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Midfoot plantar pressure significantly increases during late gestation

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Gaymer, C., Whalley, H., Achten, Juul, Vatish, Manu and Costa, Matthew L. (2009) Midfoot plantar pressure significantly increases during late gestation. The Foot, Vol.19 (No.2). pp. 114-116. doi:10.1016/j.foot.2009.02.001 ISSN 0958-2592.

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Official URL: http://dx.doi.org/10.1016/j.foot.2009.02.001

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Abstract

A rise in plantar pressure has been observed in pregnant women with foot pain. The current literature on plantar pressure in pregnancy is sparse. It has been postulated that changes in plantar pressure result from the physiological effects of pregnancy. In this study we aim to quantify the plantar pressure of women in late pregnancy.
Methods
Twenty-two pregnant women undergoing a caesarean section and twenty non-pregnant women were recruited from University Hospital Coventry and Warwickshire between May to June 2007. Plantar pressure measurements were performed using an in-shoe measurement system. The control group was compared with the pregnant group at 38 weeks gestation. A selection of the pregnant group had repeat measurements at 4 months post-partum. The pre and post-partum measurements were also compared.
Results
The pregnant group (PG) exerted a significantly higher mean midfoot pressure compared to the non-pregnant control group (CG) (PG=115.5kPa, CG=95.4kPa; p=0.001).
Post-partum (PP), there was a significant reduction in the mean and maximum midfoot pressure (mean; PG=111.9kPa, PP=66.2kPa; p<0.001, maximum; PG=184.0kPa, PP=108.3kPa; p<0.001).
Conclusions
The physiological changes in late pregnancy result in an increase in midfoot plantar pressure. This increase resolves post-partum.

Item Type: Journal Article
Subjects: Q Science > QM Human anatomy
R Medicine > RG Gynecology and obstetrics
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit
Library of Congress Subject Headings (LCSH): Pregnancy -- Trimester, Third -- Physiological effects, Pregnant women -- Weight gain -- Physiological effects, Foot -- Abnormalities -- Case studies
Journal or Publication Title: The Foot
Publisher: Churchill Livingstone
ISSN: 0958-2592
Official Date: 2009
Dates:
DateEvent
2009Published
Volume: Vol.19
Number: No.2
Page Range: pp. 114-116
DOI: 10.1016/j.foot.2009.02.001
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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