Assessment of knee and ankle proprioception during the third trimester of pregnancy and postpartum period among primiparous women: An observational longitudinal study
Department of Community Health Physiotherapy, Ravi Nair Physiotherapy College, Sawangi (Meghe), Wardha, Maharashtra, India
Abstract
BACKGROUND: Pregnant women experience falls, particularly in the third trimester. In this population, physiological changes, as well as ligament laxity, might influence joint proprioception and do not return to normal during the postpartum period. The prevalence of falls during pregnancy and postpartum periods imposes a need to study proprioception in pregnant women and the postpartum period. MATERIALS AND METHOD: An observational longitudinal study was conducted in June 2018 in outpatient clinic Chinchwad Pune. A total of 36 primiparous women were included in the study by using purposive sampling. The mean and standard deviation of the age was 25.92 (2.59). Proprioception was assessed for the knee joint and the ankle joint during the third trimester of pregnancy and 6th and 12th week postpartum. Outcomes included were the Joint Reposition Test for both knee and ankle joints using UTHSCSA Image Tool Software 3.0. Repeated‑measure ANOVA was performed for the normally distributed data, and nonparametric test Friedman’s test was performed for data that were not distributed normally. The data was statistically analyzed using the SPSS software version 26. The level of significance was set at 0.05, confidence intervals of 95% were used. RESULT: The result revealed significant (P < 0.05) improvement in both knee and ankle proprioception during the third trimester of pregnancy and postpartum period 6th and 12th week. CONCLUSION: Knee proprioception and ankle proprioception were found to improve significantly during the postpartum period 6th and 12th weeks compared to the third trimester of pregnancy but do not return to the prepregnancy state.
Riemann BL, Lephart SM. The sensorimotor system, part I: The physiologic basis of functional joint stability. J Athl Train 2002;37:71‑9. 2. Proske U. Kinesthesia: The role of muscle receptors. Muscle Nerve 2006;34:545‑58. 3. Ribeiro F, Oliveira J. Factors influencing proprioception: what do they reveal? In: Klika V, editor. Biomechanics in applications. Intec ; Rijeka: 2011. 4. Goble DJ, Coxon JP, Wenderoth N, Van Impe A, Swinnen SP. Proprioceptive sensibility in the elderly: Degeneration, functional consequences and plastic‑adaptive processes. Neurosci Biobehav Rev 2009;33:271‑8. 5. Myers JB, Lephart SM. The role of the sensorimotor system in the athletic shoulder. J Athl Train 2000;35:351‑63. 6. Riemann BL, Lephart SM. The sensorimotor system, Part II: The role of proprioception in motor control and functional joint stability. J Athl Train 2002;37:80‑4. 7. Batson G. Update on proprioception: Considerations for dance education. J Dance Med Sci 2009;13:35‑41. 8. Marghmaleki FG, Dehnavi ZM, Beigi M. Investigating the relationship between cognitive emotion regulation and the health of pregnant women. J Educ Health Promot 2019;8:175. 9. Opala‑Berdzik A, Błaszczyk JW, Bacik B, Cieślińska‑Świder J, Świder D, Sobota G. Static postural stability in women during and after pregnancy: A prospective longitudinal study. PLoS One 2015;10:e0124207. 10. Butler EE, Colón I, Druzin ML, Rose J. Postural equilibrium during pregnancy: Decreased stability with an increased reliance on visual cues. Am J Obstet Gynecol 2006;195:1104‑8. 11. Kawakami O, Sudoh H, Koike Y, Mori S, Sobue G, Watanabe S. Control of upright standing posture during low‑frequency linear oscillation. Neurosci Res 1998;30:333‑42. 12. Kang H, Lipsitz L. Stiffness control of balance during quiet standing and dual task in older adults: The MOBILIZE Boston study. J Neurophysiol 2010:3510‑7. 13. Roerdink M, Hlavackova P, Vuillerme N. Effects of plantar‑flexor muscle fatigue on the magnitude and regularity of center‑of‑pressure fluctuations. Exp Brain Res 2011;212:471‑6. 14. Okeke TC, Ugwu EO, Ikeako LC, Adiri CO, Ekwuazi KE, Okoro OS. Falls among pregnant women in Enugu, Southeast Nigeria. Niger J Clin Pract 2014;17:292‑5. 15. Shultz SJ, Kirk SE, Johnson ML, Sander TC, Perrin DH. Relationship between sex hormones and anterior knee laxity across the menstrual cycle. Med Sci Sports Exerc 2004;36:1165‑74. 16. Wu X, Yeoh HT. Intrinsic factors associated with pregnancy falls. Workplace Health Saf 2014;62:403‑8. 17. Solomon J, Ramachandra P. Comparison of Ankle Proprioception Between Pregnant and Non Pregnant Women. Online J Health Allied Sci. 2011 Aug 30;10. 18. Pausić J, Pedisić Z, Dizdar D. Reliability of a photographic method for assessing standing posture of elementary school students. J Manipulative Physiol Ther 2010;33:425‑31.
19. Schmidt PM, Flores Fda T, Rossi AG, Silveira AF. Hearing and vestibular complaints during pregnancy. Braz J Otorhinolaryngol 2010;76:29‑33. 20. Ribeiro AP, João SM, Sacco IC. Static and dynamic biomechanical adaptations of the lower limbs and gait pattern changes during pregnancy. Womens Health (Lond) 2013;9:99‑108. 21. Cakmak B, Ribeiro AP, Inanir A. Postural balance and the risk of falling during pregnancy. J Matern Fetal Neonatal Med 2016;29:1623‑5. 22. Rejali M, Soghra AS, Hassanzadeh A, Yazdani R, Ahmadi SN. The relationship between weight gain during pregnancy and urinary tract infections in pregnant women of Shahrekord, by using the “Nested case‑control study”. J Educ Health Promot 2015;4:84. 23. Danna‑Dos‑Santos A, Magalhães AT, Silva BA, Duarte BS, Barros GL, Silva MFC. Upright balance control strategies during pregnancy. Gait Posture 2018;66:7‑12. 24. Bányai T, Haga A, Gera L, Molnár B, Tóth K, Nagy E. Knee joint stiffness and proprioception during pregnancy. J Orthop 2009;1:29‑32. 25. Abichandani D, Gupta V. Comparison of knee proprioception during the three trimesters of pregnancy. Int J Sci Res 2016;4:223‑7. 26. Ramachandra P, Maiya AG, Kumar P, Kamath A. Ankle proprioception pattern in women across various trimesters of pregnancy and postpartum. Online J Health Allied Sci 2015;14:7.
Aditya Wakkar,.. and Shubhangi P. Patil,.. (2022). Assessment of knee and ankle proprioception during the third trimester of pregnancy and postpartum period among primiparous women: An observational longitudinal study. Journal of Education and Health Promotion, 12(6), 1-7.
MLA
Aditya Wakkar,.. , and Shubhangi P. Patil,.. . "Assessment of knee and ankle proprioception during the third trimester of pregnancy and postpartum period among primiparous women: An observational longitudinal study", Journal of Education and Health Promotion, 12, 6, 2022, 1-7.
HARVARD
Aditya Wakkar .., Shubhangi P. Patil .. (2022). 'Assessment of knee and ankle proprioception during the third trimester of pregnancy and postpartum period among primiparous women: An observational longitudinal study', Journal of Education and Health Promotion, 12(6), pp. 1-7.
CHICAGO
.. Aditya Wakkar and .. Shubhangi P. Patil, "Assessment of knee and ankle proprioception during the third trimester of pregnancy and postpartum period among primiparous women: An observational longitudinal study," Journal of Education and Health Promotion, 12 6 (2022): 1-7,
VANCOUVER
Aditya Wakkar .., Shubhangi P. Patil .. Assessment of knee and ankle proprioception during the third trimester of pregnancy and postpartum period among primiparous women: An observational longitudinal study. J Educ Health Promot, 2022; 12(6): 1-7.
