Lower extremity kinetics and muscle activation during gait are significantly different during and after pregnancy compared to nulliparous females

Bagwell, Jennifer J.; Reynolds, Nicholas; Walaszek, Michelle C.; Runez, Hannah; Lam, Kristina; Smith, Jo Armour; Katsavelis, Dimitrios

doi:10.1016/j.gaitpost.2020.07.002

Cited by 20 publications

(18 citation statements)

References 28 publications

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“…A recent Delphi study 12 identified potential risk factors for postpartum females returning to running, such as running too soon following childbirth, suffering from pain and having pelvic-related trauma. Pregnancy and postpartum pain in the lower back and pelvis is common and may result from altered musculoskeletal loading that manifests through changes in walking and running gait 13,14 . However, it is unknown if postpartum runners present with similar painful body areas.…”

Section: Introductionmentioning

confidence: 99%

Multidisciplinary, biopsychosocial factors contributing to return to running and running related stress urinary incontinence in postpartum women

et al. 2021

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ObjectivesTo examine contributory factors behind postpartum return-to-running and return to pre-pregnancy running level, in addition to risk factors for postpartum running-related stress urinary incontinence (SUI).Methods881 postpartum women completed an online questionnaire. Clinically and empirically derived questions were created relating to running experiences and multidisciplinary, biopsychosocial contributory factors. Logistic regression was used to determine predictors for return-to-running, returning to pre-pregnancy level of running and running-related SUI.ResultsMedian time to first postpartum run was 12 weeks. Running during pregnancy (OR: 2.81 (1.90 to 4.15)), a high weekly running volume (OR: 1.79 (1.22 to 2.63)), lower fear of movement (OR: 0.53 (0.43 to 0.64)) and not suffering vaginal heaviness (OR: 0.52 (0.35–0.76)) increased the odds of return-to-running. Factors that increased the odds of returning to pre-pregnancy running level were a low weekly running volume (OR: 0.38 (0.26 to 0.56)), having more than one child (OR: 2.09 (1.43 to 3.05)), lower fear of movement (OR: 0.78 (0.65 to 0.94)), being younger (OR: 0.79 (0.65 to 0.96)) and shorter time to running after childbirth (OR: 0.74 (0.60 to 0.90)). Risk factors for running-related SUI were having returned to running (OR: 2.70 (1.51 to 4.76)) and suffering running-related SUI pre-pregnancy (OR: 4.01 (2.05 to 7.82)) and during pregnancy (OR: 4.49 (2.86 to 7.06)); having a caesarean delivery decreased the odds (OR: 0.39 (0.23 to 0.65)).ConclusionRunning during pregnancy may assist women safely return-to-running postpartum. Fear of movement, the sensation of vaginal heaviness and running-related SUI before or during pregnancy should be addressed early by healthcare providers.

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Section: Introductionmentioning

confidence: 99%

Multidisciplinary, biopsychosocial factors contributing to return to running and running related stress urinary incontinence in postpartum women

et al. 2021

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“…It was found that in the third trimester, there was an increase in maximum stance phase hip adduction and hip flexion. During stance, hip flexion increased in the experiment, whereas hip extension angle rose in another investigation [19] . A study revealed a reduction in adduction within the stance phase and right hip extension between pregnancy trimesters as compared to non-pregnant women [20] .…”

Section: Biomechanics During Pregnancymentioning

confidence: 59%

"A Review: Biomechanical Substitutions during Pregnancy and Application of Orthoses"

Yar

2022

JUMDC

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Pregnancy-related biomechanical adjustments might result in alterations in gait patterns. These modifications can change spine balance, curvature, and ambulatory patterns during pregnancy by influencing important parts of the body. The musculoskeletal system's responses to structural substitutions during pregnancy are not entirely apprehended. As a result, the primary goal of this review is to gather the important biomechanical replacements that affect gait patterns during pregnancy. Furthermore, these biomechanical alterations are investigated in-depth, and several orthotic interventions are proposed to combat these changes; nevertheless, it has yet to be determined whether or not orthoses are advantageous during pregnancy. In the light of literature, some pieces of evidence are included, but suitable guidelines are lacking to gain a better grasp of pregnancy biomechanical changes and the effect of orthoses.

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“…Multiple additional factors during pregnancy, including pubic symphysis separation and pelvic girdle pain, likely affected the patient's gait 25,26 . Significant alterations in gait occur during pregnancy and in the postpartum period, including a decrease in the utilization of the gluteus maximus [27][28][29] . Patients who undergo an internal hemipelvectomy may require resection of muscles that stabilize the pelvis, and deconditioning of the remaining muscles during pregnancy could result in gait dysfunction.…”

Section: Discussionmentioning

confidence: 99%

All-Internal Limb Lengthening with Simultaneous Corrective Osteotomy After Internal Hemipelvectomy

Femino

Nelson

Agulnik

et al. 2022

JBJS Case Connector

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Case: A 27-year-old woman with a Grade II chondrosarcoma in the right acetabulum underwent a Type II internal hemipelvectomy with an ischiofemoral fusion. She developed a 7.0-cm functional limb-length discrepancy with adduction of the hip at rest. Four years after surgery, she underwent a corrective osteotomy and limb lengthening with a magnetic lengthening nail. Eleven years after tumor resection and a successful pregnancy, she had symmetric leg lengths and ambulated without an assistive device. Conclusions: A magnetic lengthening nail is a viable option for correcting limb-length discrepancies after hemipelvectomy. If necessary, a simultaneous corrective proximal femoral osteotomy can be performed.

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Lower extremity kinetics and muscle activation during gait are significantly different during and after pregnancy compared to nulliparous females

Cited by 20 publications

References 28 publications

Multidisciplinary, biopsychosocial factors contributing to return to running and running related stress urinary incontinence in postpartum women

Multidisciplinary, biopsychosocial factors contributing to return to running and running related stress urinary incontinence in postpartum women

"A Review: Biomechanical Substitutions during Pregnancy and Application of Orthoses"

All-Internal Limb Lengthening with Simultaneous Corrective Osteotomy After Internal Hemipelvectomy

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