The Effect of Foot Anthropometric Measurements on Pain and Functional Disability of Pregnant and Non-Pregnant Women.

IF 0.5 4区医学 Q4 ORTHOPEDICS

Journal of the American Podiatric Medical Association Pub Date : 2025-01-29 DOI:10.7547/22-202

Rabia Koca, Müşerref Ebru Şen, Mehmet Yılmazer

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引用次数: 0

Abstract

Background: Weight gain during pregnancy, loosening of the foot ligaments with the release of relaxin hormone, anthropometric and biomechanical changes can be seen in the foot with the growing fetus. It was aimed to determine whether these changes that occur during pregnancy cause painful musculoskeletal problems by altering the proximal structures of the lower extremities and the structure of the spine.

Methods: Within the scope of this study, 210 women, half of whom are 3rd trimester of pregnancy (in the 28-40 weeks), aged between 18 and 40, with similar demographic characteristics are evaluated through measuring their navicular drops, hallux valgus angles, foot widths, foot lengths and tibial-calcaneal angles of both feet. Foot Function Index for foot-ankle, Kujala Patellofemoral Score for knee, Western Ontario and McMaster University Osteoarthritis Index (WOMAC) for hip, Oswestry Disability Index for waist and Modified Neck Disability Index for neck were used to determine pain and functional limitation.

Results: In this study, pain and functional disability in the waist, hip, knee, foot-ankle joints, navicular drops, hallux valgus angles and tibial-calcaneal angles were found to be significantly higher in pregnant women compared to the control group (P=0.00). It was observed that pain and dysfunction in all joints increased as navicular drop increased in both pregnant and nonpregnant women. In addition, it was determined that the increase in other anthropometric measurements in both groups caused pain and functional disability in most of the women, especially in the foot and ankle joints. However, the cause of joint pain and functional deficiencies was not related to pregnancy.

Conclusions: It was observed that foot deformities and proximal region complaints were significantly higher in pregnant women, and foot deformities caused more foot-ankle pain and disability in both the study and control groups. No difference was observed in pregnant women with the control group.

查看原文本刊更多论文

足部人体测量对孕妇和非孕妇疼痛和功能障碍的影响。

背景：妊娠期间体重增加，松弛激素释放导致足部韧带松动，人体测量学和生物力学变化在胎儿生长过程中可以看到。研究的目的是确定怀孕期间发生的这些变化是否会通过改变下肢近端结构和脊柱结构而引起疼痛的肌肉骨骼问题。方法：在本研究范围内，210名妇女，其中一半是妊娠晚期（28-40周），年龄在18 -40岁之间，通过测量她们的舟状落差、拇外翻角、足宽、足长和双脚胫跟角来评估她们的人口统计学特征。采用足踝足功能指数（Foot Function Index）、膝关节Kujala Patellofemoral Score、髋关节Western Ontario and McMaster University Osteoarthritis Index （WOMAC）、腰部Oswestry残疾指数（Oswestry Disability Index）和颈部改良颈部残疾指数（Modified Neck Disability Index）来确定疼痛和功能限制。结果：本研究发现孕妇腰、髋、膝、足踝关节、舟状关节、拇外翻角和胫跟角的疼痛和功能障碍明显高于对照组（P=0.00）。我们观察到，在孕妇和非孕妇中，所有关节的疼痛和功能障碍都随着舟形角下降的增加而增加。此外，研究还确定，两组中其他人体测量指标的增加导致了大多数女性的疼痛和功能障碍，尤其是足部和踝关节。然而，关节疼痛和功能缺陷的原因与妊娠无关。结论：观察到孕妇足部畸形和近端主诉明显较高，且研究组和对照组足部畸形引起的足踝疼痛和残疾更多。在孕妇和对照组中没有观察到差异。

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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来源期刊

Journal of the American Podiatric Medical Association 医学-整形外科

CiteScore

1.10

自引率

0.00%

发文量

128

审稿时长

6-12 weeks

期刊介绍： The Journal of the American Podiatric Medical Association, the official journal of the Association, is the oldest and most frequently cited peer-reviewed journal in the profession of foot and ankle medicine. Founded in 1907 and appearing 6 times per year, it publishes research studies, case reports, literature reviews, special communications, clinical correspondence, letters to the editor, book reviews, and various other types of submissions. The Journal is included in major indexing and abstracting services for biomedical literature.