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产后步态生物力学的妊娠相关适应性是否能恢复到孕前状态?系统评价。

Does the pregnancy-related adaptation of gait biomechanics after childbirth recover to its pre-pregnancy state?: A systematic review.

机构信息

College of Engineering, Shibaura Institute of Technology, 307 Fukasaku, Minuma-ku, Saitama-shi, Saitama 337-8570, Japan.

Faculty of Creative Engineering, Chiba Institute of Technology, 2-1-1 Shibazono, Narashino-shi, Chiba 275-0023, Japan.

出版信息

Gait Posture. 2024 May;110:110-121. doi: 10.1016/j.gaitpost.2024.03.011. Epub 2024 Mar 20.

DOI:10.1016/j.gaitpost.2024.03.011
PMID:38569400
Abstract

BACKGROUND

Although changes in the gait biomechanics during pregnancy are known to occur, it is unclear whether they return to their original state after childbirth.

RESEARCH QUESTION

The objective of the current systematic review is to summarize existing literature reporting the biomechanical characteristics of gait in postpartum women and to identify knowledge gaps that calls for future investigations in this population.

METHODS

Relevant articles were selected using MEDLINE (PubMed), Scopus (Elsevier), Embase (Elsevier), and Web of Science (Clarivate Analytics). Articles were included if they met the following criteria: They must (1) include postpartum women, (2) report measures related to three-dimensional (3D) kinematics and/or kinetics, (3) have been published after 1990, and (4) have been published in English.

RESULTS AND SIGNIFICANCE

The current systematic review included a total of 14 articles, five of which compare the data from postpartum women with nulliparous women or pre-pregnancy data. We observed that gait biomechanics changes of postpartum women could persist for more than 5 years after the childbirth. This review provides novel viewpoints on the biomechanics of postpartum women's gait and recommendations for future studies to fully understand these changes and improve postpartum women's physical and mental wellbeing.

摘要

背景

尽管已知怀孕期间步态生物力学会发生变化,但分娩后是否会恢复到原来的状态尚不清楚。

研究问题

本系统综述的目的是总结现有文献中报告的产后女性步态生物力学特征,并确定该人群中需要进一步研究的知识空白。

方法

使用 MEDLINE(PubMed)、Scopus(Elsevier)、Embase(Elsevier)和 Web of Science(Clarivate Analytics)选择相关文章。如果文章符合以下标准,则将其纳入:(1)必须包括产后女性,(2)报告与三维(3D)运动学和/或动力学相关的测量,(3)必须在 1990 年后发表,以及(4)必须用英文发表。

结果和意义

本系统综述共纳入 14 篇文章,其中 5 篇将产后女性的数据与未生育女性或妊娠前的数据进行比较。我们观察到,产后女性的步态生物力学变化在分娩后 5 年以上仍可能持续。本综述为产后女性步态的生物力学提供了新的观点,并为进一步研究提供了建议,以充分了解这些变化,改善产后女性的身心健康。

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