ORIGINAL PAPER
Structural changes in foot and arch dimensions in the third trimester of pregnancy
More details
Hide details
1
Faculty of Physiotheraphy, Wrocław University School of Physical Education, Wrocław, Poland
Submission date: 2019-07-22
Acceptance date: 2020-04-01
Publication date: 2020-11-15
Hum Mov. 2021;22(2):87-92
KEYWORDS
TOPICS
ABSTRACT
Purpose:
The goal of the study was to investigate changes in foot anatomical characteristics in the last trimester of pregnancy.
Methods:
Twenty pregnant women (mean age: 30.8 years) from a local clinic were recruited. Body mass, foot length and
width, longitudinal arch height, and several angular variables quantifying plantar and arch structure were measured. A foot
imprint was obtained with a digital podoscope (CQ Elektronik System, Poland) at the beginning and end of the third trimester of pregnancy.
Results:
Body mass was significantly greater at the end of the last trimester. Increases were also observed in the SztriterGodunow index in both feet (p < 0.007), although foot length and width increased only in the left foot. Among the angular
characteristics, the only significant changes involved an increase in the talocalcaneal angle (p < 0.007) and a decrease in
the 1st metatarsophalangeal angle in the right foot (p < 0.04).
Conclusions:
Significant changes in plantar and arch structure were observed in the final trimester of pregnancy, primarily
involving a transverse expansion of the left foot and alteration in the angular characteristics of the right foot. The results
of the research show anthropometric changes in feet of women in the last trimester of pregnancy. They indicate the foot parts
in which the greatest changes occur and what the direction of these changes is. This will allow to create a preventive foot
corrective exercise program for pregnant women.
REFERENCES (26)
1.
Lizis P. The relationship between the shape of plantar surface of feet and body build features in females. Fizjoter Pol. 2011;11(1):57–65.
2.
Nyska M, Sofer D, Porat A, Howard CB , Levi A, Meizner I. Planter foot pressures in pregnant women. Isr J Med Sci. 1997;33(2):139–146.
3.
Segal NA, Boyer ER, Teran-Yengle P, Glass NA, Hillstrom HJ, Yack HY. Pregnancy leads to lasting changes in foot structure. Am J Phys Med Rehabil. 2013;92(3):232–240; doi: 10.1097/PHM.0b013e31827443a9.
4.
Dunn J, Dunn C, Habbu R, Bohay D, Anderson J. Effect of pregnancy and obesity on arch of foot. Orthop Surg. 2012;4(2):101–104; doi: 10.1111/j.1757-7861.2012.00179.x.
5.
Wetz HH, Hentschel J, Drerup B, Kiesel L, Osada N, Veltmann U. Changes in shape and size of the foot during pregnancy [in German]. Orthopade. 2006;35(11):1124–1130; doi: 10.1007/s00132-006-1011-1.
6.
Hadasik D, Repeć R, Zaniewski M. Chronic venous insufficiency in pregnant women – primum non nocere. Review [in Polish]. Ginekol Położ. 2007;3(5):63–71.
7.
Krasowski G, Rybak Z, Niemczyk W, Tukiendorf A, Kornacki W. Effect of body mass gain during pregnancy on the venous system function in lower limbs [in Polish]. Przegl Flebol. 2007;15(1):1–4.
8.
Gijon-Nogueron GA, Gavilan-Diaz M, Valle-Funes V, Jimenez-Cebrian AM, Cervera-Marin JA, Morales-Asencio JM. Anthropometric foot changes during pregnancy: a pilot study. J Am Podiatr Med Assoc. 2013;103(4):314–321; doi: 10.7547/1030314.
9.
Gaymer C, Whalley H, Achten J, Vatish M, Costa ML. Midfoot plantar pressure significantly increases during late gestation. Foot. 2009;19(2):114–116; doi: 10.1016/j.foot.2009.02.001.
10.
Bibrowicz K, Osińska M, Chodun M. Foot arch asymmetry in women aged 20–40 years with normal body mass under weight loading conditions, in the perspective of digital photopodoscopy examinations [in Polish]. Med Man. 2012;16(1):24–30.
11.
Nogalski S, Salaciak A. Plantar structure comparison among University of Szczecin female students with the consideration of body build [in Polish]. Zesz Nauk USzczec. 1992;9:119–132.
12.
Puszczałowska-Lizis E. Correlations between the plantographic characteristics of feet and the explosive power of the lower limbs in 20–27 years old women. Fizjoterapia. 2011;19(2):9–15; doi: 10.2478/v10109-011-0001-y.
13.
Puszczałowska-Lizis E. Verification of the correctness in index choice in foot structure evaluation on the basis of research into the feet of women aged 20 to 27. Med Rehab. 2011;15(2):1–6.
14.
Puszczałowska-Lizis E. Connections between the longitudinal arch of the foot and the chosen morphological features of the body in 20–27 years women. Prz Med Uniw Rzesz Inst Leków. 2012;1:50–57.
15.
Puszczałowska-Lizis E. Index of slenderness vs. longitudinal arch of students’ feet [in Polish]. Hyg Publ Health. 2014;49(1):98–102.
16.
Karadag-Saygi E, Unlu-Ozkan F, Basgul A. Plantar pressure and foot pain in the last trimester of pregnancy. Foot Ankle Int. 2010;31(2):153–157; doi: 10.3113/FAI.2010.0153.
17.
Niedzielski W, Śliwiński Z, Permoda A. Influence of transverse flat-foot on the disturbance of natural physiological position [in Polish]. Med Man. 2014;18(1):37–41.
18.
Majchrzycki M, Mrozikiewicz PM, Kocur P, Bartkowiak-Wieczorek J, Hoffmann M, Stryła W, et al. Low back pain in pregnant women [in Polish]. Ginekol Pol. 2010;81(11):851–855.
19.
Kutzner-Kozińska M, Olszewska E, Popiel M, Trzcińska D. The process of correcting postural defects [in Polish]. Warszawa: AWF; 2011.
20.
Boch-Kmieciak J, Cieślik K, Waszak M, Szulc P, Lewandowski J. Changes in somatic features and spinal curvatures in pregnant women. Fizjoter Pol. 2012;12(4):29–38; doi: 10.5604/16420136.990855.
21.
Estemberg D, Sikora-Szubert A, Kowalska-Koprek U, Berner-Trąbska M, Brzozowska M, Pasiński J, et al. Body mass changes during pregnancy and concentration of insulin and neuropeptide Y in women with regard to the BMI [in Polish]. Ginekol Pol. 2011;82(12):892–899.
22.
Murphy DR , Hurwitz EL, McGovern EE. Outcome of pregnancy-related lumbopelvic pain treated according to a diagnosis-based decision rule: a prospective observational cohort study. J Manipulative Physiol Ther. 2009;32(8):616–624; doi: 10.1016/j.jmpt.2009.09.002.
23.
Robinson HS, Mengshoel AM, Bjelland EK, Vøllestad NK. Pelvic girdle pain, clinical tests and disability in late pregnancy. Man Ther. 2010;15(3):280–285; doi: 10.1016/j.math.2010.01.006.
24.
Ciejka E, Daniszewska B, Janiszewski M. Pathological changes in plantar arch structure in adults induced by overload syndromes [in Polish]. Med Man. 2001;3–4:35–38.
25.
Alvarez R, Stokes IA, Asprinio DE, Trevino S, Braun T. Dimensional changes of the feet in pregnancy. J Bone Joint Surg Am. 1988;70(2):271–274.
26.
Menz HB, Dufour AB, Riskowski JL, Hillstrom HJ, Hannan MT. Foot posture, foot function and low back pain: the Framingham Foot Study. J Foot Ankle Res. 2013;6(Suppl. 1):O27; doi: 10.1186/1757-1146-6-S1-O27.