Gait coordination in pregnancy: transverse pelvic and thoracic rotations and their relative phase.
OBJECTIVE
To examine the effects of pregnancy on the coordination of transverse pelvic and thoracic rotations during gait.


METHODS
Gait of healthy pregnant women and nulligravidae was studied during treadmill walking at predetermined velocities ranging from 0.17 to 1.72 m/s.


BACKGROUND
pelvis-thorax coordination during walking is altered in women with postpartum pregnancy-related pelvic girdle pain. This coordination has not been investigated in a healthy pregnant population.


METHODS
Comfortable walking velocity was established. Amplitudes of pelvic and thoracic rotations were calculated. Their coordination was characterized by relative Fourier phase and its standard deviation.


RESULTS
Comfortable walking velocity was significantly reduced. The amplitudes of pelvic and thoracic rotations were somewhat reduced, with significantly smaller intra-individual standard deviations. Also pelvis-thorax relative Fourier phase was somewhat smaller, its intra-individual standard deviation was negatively correlated with week of pregnancy, and significantly lower at velocities > or = 1.06 m/s.


CONCLUSIONS
The general pattern of gait kinematics in pregnant women is very similar to that of nulligravidae. Still, it appears that pregnant women experience difficulties in realizing the more anti-phase pelvis-thorax coordination that is required at higher walking velocities.


CONCLUSIONS
The present study shows that gait in healthy pregnancy is remarkably normal, but some differences in pelvis-thorax coordination were detected. In healthy pregnancy, anti-phase pelvis-thorax coordination appears difficult, but less so than in pregnancy-related pelvic girdle pain. Better understanding of gait in healthy pregnancy may provide insight into the gait problems of women with pregnancy-related pelvic girdle pain.
Wu
Wenhua
W
Department of Orthopaedic Surgery, VU Medical Centre, The Netherlands.
Meijer
Onno G
OG
Lamoth
Claudine J C
CJ
Uegaki
Kimi
K
van Dieën
Jaap H
JH
Wuisman
Paul I J M
PI
de Vries
Johanna I P
JI
Beek
Peter J
PJ
D000222:Adaptation, Physiological; D000328:Adult; D005080:Exercise Test; D005260:Female; D005684:Gait / Q000502:physiology*; D006801:Humans; D008875:Middle Aged; D010388:Pelvis / Q000502:physiology*; D004856:Postural Balance / Q000502:physiology*; D011247:Pregnancy / Q000502:physiology*; D015203:Reproducibility of Results; D012399:Rotation; D012680:Sensitivity and Specificity; D013223:Statistics as Topic; D013909:Thorax / Q000502:physiology*; D016138:Walking / Q000502:physiology*