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Plantar Pressure During Gait in Pregnancy-Related Pelvic Girdle Pain and the Influence of Pelvic Belts

Bertuit, Jeanne, PhD, PT; Leyh, Clara, MS; Feipel, Veronique, PhD, PT

JPO: Journal of Prosthetics and Orthotics: July 2019 - Volume 31 - Issue 3 - p 199–206
doi: 10.1097/JPO.0000000000000246
ORIGINAL RESEARCH ARTICLES
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Introduction Many pregnant women experience pelvic girdle pain (PGP) during pregnancy. Etiologies are multifactorial and affect the joint stability of the sacroiliac joint. Pelvic belts could restore stability and help reduce pain during gait. The objectives were to analyze plantar pressure during gait in pregnant women with PGP, to evaluate the effect of pelvic belts, and to compare the effects of two types of belts on plantar pressure parameters.

Materials and Methods Forty-six pregnant women with PGP, 58 healthy pregnant women, and 23 nonpregnant women were recruited. The motor task consisted of three-gait trials on a walkway. Plantar pressure was analyzed with four variables. Two types of pelvic belts for pregnant women were used.

Results Plantar pressure in women with PGP compared with controls showed differences in all parameters: they displayed lower gait velocity and lower values for most pressure variables at the rear and forefoot (medial side). Conversely, these values were higher for the midfoot (lateral side). These alterations were also found in healthy pregnant women. There was no difference in plantar pressure between groups, those who had or had not used belts, and between the types of belt.

Conclusions Pregnant women, with or without PGP, showed nearly the same changes in plantar pressure during gait. PGP did not change plantar pressure parameters. Wearing any of the belts during pregnancy did not have an effect on plantar pressure parameters during gait in pregnant women with PGP.

JEANNE BERTUIT, PhD, PT, is affiliated with the School of Health Sciences (HESAV), University of Applied Sciences and Arts Western Switzerland (HES-SO), Lausanne, Switzerland.

JEANNE BERTUIT, PhD, PT; CLARA LEYH, MS; and VERONIQUE FEIPEL, PhD, PT, are affiliated with the Laboratory of Functional Anatomy, Faculty of Motor Sciences–Université Libre de Bruxelles (ULB), Brussels, Belgium.

CLARA LEYH, MS; and VERONIQUE FEIPEL, PhD, PT, are affiliated with the Laboratory of Anatomy, Biomechanics and Organogenesis, Faculty of Medicine–Université Libre de Bruxelles (ULB), Brussels, Belgium.

Disclosure: The authors declare no conflict of interest.

Correspondence to: Jeanne Bertuit, PhD-PT, School of Health Sciences (HESAV), University of Applied Sciences and Arts Western Switzerland (HES-SO), Avenue de Beaumont 21, 1011 Lausanne, Switzerland; email: jeanne.bertuit@hesav.ch

Online date: December 28, 2018

© 2019 by the American Academy of Orthotists and Prosthetists.