Static trunk posture in sitting and standing during pregnancy and early postpartum.

Abstract:

OBJECTIVE:To investigate the postural alignment of the upper body in the sagittal plane during sitting and standing postures as pregnancy progressed and then in the postpartum period. DESIGN:Longitudinal, repeated-measures design. SETTING:Biomechanics laboratory in an Australian university. PARTICIPANTS:A volunteer convenience sample of 9 primiparous and multiparous women and 12 nulliparous women serving as a control group. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Subjects were filmed while sitting and during quiet standing at intervals throughout pregnancy and at 8 weeks postpartum. A repeated-measures analysis of variance was used to assess systematic changes in the alignment of the pelvic, thoracic, and head segments, and the thoracolumbar and cervicothoracic spines. Student t tests were used to compare the postpartum and nulliparous control groups. RESULTS:There was no significant effect of pregnancy on the upper-body posture, although there was a tendency in some subjects for a flatter thoracolumbar spinal curve in sitting as pregnancy progressed. Postpartum during standing, the pelvic segment had a reduced sagittal plane anterior orientation, and the thoracolumbar spine was less extended, indicating a flatter spinal curve compared with the control group. CONCLUSIONS:There was no significant effect of pregnancy on upper-body posture during sitting and standing, although individuals varied in their postural response. A flatter spinal curve was found during standing postpartum.

journal_name

Arch Phys Med Rehabil

authors

Gilleard WL,Crosbie J,Smith R

doi

10.1053/apmr.2002.36069

subject

Has Abstract

pub_date

2002-12-01 00:00:00

pages

1739-44

issue

12

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(02)00596-8

journal_volume

83

pub_type

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