb Wegener ◽  
Joshua Burns ◽  
Stefania Penkala ◽  
Grad Dip Ex Spr Sc
Keyword(s):  
Plantar Pressure ◽  
Regional Differences ◽  
Peak Pressure ◽  
Pressure Loading ◽  
Analog Scale ◽  
Reduced Pressure ◽  
Injury Rates ◽  
Plantar Pressures ◽  
Pressure Time ◽  
Running Shoes

Background High injury rates observed in athletes with cavus feet are thought to be associated with elevated plantar pressure loading. Neutral-cushioned running shoes are often recommended to manage and prevent such injuries. Purpose To investigate in-shoe plantar pressure loading and comfort during running in 2 popular neutral-cushioned running shoes recommended for athletes with cavus feet. Study Design Controlled laboratory study. Methods Plantar pressures were collected using the in-shoe Novel Pedar-X system during overground running in 22 athletes with cavus feet in 2 neutral-cushioned running shoes (Asics Nimbus 6 and Brooks Glycerin 3) and a control condition (Dunlop Volley). Comfort was measured using a validated visual analog scale. Results Compared with the control, both neutral-cushioned running shoes significantly reduced peak pressure and pressure-time integrals by 17% to 33% ( P < .001). The Brooks Glycerin most effectively reduced pressure beneath the whole foot and forefoot ( P < .01), and the Asics Nimbus most effectively reduced rearfoot pressure ( P < .01). Both neutral-cushioned running shoes reduced force at the forefoot by 6% and increased it at the midfoot by 12% to 17% ( P < .05). Contact time and area increased in both neutral-cushioned running shoes ( P < .01). The Asics Nimbus was the most comfortable, although both neutral-cushioned running shoes were significantly more comfortable than the control ( P < .001). Conclusion Two popular types of neutral-cushioned running shoes were effective at reducing plantar pressures in athletes with cavus feet. Clinical Relevance Regional differences in pressure reduction suggest neutral-cushioned running shoe recommendation should shift from being categorical in nature to being based on location of injury or elevated plantar pressure.

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