Do structural changes of the foot influence plantar pressure patterns during various stages of pregnancy and postpartum?

Ramachandra, Preetha and Kumar, Pratap and Kamath, Asha and Maiya, Arun G (2017) Do structural changes of the foot influence plantar pressure patterns during various stages of pregnancy and postpartum? Foot & Ankle Specialist, 10 (6). pp. 513-519. ISSN 1938-6400

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Abstract

Background. The foot of a pregnant woman undergoes morphological changes with the advancement of pregnancy. It is important to understand the structural changes of the foot during pregnancy and postpartum because any such change may alter the plantar pressure pattern and the entire foot biomechanics. Method. Primigravidae with a gestational age of 12 weeks or less, aged between 18 and 35 years were included in the study. They were prospectively studied across 5 time periods during pregnancy and postpartum. The measures recorded were length, width, navicular height, truncated foot length and normalized navicular height, truncated ratio of the foot, and the static plantar pressure pattern. Repeated-measures ANOVA was done to analyze the changes across various time periods. Results. All the foot parameters, except foot length and truncated foot length, showed significant differences across various time periods of pregnancy and postpartum (P < .001). It was found that the static plantar pressures also varied significantly (P ≤ .001).The maximum pressure was recorded at the hindfoot of the dominant leg. Conclusion. The feet of pregnant women tend to get pronated as pregnancy advances but do not reach baseline values even at 6 weeks postpartum. Pregnant women tend to bear more weight on the dominant foot with an increased static hindfoot pressure as pregnancy progresses.

Item Type: Article
Uncontrolled Keywords: Biomechanical abnormalities; general disorders; heel and arch pain; pain management; foot problems in pregnant women; age-related problems; physical therapy; diagnostic and therapeutic techniques.
Subjects: Allied Health > MCOAHS Manipal > Physiotherapy
Departments at MU > Statistics
Medicine > KMC Manipal > Obstetrics & Gynaecology
Depositing User: KMC Library
Date Deposited: 28 May 2018 09:48
Last Modified: 28 May 2018 09:48
URI: http://eprints.manipal.edu/id/eprint/151164

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