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孕妇和产后妇女的步态动力学参数:系统性审查和元分析
Heloisa da Costa Souza1, Rayane Quintão Castro2, Maria Eduarda de Oliveira Gonçalves3
1Programa de Pós-Graduação em Ciências da Reabilitação e Desempenho Físico Funcional, Faculdade de Fisioterapia, Universidade Federal de Juiz de Fora, Juiz de Fora, MG Brazil.
Gait & posture
|May 1, 2025
概括
孕妇表现出改变的步行模式,包括更慢的步行速度和步伐和支时间的变化,特别是在第三个三个月. 这些生物力学适应往往会在分娩后减弱,但与非怀孕个体相比,可能会持续存在.
科学领域:
- 生物力学 生物力学
- 人类运动科学科学 人类运动科学
- 生理学 生理学 生理学
背景情况:
- 怀孕涉及影响母亲生物力学的生理变化.
- 假设适应性步行机制在怀孕期间由于胎儿生长而发展.
研究的目的:
- 确定孕妇和产后妇女的步行动力学和时空参数的平均值和变化.
- 综合当前关于怀孕期间和之后步态适应的研究.
主要方法:
- 在主要的科学数据库中进行了全面的文献搜索.
- 包括观察性研究和对孕妇/产后妇女步态的随机对照试验.
- 进行了元分析和偏差风险评估.
主要成果:
- 包括32项研究,对骨盆ROM,步行速度,节奏,步伐长度和支时间进行了元分析.
- 孕妇的步行速度较慢,脚步长度减少,支持阶段发生变化,最明显的是在第三个三个月.
- 虽然一些变化减轻了产后,但与非孕妇对照相比,动力学和时空差异仍然存在.
结论:
- 本综述增强了对怀孕期间和分娩后的生物机械步态适应的理解.
- 这些发现为开发更有效,以患者为中心的护理策略提供了基础.
- 需要进一步的研究来澄清产后动力学差异的持续性.
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