Trunk forward flexion mobility in reference to postural sway in women after delivery: A prospective longitudinal comparison between early pregnancy and 2- and 6-month postpartum follow-ups

Clin Biomech (Bristol, Avon). 2018 Jul:56:70-74. doi: 10.1016/j.clinbiomech.2018.05.009. Epub 2018 May 19.

Abstract

Background: It has been documented that pregnancy-related increased connective tissue laxity may persist postpartum; however, it is still unclear for how long. This longitudinal study aimed to compare total trunk forward flexion mobility in women between their first trimester of pregnancy and at 2- and 6-month postpartum follow-ups. We also searched for a correlation between women's trunk flexibility and their postural stability in the sagittal plane.

Methods: Seventeen healthy women participated in the study. Data were collected at their 7-12 weeks gestation appointments and at 6-10 and 25-28 weeks postpartum. At each session, the women performed a finger floor distance test, and data were collected on their waist circumference and BMI. The women's center of foot pressure mean velocity in the anterior-posterior direction was computed from 30-s long quiet-standing trials on a stationary force plate.

Findings: Total trunk forward flexion mobility was significantly higher at 2 and 6 months postpartum compared to that in early pregnancy (P < 0.05). At 6 months postpartum, a moderate negative correlation between finger floor distance test values and their anterior-posterior center of foot pressure mean velocity was observed (r = -0.6, P < 0.05).

Interpretation: Increased total trunk flexibility may be present in women 6 months postpartum. During that period, women with higher trunk flexibility may be more likely to present higher anterior-posterior postural sway velocity in quiet standing.

Keywords: Postpartum; Postural sway; Pregnancy; Trunk flexion; Trunk mobility.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Body Mass Index
  • Female
  • Follow-Up Studies
  • Foot
  • Humans
  • Joint Instability*
  • Longitudinal Studies
  • Male
  • Postpartum Period*
  • Postural Balance*
  • Pregnancy
  • Pregnancy Trimester, First
  • Prospective Studies
  • Range of Motion, Articular*
  • Standing Position
  • Torso / physiology*
  • Waist Circumference