title: Evaluation of postural equilibrium and fall risk during pregnancy.
abstract: OBJECTIVE
  The hormonal, anatomical and physiological states change during pregnancy. Due to these alterations, pregnant women are at increased risk of falling throughout this period. The aim of this study is to evaluate postural equilibrium and risk of falls during pregnancy by comparing dynamic postural stability between pregnant and non-pregnant control women.
  
  
  METHODS
  Eighty pregnant women (the first, second and third trimester of pregnancy; 25, 30 and 25, respectively) and thirty nonpregnant control women were evaluated and compared in terms of dynamic postural stability using the Biodex Balance System. Overall (OA), anterior-posterior (AP), medial-lateral (ML) stability index and fall risk test (FRT) scores were obtained from the mean scores of the three trials at platform stability of level 8.
  
  
  RESULTS
  No significant differences for OA, APSI and MLSI were found among the pregnant women in the first and second trimester and nonpregnant control subjects. Overall, anteroposterior and mediolateral index scores were significantly higher in pregnant women in the third trimester than nonpregnant controls (p<0.05). Fall risk test scores of third trimester patients were found to be significantly higher than the first and second trimester and nonpregnant control women (p<0.001).
  
  
  CONCLUSIONS
  Pregnancy has a negative effect on postural stability. Postural equilibrium decreases during pregnancy, particularly in the third trimester. Using postural stability tests may detect pregnant women with a high fall risk.
authors.affiliation: Gaziosmanpasa University School of Medicine, Department of Physical Therapy and Rehabilitation, 60100 Tokat, Turkey. Electronic address: ainanirftr@gmail.com.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Inanir
authors.affiliation: Gaziosmanpasa University School of Medicine, Department of Obstetrics and Gynecology, 60100 Tokat, Turkey. Electronic address: drbulentcakmak@hotmail.com.
authors.forename: Bulent
authors.initials: B
authors.lastname: Cakmak
authors.affiliation: Gaziosmanpasa University School of Medicine, Department of Obstetrics and Gynecology, 60100 Tokat, Turkey. Electronic address: yelizhisim@gmail.com.
authors.forename: Yeliz
authors.initials: Y
authors.lastname: Hisim
authors.affiliation: Gaziosmanpasa University School of Medicine, Department of Obstetrics and Gynecology, 60100 Tokat, Turkey. Electronic address: fazlimd@yahoo.com.
authors.forename: Fazlı
authors.initials: F
authors.lastname: Demirturk
mesh_terms: D000058:Accidental Falls; D000328:Adult; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D004856:Postural Balance / Q000502:physiology*; D011247:Pregnancy / Q000502:physiology*; D011264:Pregnancy Trimesters / Q000502:physiology; D018570:Risk Assessment; D055815:Young Adult
keywords: Fall; Postural equilibrium; Pregnancy; Stability