ORIGINAL PAPER
Impact of physical activity on postural stability in pregnant and postpartum women
 
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Faculty of Physiotherapy, University School of Physical Education in Wroclaw, Wroclaw, Poland
 
 
Submission date: 2023-09-21
 
 
Acceptance date: 2024-01-31
 
 
Publication date: 2024-01-31
 
 
Corresponding author
Małgorzata Stefańska   

Faculty of Physiotherapy, University School of Physical Education in Wroclaw, Wroclaw, Poland
 
 
Hum Mov. 2024;25(1):37-47
 
KEYWORDS
TOPICS
ABSTRACT
Purpose:
Regular physical activity is recommended by the WHO for women in the perinatal period as one of the basic factors determining the physiological course of pregnancy, childbirth and the postpartum period. The study aimed to identify the relationship between regular physical training of pregnant women, carried out in the second and third trimesters of pregnancy, and postural stability during the perinatal period.

Methods:
58 women in the first trimester of pregnancy took part in the study and were divided into two groups according to their own choice. The exercise group participated in physical training three times a week during the second and third trimesters of pregnancy. The non-exercise group did not engage in additional physical activity. All subjects underwent three postural stability tests using a stabilograph.

Results:
In assessing posture stability parameters, significant differences were found only in body coordination in the active group of women. The exercise group showed statistically significantly lower values of the stabilogram parameters (better postural stability) obtained postpartum compared to those taken during pregnancy. There were no significant differences between the results taken during pregnancy. In the group of non-exercising women, no significant differences were observed between the second measurement during pregnancy and the measurement made postpartum.

Conclusions:
It has been shown that physical activity has a significant impact on improving the coordination of women during pregnancy and postpartum. Women participating in regular physical training were characterised by smaller stabilogram deflections and better postural control compared to the control group.

 
REFERENCES (44)
1.
Harrison AL, Taylor NF, Shields N, Frawley HC. Attitudes, barriers and enablers to physical activity in pregnant women: a systematic review. J Physiother. 2018; 64(1):24–32; doi: 10.1016/j.jphys.2017.11.012.
 
2.
WHO. WHO guidelines on physical activity and sedentary behaviour. Geneva: WHO; 2022. Available 04.09. 2023 from: https://apps.who.int/iris/bits... le/10665/336656/9789240015128-eng.pdf.
 
3.
ACOG. Physical Activity and Exercise During Pregnancy and the Postpartum Period: ACOG Committee Opinion, Number 804. Obstet Gynecol. 2020;135(4):178–188; doi: 10.1097/AOG.0000000000003772.
 
4.
DHHS. Physical Activity Guidelines for Americans. 2nd ed. Washington: U.S. Department of Health and Human Services; 2018. Available 10.09.2023 from: https:// health.gov/sites/default/files/2019-09/Physical_Activity_ Guidelines_2nd_edition.pdf.
 
5.
Mottola MF, Davenport MH, Ruchat S-M, Davies GA, Poitras VJ, Gray CE, et al. 2019 Canadian guideline for physical activity throughout pregnancy. Br J Sports Med. 2018;52(21):1339–1346; doi: 10.1136/bjsports-2018- 100056.
 
6.
Newton ER, May L. Adaptation of maternal-fetal physiology to exercise in pregnancy: the basis of guidelines for physical activity in pregnancy. Clin Med Insights Womens Health. 2017;10:1179562X17693224; doi: 10.1177/1179562X17693224.
 
7.
Chu S, Weinstein S, Andrews K. Exercise considerations before, during, and after pregnancy. In: Frank RM (ed.) The Female Athlete. Elsevier; 2022:311–317.
 
8.
Nakamura A, van der Waerden J, Melchior M, Bolze C, El-Khoury F, Pryor L. Physical activity during pregnancy and postpartum depression: systematic review and meta-analysis. J Affect Disord. 2019;246:29–41; doi: 10.1016/j.jad.2018.12.009.
 
9.
Marcinkiewicz A, Wężyk A, Muszyński P, Polańska K, Makowiec-Dąbrowska T, Wiszniewska M, et al. Good practice in occupational health services – the influence of hazardous conditions and nuisance coexisting in the work environment and at home on the course and outcome of pregnancy. Med Pr. 2015;66(5):713–724; doi: 10.13075/mp.5893.00201.
 
10.
Czarnecki D, Skalski D, Graczyk M, Kindzer B, Jabłońska- Mazurek D, Rabcheniuk S. Physical activity and forms of motion exercises in pregnant women [in Polish]. Rehabil Recreat. 2023;15:202–207; doi: 10.32782/ 2522-1795.2023.15.26.
 
11.
Santos-Rocha R, Corrales Gutierrez I, Szumilewicz A, Pajaujiene S. Exercise testing and prescription in pregnancy. In: Santos-Rocha R (ed.) Exercise and Physical Activity During Pregnancy and Postpartum. Springer; 2022:219–274.
 
12.
Sytsma TT , Zimmerman KP, Manning JB, Jenkins SM, Nelson NC, Clark MM, et al. Perceived barriers to exercise in the first trimester of pregnancy. J Perinat Educ. 2018;27(4):198–206; doi: 10.1891/1058-1243.27.4.198.
 
13.
Chan CWH, Au Yeung E, Law BMH. Effectiveness of physical activity interventions on pregnancy-related outcomes among pregnant women: a systematic review. Int J Environ Res Public Health. 2019;16(10):1840; doi: 10.3390/ijerph16101840.
 
14.
Dipietro L, Evenson KR, Bloodgood B, Sprow K, Troiano RP, Piercy KL, et al. Benefits of physical activity during pregnancy and postpartum: an umbrella review. Med Sci Sports Exerc. 2019;51(6):1292–1302; doi: 10.1249/MSS.0000000000001941.
 
15.
Beetham KS, Giles C, Noetel M, Clifton V, Jones JC, Naughton G. The effects of vigorous intensity exercise in the third trimester of pregnancy: a systematic reviewand meta-analysis. BMC Pregnancy Childbirth. 2019; 19(1):281; doi: 10.1186/s12884-019-2441-1.
 
16.
Lee DG, Lee LJ, McLaughlin L. Stability, continence and breathing: the role of fascia following pregnancy and delivery. J Bodyw Mov Ther. 2008;12(4):333–348; doi: 10.1016/j.jbmt.2008.05.003.
 
17.
Cakmak B, Ribeiro AP, Inanir A. Postural balance and the risk of falling during pregnancy. J Matern Fetal Neonatal Med. 2016;29(10):1623–1625; doi: 10.3109/ 14767058.2015.1057490.
 
18.
Butler EE, Colon I, Druzin ML, Rose J. Postural equilibrium during pregnancy: decreased stability with an increased reliance on visual cues. Am J Obstet Gynecol. 2006;195(4):1104–1108; doi: 10.1016/j.ajog.2006.06. 015.
 
19.
Inanir A, Cakmak B, Hisim Y, Demirturk F. Evaluation of postural equilibrium and fall risk during pregnancy. Gait Posture. 2014;39(4):1122–1125; doi: 10.1016/j. gaitpost.2014.01.013.
 
20.
Oliveira LF, Vieira TMM, Macedo AR, Simpson DM, Nadal J. Postural sway changes during pregnancy: a descriptive study using stabilometry. Eur J Obstet Gynecol Reprod Biol. 2009;147(1):25–28; doi: 10.1016/j.ejogrb. 2009.06.027.
 
21.
McCrory JL, Chambers AJ, Daftary A, Redfern MS. Dynamic postural stability during advancing pregnancy. J Biomech. 2010;43(12):2434–2439; doi: 10.1016/j. jbiomech.2009.09.058.
 
22.
Nagai M, Isida M, Saitoh J, Hirata Y, Natori H, Wada M. Characteristics of the control of standing posture during pregnancy. Neurosci Lett. 2009;462(2):130–134; doi: 10.1016/j.neulet.2009.06.091.
 
23.
Opala-Berdzik A, Błaszczyk JW, Bacik B, CieślińskaŚwider J, Świder D, Sobota G et al. Static postural stability in women during and after pregnancy: a prospective longitudinal study. PLoS One. 2015;10(6):e0124207; doi: 10.1371/journal.pone.0124207.
 
24.
Sunaga Y, Kanemura N, Anan M, Takahashi M, Shinkoda K. Estimation of inertial parameters of the lower trunk in pregnant Japanese women: a longitudinal comparative study and application to motion analysis. Appl Ergon. 2016;55:173–182; doi: 10.1016/j.apergo. 2016.02.010.
 
25.
Jang J, Hsiao KT, Hsiao-Wecksler ET. Balance (perceived and actual) and preferred stance width during pregnancy. Clin Biomech. 2008;23(4):468–476; doi:10.1016/j.clinbiomech.2007.11.011.
 
26.
Dunning K, LeMasters G, Levin L, Bhattacharya A, Alterman T, Lordo K. Falls in workers during pregnancy: risk factors, job hazards, and high risk occupations. Am J Ind Med. 2003;44(6):664–672; doi: 10.1002/ajim. 10318.
 
27.
Wu WH, Meijer OG, Uegaki K, Mens JMA, van Dieen JH, Wuisman PIJM, et al. Pregnancy-related pelvic girdle pain (PPP). I: Terminology, clinical presentation, and prevalence. Eur Spine J. 2004;13(7):575–589; doi: 10.1007/s00586-003-0615-y.
 
28.
Takeda K, Yoshikata H, Imura M. Changes in posture control of women that fall during pregnancy. IJWHR. 2018;6(3):255–262; doi: 10.15296/ijwhr.2018.43.
 
29.
Alam F, Urme NA, Jahan N. Effectiveness of specific lumbar stabilization exercise for LBP among postpartum women: a quasi-experimental study. JAAR. 2021; 8(1):79–95.
 
30.
Gregg VH, Ferguson JE. Exercise in pregnancy. Clin Sports Med. 2017;36(4):741–752; doi: 10.1016/j.csm.2017. 05.005.
 
31.
Ribeiro MM, Andrade A, Nunes I. Physical exercise in pregnancy: benefits, risks and prescription. J Perinat Med. 2022;50(1):4–17; doi: 10.1515/jpm-2021-0315.
 
32.
Pyskir J, Ratuszek-Sadowska D, Pyskir M, Pawlak- Osińska K, Szymkuć-Bukowska I, Hagner W. Assessment and comparison of selected parameters of posture stability in patients with balance disorders and healthy people by stabilometric analysis. J Educ Health Sport. 2016;6(12):230-242.
 
33.
Heller GZ, Manuguerra M, Chow R. How to analyze the Visual Analogue Scale: myths, truths and clinical relevance. Scand J Pain. 2016;13:67–75; doi: 10.1016/j. sjpain.2016.06.012.
 
34.
Ghandali NY, Iravani M, Habibi A, Cheraghian B. The effectiveness of a Pilates exercise program during pregnancy on childbirth outcomes: a randomised controlled clinical trial. BMC Pregnancy Childbirth. 2021;21:480; doi: 10.1186/s12884-021-03922-2.
 
35.
Kalinowski P, Krawulska A. Kinesio taping vs. placebo in reducing pregnancy-related low back pain: a crossover study. Med Sci Monit. 2017;23:6114–6120; doi: 10.12659/msm.904766.
 
36.
Lenhard W, Lenhard A. Calculation of Effect Sizes. Psychometrica. 2022. Available 22.06.2023 from: https:// www.psychometrica.de/effect_size.html; Psychometrica; doi: 10.13140/RG.2.2.17823.92329.
 
37.
Vardi S, Hellerstein D, Gilleard W, Dunsky A. Standing postural control during twin pregnancy: case study. Int J Clin Case Stud. 2017;3:119; doi: 10.15344/2455-2356/ 2017/119.
 
38.
Anselmo DS, Love E, Tango DN, Robinson L. Musculoskeletal effects of pregnancy on the lower extremity: a literature review. J Am Podiatr Med Assoc. 2017; 107(1):60–64; doi: 10.7547/15-061.
 
39.
Krkeljas Z. Changes in gait and posture as factors of dynamic stability during walking in pregnancy. Hum Mov Sci. 2018;58:315–20; doi: 10.1016/j.humov.2017. 12.011.
 
40.
Carvalho APF, Dufresne SS, de Oliveira MR, Sereniski Beraldo FK, de Souza PEA, da Silva RS et al. Pregnant and non-pregnant women and low back pain-related differences on postural control measures during different balance tasks. Man Ther Posturology Rehabil J. 2019; 17(755); doi: 10.17784/mtprehabjournal.2019.17.755.
 
41.
de Aragao FF. Pregnancy-related lumbosacral pain. BrJP. 2019;2(2):176–181; doi: 10.5935/2595-0118.2019 0031.
 
42.
Carvalho APF, Dufresne SS, Rogerio de Oliveira M, Couto Furlanetto K, Dubois M, Dallaire M et al. Effects of lumbar stabilization and muscular stretching on pain, disabilities, postural control and muscle activation in pregnant woman with low back pain. Eur J Phys Rehabil Med. 2020;56(3):297–306; doi: 10.23736/ S1973-9087.20.06086-4.
 
43.
Danna-Dos-Santos A, Magalhaes AT, Silva BA, Duarte BS, Barros GL, Silva MDFC, et al. Upright balance control strategies during pregnancy. Gait Posture. 2018; 66:7–12; doi: 10.1016/j.gaitpost.2018.08.004.
 
44.
Opala-Berdzik A, Bacik B, Markiewicz A, Cieślińska-Świder J, Swider D, Sobota G, et al. Comparison of static postural stability in exercising and non-exercising women during the perinatal period. Med Sci Monit. 2014;20:1865–1870; doi: 10.12659/MSM.890846.
 
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