How does pregnancy-related pelvic girdle pain impact on gait in pregnant/postpartum women?

A. Sakamoto, Kenji Hoshi, Y. Kishikawa, Shinichi Tanaka, K. Gamada
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Abstract

: [Objective]This systematic review was aimed at determining the effect of pregnancy-related pelvic girdle pain (PGP) on gait in pregnant and postnatal women. [Methods]This systematic review was undertaken following the PRISMA guidelines. Six electric databases and pre-existing literature were researched. Each article was evaluated by using Risk of Bias Assessment Tool for Nonrandomized Studies (RoBANS). Selected articles were classified into three categories; 1) gait speed, 2) step length, step width, gait cy-cle, and 3) thoracic, pelvic, trunk and hip joints movements and center of pressure (COP) based on the features of gait in pregnant and postpartum women with PGP.[Results]Six articles were included in this systematic review. The six articles found that pregnant women with PGP showed decrease in the gait speed and step length, while step wide was not significant different between pregnant women with PGP and without PGP. In addition, thoracic and pelvic rotation were increased, and anterior and posterior tilts of the pelvis and hip extension movements were limited in pregnant women with PGP. [Conclusion] Pregnant women with PGP have changes in gait patterns. The influence of PGP on gait pattern in postpartum women was not understood.
妊娠相关的骨盆带疼痛如何影响孕妇/产后妇女的步态?
[目的]本系统综述旨在确定妊娠相关性骨盆带痛(PGP)对孕妇和产后妇女步态的影响。【方法】本系统评价遵循PRISMA指南进行。研究了6个电子数据库和已有文献。采用非随机研究偏倚风险评估工具(RoBANS)对每篇文章进行评价。选定的文章分为三类;1)步态速度,2)步长、步宽、步态周期,3)基于步态特征的PGP孕妇胸椎、骨盆、躯干、髋关节运动及压力中心(COP)。【结果】本系统综述共纳入6篇文章。6篇文章发现,有PGP的孕妇步态速度和步长都有所下降,而步宽在有PGP的孕妇和没有PGP的孕妇之间没有显著差异。此外,PGP孕妇的胸椎和骨盆旋转增加,骨盆前后倾斜和髋部伸展运动受限。[结论]妊娠期PGP患者有步态改变。PGP对产后妇女步态模式的影响尚不清楚。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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