Adaptive changes in spatiotemporal gait characteristics in women during pregnancy.

Abstract:

:Spatiotemporal gait cycle characteristics were assessed at early (P1), and late (P2) pregnancy, as well as at 2 months (PP1) and 6 months (PP2) postpartum. A substantial decrease in walking speed was observed throughout the pregnancy, with the slowest speed (1±0.2m/s) being during the third trimester. Walking at slower velocity resulted in complex adaptive adjustments to their spatiotemporal gait pattern, including a shorter step length and an increased duration of both their stance and double-support phases. Duration of the swing phase remained the least susceptible to changes. Habitual walking velocity (1.13±0.2m/s) and the optimal gait pattern were fully recovered 6 months after childbirth. Documented here adaptive changes in the preferred gait pattern seem to result mainly from the altered body anthropometry leading to temporary balance impairments. All the observed changes within stride cycle aimed to improve gait safety by focusing on its dynamic stability. The pregnant women preferred to walk at a slower velocity which allowed them to spend more time in double-support compared with their habitual pattern. Such changes provided pregnant women with a safer and more tentative ambulation that reduced the single-support period and, hence, the possibility of instability. As pregnancy progressed a significant increase in stance width and a decrease in step length was observed. Both factors allow also for gait stability improvement.

journal_name

Gait Posture

journal_title

Gait & posture

authors

Błaszczyk JW,Opala-Berdzik A,Plewa M

doi

10.1016/j.gaitpost.2015.09.016

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

160-4

eissn

0966-6362

issn

1879-2219

pii

S0966-6362(15)00884-X

journal_volume

43

pub_type

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