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孕期及产后足部生物力学变化:范围综述

Changes in Foot Biomechanics during Pregnancy and Postpartum: Scoping Review.

作者信息

Zangão Maria Otília Brites, Poeira Ana Filipa, Branco Marco, Santos-Rocha Rita

机构信息

Comprehensive Health Research Centre, Department of Nursing, Higher School of Nursing, University of Évora, 7000-811 Évora, Portugal.

Instituto Politécnico de Setúbal, Escola Superior de Saúde, Campus do IPS-Estefanilha, 2910-761 Setúbal, Portugal.

出版信息

Int J Environ Res Public Health. 2024 May 17;21(5):638. doi: 10.3390/ijerph21050638.

DOI:10.3390/ijerph21050638
PMID:38791852
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11121192/
Abstract

(1) Background: During pregnancy, changes in foot biomechanics affect structural stability and gait. (2) Objective: To map the available evidence for changes in foot biomechanics during pregnancy and the postpartum period. (3) Methods: Scoping review according to the methodology of the Joanna Briggs Institute through the relevant databases via EBSCO, MEDLINE with full text, BioOne Complete, CINAHL Plus with full text, Academic Search Complete, and SPORT Discus with full text. The search was conducted in SCOPUS and PubMed. (4) Results: Eight studies were included in the scoping review. Two independent reviewers performed data extraction and synthesized data in narrative form. We found that changes in the length and volume of the foot occur during pregnancy and remain in the postpartum period. (5) Conclusions: During pregnancy, anatomical and biomechanical changes occur in the pregnant woman's foot, potentially contributing to the risk of musculoskeletal disorders. However, more research is needed to determine whether these biomechanical changes can lead to the risk of musculoskeletal disorders.

摘要

(1) 背景:孕期足部生物力学的变化会影响结构稳定性和步态。(2) 目的:梳理孕期及产后足部生物力学变化的现有证据。(3) 方法:按照乔安娜·布里格斯研究所的方法进行范围综述,通过EBSCO、拥有全文的MEDLINE、BioOne Complete、拥有全文的CINAHL Plus、Academic Search Complete以及拥有全文的SPORT Discus等相关数据库进行检索。检索在SCOPUS和PubMed中进行。(4) 结果:范围综述纳入了八项研究。两名独立评审员进行了数据提取,并以叙述形式综合了数据。我们发现孕期足部长度和体积会发生变化,且在产后依然存在。(5) 结论:孕期孕妇足部会发生解剖学和生物力学变化,这可能会增加肌肉骨骼疾病的风险。然而,需要更多研究来确定这些生物力学变化是否会导致肌肉骨骼疾病风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06e1/11121192/848890f66a46/ijerph-21-00638-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06e1/11121192/848890f66a46/ijerph-21-00638-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06e1/11121192/848890f66a46/ijerph-21-00638-g001.jpg

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本文引用的文献

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Influence of pregnancy related anthropometric changes on plantar pressure distribution during gait-A follow-up study.妊娠相关人体测量学变化对步态时足底压力分布的影响:一项随访研究。
PLoS One. 2022 Mar 11;17(3):e0264939. doi: 10.1371/journal.pone.0264939. eCollection 2022.
2
Assessment of distribution of plantar pressures and foot characteristics during walking in pregnant women.孕妇行走时足底压力分布及足部特征的评估。
Acta Bioeng Biomech. 2019;21(3):49-56.
3
Progressive changes in walking kinematics throughout pregnancy-A follow up study.
孕期步行运动学的渐进性变化——一项随访研究
Gait Posture. 2019 Feb;68:518-524. doi: 10.1016/j.gaitpost.2019.01.004. Epub 2019 Jan 4.
4
Static and dynamic effects of customized insoles on attenuating arch collapse with pregnancy: A randomized controlled trial.定制鞋垫对减轻孕期足弓塌陷的静态和动态影响:一项随机对照试验。
Foot (Edinb). 2018 Dec;37:16-22. doi: 10.1016/j.foot.2018.07.007. Epub 2018 Jul 27.
5
Gait assessment of the expectant mothers - Systematic review.孕妇步态评估——系统评价
Gait Posture. 2018 May;62:7-19. doi: 10.1016/j.gaitpost.2018.02.024. Epub 2018 Feb 23.
6
Alterations of Pregnant Gait during Pregnancy and Post-Partum.孕妇在怀孕期间和产后步态的改变。
Sci Rep. 2018 Feb 2;8(1):2217. doi: 10.1038/s41598-018-20648-y.
7
Changes in foot posture during pregnancy and their relation with musculoskeletal pain: A longitudinal cohort study.孕期足部姿势变化及其与肌肉骨骼疼痛的关系:一项纵向队列研究。
Women Birth. 2018 Apr;31(2):e84-e88. doi: 10.1016/j.wombi.2017.08.114. Epub 2017 Sep 6.
8
Plantar Pressure During Gait in Pregnant Women.孕妇步态期间的足底压力
J Am Podiatr Med Assoc. 2016 Nov;106(6):398-405. doi: 10.7547/15-064.
9
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10
Differences in foot sensitivity and plantar pressure between young adults and elderly.年轻人与老年人足部敏感性和足底压力的差异。
Arch Gerontol Geriatr. 2016 Mar-Apr;63:67-71. doi: 10.1016/j.archger.2015.11.005. Epub 2015 Nov 10.