Plantar Pressure Sore Formation During Advanced Phases Of Pregnancy And The Effect Of Special Footwear
Vol.12,No.1(2018)
Plantar pressure sore occurrence is an indicator of increased plantar pressures which may develop into subsequent foot problems and pain. Therefore, the aim of this study was to assess the effect of special footwear on plantar pressure sore distribution. 67 healthy pregnant women at 27, 32 and 37 gestational weeks participated in data collection sessions. At each data collection session, the plantar pressure sore distribution was assessed for both feet. During the first data collection session participants were randomly divided into a control and experimental group. Experimental group were given the special footwear. For the control group, the results show an increase in pressure sore occurrences in the medial edge of thumb and first metatarso-phalangeal joint. The special footwear introduction in the experimental group increased the pressure sore occurrence at the edge of the heel, probably due to an association with the plantar pressure redistribution more towards the heel area. The distribution of pressure sore areas of the control and experimental group is in accordance with our hypothesis that the special footwear redistributes plantar pressure. However, the trend of these changes is not clear as there are many factors influencing the foot condition during advanced stages of pregnancy.
Pressure sore; Pregnancy; Special Footwear; Foot
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Karadag-Saygi, E., Unlu-Ozkan, F., & Basgul, A. (2010). Plantar Pressure and Foot Pain in the Last Trimester of Pregnancy. Foot Ankle Int, 31(2), 153-57. https://doi.org/10.3113/FAI.2010.0153
Ponnapula, P., & Boberg, J. S. (2010). Lower Extremity Changes Experienced During Pregnancy. J. Foot Ankle Surg, 49(5), 452-58. https://doi.org/10.1053/j.jfas.2010.06.018
Nyska, M., Sofer, D., Porat, A., Howard, C. B., Levi, A., & Meizner, I. (1997). Plantar foot pressures in pregnant women. Isr. J. Med. Sci, 33(2), 139–46.
Wetz, H. H., Hentschel, J., Drerup, B., Kiesel, L., Osada, N., & Veltmann, U. (2006). Changes in shape and size of the foot during pregnancy. Der Orthopade, 35, 1126-30.
Chiou, W., Chiu, H., Chao, A., Wang, M., & Chen, Y. (2015). The influence of body mass on the foot dimensions during pregnancy. Applied Ergonomics, 46, 212-17. https://doi.org/10.1016/j.apergo.2014.08.004
Vařeka, I., & Vařeková, R. (2015). Otlaky plosky v diagnostic funkčních typů nohy. Rehabilitace a fyzikální lékařství, 22(1), 6-9.
Machtová, P. Fyzioterapeutické postupy u pacientů se syndrome diabetické nohy. Bakalářská práce, Fakulta zdravotnických studií, Plzeň; 2006.
Kolář, V., Vlach, P., & Jelen, K. (2005). Dynamika interakčních charakteristik nohy s podložkou u pacientů s ortopedickými vadami přednoží. Sborník příspěvků mezinárodní vědecké konference “Mladí Evropané ve vědě”, UK, Praha, 2005, 77-83.
Filip, L., Stehlík, J., Musil, D., & Sadovský, P. (2008). Indikace a metody léčby hallux rigidus na našem pracovišti. Acta chirurgiae orthopaedicae et traumatologiae čechosl, 75, 173-79.
Jang, S. I., Lee, Y. R., Kwak, H. S., Moon, K.S., Shin, J., & Kim, J. (2010). The effect of balanced incline shoes on walking and feet for the pregnant women. Korean Journal of Obstetrics and Gynecology, 53, 988-97. https://doi.org/10.5468/kjog.2010.53.11.988
Marques, A. S., Goncalves, P., Santos, R., & Vilas-Boas, J. P. (2005). Comfort and functionality of pregnant women’s feet. Study of kinetic parameters with silicon insoles. Braz. J. Biomechanics, 6, 9-15.
Zvonar, M., & Kolarova, K. (2014). Case study: verifying the effect of specific orthopaedic insoles and biomechanical shoes on plantar pressure. 7th International Scientific Conference on Kinesiology, Opatija, Croatia; 2014, 221-26.
J Hanák R, Ltd.: http://www.botyhanak.cz/
Gimunová, M., Zvonař, M., Kolářová, K., Janík, Z., Mikeska, O., Musil, R., Ventruba, P., & Šagat, P. (2017). Lower Extremity Blood Flow Changes during Advancing Phases of Pregnancy and the Effect of Special Footwear. Jornal Vascular Brasileiro, 16(3), 214-219. https://doi.org/10.1590/1677-5449.002617
Cohen, J. Statistical power analysis for behavioral sciences (revised ed.). New York: Academic Press; 1977.
Alvarez, R., Stokes, A. F., Asprinio, D. E., Trevino, S., & Braun, T. (1988). Dimensional changes of the feet in pregnancy. The Journal of Bone and Joint Surgery, 70(2), 271-74. https://doi.org/10.2106/00004623-198870020-00017 https://doi.org/10.1590/1677-5449.002617
Forczek, W., & Staskiewicz, R. (2012). Changes of kinematic gait parameters due to pregnancy. Acta of Bioengineering and Biomechanics, 14, 113-19.
Gimunová, M., Kasović, M., Zvonař, M., Turčínek, P., Matković, B., Ventruba, P., Vaváček, M., & Knjaz, D. (2015). Analysis of ground reaction force in gait during different phases of pregnancy. Kinesiology, Zagreb: Faculty of Kinesiology, University of Zagreb, 47(2), 236-41.
Ogamba, M. I., Loverro, K. L., Laudicina, N. M., Gill, S. V., & Lewis, C. L. (2016). Change in gait with anteriorly added mass: a pregnancy simulation study. J Appl Biomech, 32(4), 379-87. https://doi.org/10.1123/jab.2015-0178
Riskowski, J. L., Hagedorn, T. J., Dufour, A. B., & Hannan, M. T. (2012). Functional foot symmetry and its relation to lower extremity physical performance in older adults: The Framingham Foot Study. Journal of biomechanics, 45, 1796-802. https://doi.org/10.1016/j.jbiomech.2012.04.019
Sadeghi, H., Sadeghi, S., Prince, F., Allard, P., Labelle, H., & Vaughan, C. L. (2001). Lower limb muscle power relationships in bilateral able-bodied gait. American Journal of Physical Medicine and Rehabilitation, 80(11), 821–30. https://doi.org/10.1097/00002060-200111000-00006
Sadeghi, H. (2003). Local or global asymmetry in gait of people without impairments. Gait Posture, 17(3), 197–204.
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