Spinal curvature and characteristics of postural change in pregnant women

摘要

Objective. Pregnant women often report complaints due to physiological and postural changes. Postural changes during pregnancy may cause low back pain and pelvic girdle pain. This study aimed to compare the characteristics of postural changes in pregnant compared with non-pregnant women. Design. Prospective case-control study. Setting. Pregnancy care center. Population. Fifteen women at 17-34 weeks pregnancy comprised the study group, while 10 non-pregnant female volunteers comprised the control group. Methods. Standing posture was evaluated in the sagittal plane with static digital pictures. Two angles weremeasured by image analysis software: (1) between the trunk and pelvis; and (2) between the trunk and lower extremity. Spinal curvature was measured with Spinal Mouse? to calculate the means of sacral inclination, thoracic and lumbar curvature and inclination. Main outcome measures. The principal components were calculated until eigenvalues surpassed 1. Results. Three distinct factors with eigenvalues of 1.00-2.49 were identified, consistent with lumbosacral spinal curvature and inclination, thoracic spine curvature, and inclination of the body. These factors accounted for 77.2% of the total variance in posture variables. Eleven pregnant women showed postural characteristics of lumbar kyphosis and sacral posterior inclination. Body inclination showed a variety of patterns compared with those in healthy women. Conclusions. Spinal curvature demonstrated a tendency for lumbar kyphosis in pregnantwomen. Pregnancy may cause changes in spinal curvature and posture, which may in turn lead to relevant symptoms. Our data provide a basis for investigating the effects of spinal curvature and postural changes on symptoms during pregnancy.