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Static and dynamic postural control of postpartum women of different delivery methods
Institution:1. Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hitit University, Çorum, Turkey;2. Faculty of Medicine, Ear-Nose-Throat Clinic, Necmettin Erbakan University, Konya, Turkey;1. Department of Health Professions, Physical Therapy Program, University of Wisconsin, 1300 Badger Street, La Crosse, WI, United States;2. La Crosse Institute for Movement Science (LIMS), University of Wisconsin, 1300 Badger Street, La Crosse, WI, United States;3. Gundersen Health System, Sports Medicine Department, 311 Gundersen Drive, Onalaska, WI, United States;1. Department of Health Sciences and Research, Medical University of South Carolina, Charleston, SC, USA;2. Department of Health and Exercise Science, Appalachian State University, Boone, NC, USA;1. Department of Biomedical Engineering, University of Delaware, Newark, DE, USA;2. Department of Mechanical Engineering, University of Delaware, Newark, DE, USA;1. Center of Advanced Technologies in Rehabilitation, Sheba Medical Center, Tel Hashomer, Israel;2. Department of Physical Therapy, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Be’er Sheva, Israel;3. Department of Neurological Rehabilitation, Sheba Medical Center, Tel HaShomer, Israel;4. Department of Physical and Rehabilitation Medicine, Faculty of Medicine, Tel Aviv University, Israel;5. School of Health Professions, Ono Academic College, Kiryat Ono, Israel;6. Department of Physiology and Pharmacology, Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel;7. Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel;1. Biomechanics Laboratory, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil;2. Physical Education Department, University Center of Brusque, Brusque, Santa Catarina, Brazil;3. Human Performance Laboratory, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada;4. Morphological Sciences Department, School of Biological Sciences, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil;1. Laboratory for Motion Analysis, Department of Paediatric Orthopaedics, Children’s Hospital of Eastern Switzerland, St. Gallen, Switzerland;2. Department of Orthopaedics and Traumatology, Cantonal Hospital, St. Gallen, Switzerland;3. Department of Paediatric Neurology, Children’s Hospital of Eastern Switzerland, St. Gallen, Switzerland
Abstract:ObjectiveThe aim of this study was to determine whether there is a difference in postural control between nulligravida women and women who have given birth by vaginal or cesarean section.MethodsWomen who had only vaginal delivery in the previous 1–3 years were included in the vaginal delivery group (n = 27), those who had only cesarean delivery in the previous 1–3 years were included in the cesarean section group (n = 28), and those who had never given birth were included in the control group (n = 32). Evaluations were administered 6–8 days after the ovulation phase. Postural control of the participants was evaluated with the computerized dynamic posturography device.ResultsA total of 87 women with a mean age of 29.4 ± 4 years and a mean body mass index of 24.1 ± 3.1 kg/m2 were included in the study. Antero-posterior somatosensory organization test values of the vaginal delivery group were lower than the control group (p = 0.0016). The cesarean delivery group had statistically lower antero-posterior somatosensory (p < 0.001 and p = 0.0013) and medio-lateral somatosensory (p = 0.002 and p = 0.017, respectively) test scores compared to the control group and the vaginal delivery group.ConclusionsIt was observed that women who birthed with vaginal or cesarean delivery had impaired somatosensory postural control. There is definitely a need for further studies with a long-term follow-up examining the effects of postural control during pregnancy and the postpartum period.
Keywords:Computerized dynamic posturography  Vaginal delivery  Cesarean delivery  Postural control  Limits of stability
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