Static and dynamic effects of customized insoles on attenuating arch collapse with pregnancy: A randomized controlled trial

Segal, Neil A.; Neuman, Lauren N.; Hochstedler, Maria C.; Hillstrom, Howard L.

doi:10.1016/j.foot.2018.07.007

Cited by 4 publications

(3 citation statements)

References 25 publications

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“…They were not able to examine the use of foot exercises for prevention of flat feet because their study population already had the diagnosis. The use of short foot exercises or arch‐supportive insoles 24 may be useful for women during the prenatal period, given our findings of increased functional foot pronation with increasing parity. These preventative measures could potentially decrease the risk of knee OA and chronic musculoskeletal disorders later in life; however, longitudinal studies are necessary to determine if such interventions may prevent incident decreases in medial longitudinal arch height that persist following pregnancy 7 …”

Section: Discussionmentioning

confidence: 93%

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The Association of Parity with Greater Dynamic Pronation of the Feet

Heronemus

Rabe

Tolstykh

et al. 2020

PM&R

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Background Postpartum women are at increased risk for lower limb musculoskeletal disorders. Foot arch collapse following pregnancy has been reported as a mechanism for this increased risk. However, dynamic changes during gait in postpartum women have not been reported. Therefore, we assessed the association between parity and dynamic foot pronation during gait. Objective To determine (1) if there is an association between parity and dynamic foot pronation (center of pressure excursion index, CPEI) during gait; and (2) the extent to which there is a dose‐effect of parity on foot pronation. Design The Multicenter Osteoarthritis Study (MOST) Study is a longitudinal cohort study of adults with or at risk for knee osteoarthritis (OA). Setting Two communities in the United States, Birmingham, Alabama and Iowa City, Iowa. Interventions Not applicable Participants A population‐based sample of 1177 MOST participants who were female, had complete CPEI and parity data and completed the baseline, 30‐ and 60‐month visits. Main Outcome Measures Odds of a one quintile decrease in CPEI by parity group and mean CPEI by parity group. Results In 1177 women, mean age was 67.7 years and mean body mass index (BMI) was 30.6 kg/m2. As parity increased, there was significantly greater foot pronation, lower mean CPEI: 19.1 (18.2‐20.1), 18.9 (18.4‐19.4), 18 (17.5‐18.6) to 17.5 (16.4‐18.6) in the 0 to 4 and >5 children groups, respectively; (P = .002), which remained significant after adjusting for race and clinic site (P = .005). There was a positive linear trend (β = 1.08, 1.03‐1.14) in odds ratios of a one quintile decrease in CPEI (greater pronation) with increasing parity level (P = .004), which remained significant after adjusting for race and clinic site (P = .01). After adjusting for age and BMI, these two associations were no longer statistically significant. Conclusions This study indicates a positive correlation between parity and greater dynamic pronation of the feet.

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Section: Discussionmentioning

confidence: 93%

“…This measurement was standardized to the width of the anterior third of the foot 7 . Example CPEI measurements are represented by blue lines for cavus, rectus, and planus feet in Figure 2 24 …”

Section: Methodsmentioning

confidence: 99%

The Association of Parity with Greater Dynamic Pronation of the Feet

Heronemus

Rabe

Tolstykh

et al. 2020

PM&R

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“…Foot orthoses also appear to reduce ankle inversion angles while increasing mid-foot plantar pressures and force [15] . Furthermore, because arch height is associated with an increased risk of musculoskeletal diseases in the postreproductive years, arch-supporting orthoses might be a costeffective intervention if successful in avoiding deleterious foot alterations associated with pregnancy [16] .…”

Section: Orthotic Interventionmentioning

confidence: 99%

"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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Muscle-Motor Disorders in Pregnant Women

Vinderlikh

Weiss

Nasybullina

2022

Journal of Volgograd State Medical University

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Resume. Objective. Conduct a systematic analysis of the results of domestic and foreign clinical studies on changes in the functions of the musculoskeletal system of a pregnant woman and, based on our own research, study the relationship between pregnancy and disorders of the musculoskeletal system in women. Methods. The study included a survey conducted among 102 women during pregnancy and 18 women in the postpartum period. The following parameters were also determined: body weight before pregnancy and at the moment, woman's height glucose and blood pressure levels, hemoglobin values. the length and width of the foot, the range of motion in the joints of the limbs of pregnant women were measured in order to identify signs of joint hypermobility. All measurements of the foot were made using a stopometer and caliper with the calculation of the podometry index. Statistical analysis of the obtained data was carried out using the IBM SPSS Statistics 23 program. Results. During pregnancy, women are concerned about pain of various localization: in the back, neck, legs, spasms of the muscles of the legs. There is a change in anthropometric parameters and the index of podometry, in particular, an increase in the foot by 1-2 sizes, due to a decrease in the arches of the feet under the influence of hormonal changes, with the development or progression of the existing combined flat feet. In pregnant women using insoles, the absence of flattening of the arches of the feet and a decrease in pain in the spine and extremities are determined. Conclusion. The analysis confirmed that women during pregnancy are at high risk of developing disorders of the musculoskeletal system. The results of the study showed that changes in the arches of the foot lead to abnormal kinematics of the joints of the lower limb and spine during pregnancy and, if not corrected, persist in the postpartum period.

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Static and dynamic effects of customized insoles on attenuating arch collapse with pregnancy: A randomized controlled trial

Cited by 4 publications

References 25 publications

The Association of Parity with Greater Dynamic Pronation of the Feet

The Association of Parity with Greater Dynamic Pronation of the Feet

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

Muscle-Motor Disorders in Pregnant Women

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