Dumas G A, Reid J G
Department of Mechanical Engineering, Queen's University, Kingston, Ontario, Canada.
J Orthop Sports Phys Ther. 1997 Jul;26(1):2-6. doi: 10.2519/jospt.1997.26.1.2.
Pregnancy-related increase in ligament laxity may cause joint instability. The purpose of this study was two-fold: 1) to assess knee laxity changes during pregnancy and 2) to evaluate the effect of exercise on knee laxity due to a typical prenatal fitness program. The subjects were healthy pregnant women. One group (N = 27) participated in exercise classes designed according to national guidelines. The second group (N = 38) was more sedentary. A clinical arthrometer, KT-1000, was used, and anterior and posterior drawer tests were performed. The results were added and averaged for the two knees. Laxity was constant in the second half of pregnancy and had significantly decreased by 14% 4 months after birth. No influence of parity or exercise was detected. The exercise program employing minimal to moderate weight bearing did not result in any measurable increases in knee laxity and, therefore, appears to be appropriate with regard to knee stability. These results should not, however, be extended to different types of exercise programs without additional research.
孕期韧带松弛度增加可能会导致关节不稳定。本研究的目的有两个:1)评估孕期膝关节松弛度的变化;2)评估一项典型的产前健身计划中的运动对膝关节松弛度的影响。研究对象为健康的孕妇。一组(N = 27)参加了根据国家指南设计的运动课程。另一组(N = 38)活动较少。使用临床关节测量仪KT - 1000,并进行前后抽屉试验。将双膝的结果相加并求平均值。孕期后半段松弛度保持稳定,产后4个月松弛度显著下降了14%。未检测到胎次或运动的影响。采用轻度至中度负重的运动计划并未导致膝关节松弛度出现任何可测量的增加,因此,就膝关节稳定性而言似乎是合适的。然而,在没有进一步研究的情况下,这些结果不应推广到不同类型的运动计划。