Otman A S, Beksaç M S, Baģöze O
School of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.
Eur J Obstet Gynecol Reprod Biol. 1989 May;31(2):155-62. doi: 10.1016/0028-2243(89)90176-7.
In this study, we measured the lumbar lordosis of normal pregnant women throughout their pregnancies and studied the efficacy and importance of the postpartum isometric exercise. 40 healthy primigravid patients were randomly assigned to one of the control and exercise groups. The lumbar lordotic deviation increased significantly throughout the pregnancy (p less than 0.05). Second postpartum day values of lumbar lordotic deviation and depth decreased compared to the third trimester values (p less than 0.05). Sixth postpartum week values of lumbar lordotic deviation and depth were found to be increased when compared to the first trimester values in the control and exercise group (p less than 0.05). On the other hand, the sixth week values in the exercise group are significantly lower compared to the control group (p less than 0.05). For these measurements we have used a 'Lumbar Lordosis Measurement Device' which was constructed in our institute. Muscle testing showed that isometric exercise improves the functional status of the affected muscles during pregnancy. We therefore conclude that the usage of 'LLMD' during the follow-up examination of pregnant women is essential to evaluate the posture of the patients. Isometric exercise is very important in order to obtain a normal posture and muscle tonus postpartumly.
在本研究中，我们测量了正常孕妇整个孕期的腰椎前凸，并研究了产后等长运动的效果和重要性。40名健康初产妇被随机分为对照组和运动组。整个孕期腰椎前凸偏差显著增加（p<0.05）。与孕晚期相比，产后第二天腰椎前凸偏差和深度值降低（p<0.05）。在对照组和运动组中，产后第六周腰椎前凸偏差和深度值与孕早期相比有所增加（p<0.05）。另一方面，运动组的第六周值与对照组相比显著更低（p<0.05）。对于这些测量，我们使用了在我们研究所制造的“腰椎前凸测量装置”。肌肉测试表明，等长运动可改善孕期受影响肌肉的功能状态。因此，我们得出结论，在孕妇随访检查期间使用“LLMD”对于评估患者姿势至关重要。为了产后获得正常姿势和肌肉张力，等长运动非常重要。
