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Alteration in Pelvic Inclination & its Correlation with Lumbar Lordosis in Pregnant Women


Affiliations
1 Dept of Physiotherapy, MAEER'S Physiotherapy College, Talegaon (D), Pune, India
2 Dept. of Physiotherapy, Padmashree Dr. D.Y. Patil University, Nerul, Navi Mumbai, India
3 Dept of Physiotherapy, L. T. M. Medical College, Sion, Mumbai, India
     

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Background: A cross sectional comparative study to explore whether pelvic inclination angle [PIA] alters during third trimester & correlates with associated alteration if any in lumbar lordosis angle [LLA] in primigravid women

Method: PIA & LLA were measured with pelvic inclinometer & Flexirular respectively in a convenient sample of 100 Primigravid healthy women carrying single foetus in third trimester of pregnancy within age group of 21.61 + 2.29 years & 100 healthy age matched [22.07 + 2.41years] nulliparous controls . SPSS 16 soft ware was used to calculate unpaired t value with 95% confidence interval for comparing PIA & LLA respectively between two groups and Intra-group Correlation coefficient [r value ] between PIA & LLA in both groups .

Result : PIA in study & Control groups was found to be 3.340 2.57 & 5.140 2.82 respectively where as LLA was 37.750 12.87 & 44.880 12.36 respectively. Comparison of PIA & LLA between groups showed highly significant decrease [p < 0.0000 & p < 0.0001respectively ] in both variables in study group suggesting posterior tilt associated with lumbar flattening. In both groups Intra-group correlation showed moderate correlation between PIA & LLA [ r=0.66 in study group & 0.6 in controls]

Conclusion: Study showed significant decrease in PIA & LLA in Pregnant women. The LLA & PIA correlated moderately in both the groups.


Keywords

Lumbar Lordosis Angle, Flexirular, Pregnancy, Pelvic Inclination, Pelvic Inclinometer
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  • Margaret Polden and Jill Mantle, Physiotherapy in Obstetrics and Gynaecology, Jaypee Brothers Medical Publishers, 1st Indian Edition, 1994.

  • Sapsford R., Women’s Health: A textbook for Physiotherapists, Harcourt Brace and Company Asia Pte Ltd, 1998.

  • S.J. Britnell, J.V. Cole and L. Isherwood (2005) Postural Health in Women:The Role of Physiotherapy. J Obstet Gynaecol Can MAI 493 – 500.

  • Joanne Bullock et al (1987) The relationship of low back pain to postural changes during pregnancy. Australian Journal of Physiotherapy 33 (1):10-17.

  • A. Saadet Otman et al( 1989) The importance of ‘lumbar lordosis measurement device’ application during pregnancy, and post-partum isometric exercise. European Journal of Obstetrics & Gynecology and Reproductive Biology 31(2):155-162.

  • Joanne E. Bullock-Saxton (1991)Changes in posture associated with pregnancy and the early post-natal period measured in standing. Physiotherapy Theory and Practice 7(2):103-109.

  • Franklin M E and Conner-Kerr T (1998) An analysis of posture and back pain in the first and third trimesters of pregnancy. J Orthop Sports Phys Ther 28(3):133-8.

  • K. Moore, G. A. Dumas and J. G. Reid (1990) Postural changes associated with pregnancy and their relationship with low-back pain. Clinical Biomechanics 5(3):169-174.

  • Ostgaard HC et al (1993) Influence of some biomechanical factors on low-back pain in pregnancy. Spine 18(1):61-5.

  • Julie Colliton (1996) Back Pain and Pregnancy: Active Management Strategies. The physician and sports medicine: 24 (7):1-8.

  • Paul L. Sanderson et al (1996) The influence of Pregnancy on the development of degenerative spondylolysthesis. J Bone Joint Surg; 78-B: 951-4.

  • Wendy L, Gilleard J and Mark M Brown (1996) Structure and function of the abdominal muscles in primigravid subjects during pregnancy and the immediate postbirth period. Phys Ther 76: 750 -762.

  • Snijders G.J, Snijder J D,& Hoest H T Change in the form of the spine as a consequence of pregnancy [1976] Digest of the 11th International conference on Medical & Biological Engineering; Ottawa, Canada :670-67

  • Hummel P -Changes in posture during pregnancy PhD thesis [1987] Vrije universiteit de Amsterdam Academisch Pragshrift.

  • Pandit U.N, BellareB.V, Yardi S.S.[2009]: Study on Lumbar curvature in pregnant women ,, Journal of IAP,

  • Levine D ,Whittle MW [1996] The effects of pelvic movement on lumbar lordosis in the standing position .J Orthop Sports Phys Ther; Sept, 24[3]:130-5

  • Crowell RD, Cummings GS, Walker JR and Tillman LJ (1994) Intratester and intertester reliability and validity of measures of innominate bone inclination. J Orthop Sports Phys Ther. 20(2):88-97

  • Martha Walker et al (1987) Relationship between lumbar lordosis, pelvic tilt and abdominal muscle performance. physical therapy 67 (4) :512-16.

  • Hart DL, &S J Rose Reliability of non invasive method of measuring LL [1986] J Orthop. Sports Phys.Ther;8[4]:180-184

  • Franklin W Lovell, Jules M Rothstein and Walter J Personius (1989) Reliability of clinical measurements of lumbar lordosis taken with a flexible rule. Phys Ther 69:96-105.

  • Martha R. Hinman (2003 / 2004) Interrater reliability of flexicurve postural measures among novice users. Journal of Back and Musculoskeletal Rehabilitation17(1 ):33 – 36

  • Carol S Link et al (1990) Lumbar curvature in Standing and Sitting in Two types of Chairs : Relationship of Hamstring and Hip Flexor Muscle Length. Physical Therapy 70 (10):611-618.

  • S. E. Sandler (1996) Management of low back pain in pregnancy. Manual Therapy 1(4):178-185.

  • Jan Perkins, Roger L. Hammer and Peter V. Loubert (1998) Identification and management of pregnancy-related low back pain. Journal of Nurse-Midwifery 43( 5):331-340

  • OkanishiN ,Kito N, Akiyama M, Yamamoto M [2012].Spinal curvature & characteristics of postural change in pregnant women; Acta Obstet Gynecol Scand, March 19.doi:10.1111/j.1600-0412. 2012.01400.x.[Epub ahead of print]

  • Raphaël Vialle et al(2005) Radiographic Analysis of the Sagittal Alignment and Balance ofs the Spine in Asymptomatic Subjects. The Journal of Bone and Joint Surgery (American).87:260-267.

  • Yasukouchi A and Isayama T(1995 ) The relationships between lumbar curves, pelvic tilt and joint mobilities in different sitting postures in young adult males. Appl Human Sci. 14(1): 15-21

  • Penny G. Kroll et al(2000) The relationship between lumbar lordosis and pelvic tilt angle Journal of Back and Musculoskeletal Rehabilitation 14( 1-2 ):21 – 25.


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  • Alteration in Pelvic Inclination & its Correlation with Lumbar Lordosis in Pregnant Women

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Authors

Madhura M. Inamdar
Dept of Physiotherapy, MAEER'S Physiotherapy College, Talegaon (D), Pune, India
Unnati Pandit
Dept. of Physiotherapy, Padmashree Dr. D.Y. Patil University, Nerul, Navi Mumbai, India
Bharati V. Bellare
Dept of Physiotherapy, L. T. M. Medical College, Sion, Mumbai, India

Abstract


Background: A cross sectional comparative study to explore whether pelvic inclination angle [PIA] alters during third trimester & correlates with associated alteration if any in lumbar lordosis angle [LLA] in primigravid women

Method: PIA & LLA were measured with pelvic inclinometer & Flexirular respectively in a convenient sample of 100 Primigravid healthy women carrying single foetus in third trimester of pregnancy within age group of 21.61 + 2.29 years & 100 healthy age matched [22.07 + 2.41years] nulliparous controls . SPSS 16 soft ware was used to calculate unpaired t value with 95% confidence interval for comparing PIA & LLA respectively between two groups and Intra-group Correlation coefficient [r value ] between PIA & LLA in both groups .

Result : PIA in study & Control groups was found to be 3.340 2.57 & 5.140 2.82 respectively where as LLA was 37.750 12.87 & 44.880 12.36 respectively. Comparison of PIA & LLA between groups showed highly significant decrease [p < 0.0000 & p < 0.0001respectively ] in both variables in study group suggesting posterior tilt associated with lumbar flattening. In both groups Intra-group correlation showed moderate correlation between PIA & LLA [ r=0.66 in study group & 0.6 in controls]

Conclusion: Study showed significant decrease in PIA & LLA in Pregnant women. The LLA & PIA correlated moderately in both the groups.


Keywords


Lumbar Lordosis Angle, Flexirular, Pregnancy, Pelvic Inclination, Pelvic Inclinometer

References