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Influence of unstable shoes on women with lumbopelvic postpartum pain: randomized clinical trial
BACKGROUND: Back pain is a normal symptom during pregnancy and is expected to become worse beyond the first three months after childbirth. OBJECTIVES: To determine the effectiveness of wearing unstable shoes instead of conventional shoes, regarding pain intensity, low back mobility and stability, am...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Associação Paulista de Medicina - APM
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9615595/ https://www.ncbi.nlm.nih.gov/pubmed/34161523 http://dx.doi.org/10.1590/1516-3180.2020.0738.R1.0402021 |
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author | Díaz-Meco Conde, Raquel Ruiz Ruiz, Beatriz Rubio Alonso, Margarita Calvo-Lobo, César de Labra, Carmen López-López, Daniel Romero Morales, Carlos |
author_facet | Díaz-Meco Conde, Raquel Ruiz Ruiz, Beatriz Rubio Alonso, Margarita Calvo-Lobo, César de Labra, Carmen López-López, Daniel Romero Morales, Carlos |
author_sort | Díaz-Meco Conde, Raquel |
collection | PubMed |
description | BACKGROUND: Back pain is a normal symptom during pregnancy and is expected to become worse beyond the first three months after childbirth. OBJECTIVES: To determine the effectiveness of wearing unstable shoes instead of conventional shoes, regarding pain intensity, low back mobility and stability, among women with lumbopelvic pain (LPP) during the postpartum period. DESIGN AND SETTING: Prospective, single-blinded, randomized clinical trial conducted at a podiatry and physiotherapy clinical center. METHODS: A nine-week program of wearing either unstable shoes (A) or conventional shoes (B) was implemented. The following outcomes were measured in three assessments: pain intensity, using a visual analogue scale (VAS); low-back mobility, using a modified Schober test; and stability, using a pressure platform. RESULTS: The lateral stability speed, anterior stability speed and anterior center of pressure (COP) showed significant (P < 0.05) decreases in the unstable shoes group after nine weeks, in relation to the conventional group. Intra-group measurements showed significant differences (P < 0.05) in VAS between the second and third assessments and between the first and third assessments in both groups. Intra-group evaluations also showed statistically significant differences (P < 0.05) in the lateral stability speed and anterior stability speed. CONCLUSIONS: Unstable shoes were effective in decreasing the pain intensity at five and nine weeks in women with postpartum LPP. In addition, their use produced decreases in lateral stability speed, anterior stability speed and anterior COP at nine weeks. |
format | Online Article Text |
id | pubmed-9615595 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Associação Paulista de Medicina - APM |
record_format | MEDLINE/PubMed |
spelling | pubmed-96155952022-11-01 Influence of unstable shoes on women with lumbopelvic postpartum pain: randomized clinical trial Díaz-Meco Conde, Raquel Ruiz Ruiz, Beatriz Rubio Alonso, Margarita Calvo-Lobo, César de Labra, Carmen López-López, Daniel Romero Morales, Carlos Sao Paulo Med J Original Article BACKGROUND: Back pain is a normal symptom during pregnancy and is expected to become worse beyond the first three months after childbirth. OBJECTIVES: To determine the effectiveness of wearing unstable shoes instead of conventional shoes, regarding pain intensity, low back mobility and stability, among women with lumbopelvic pain (LPP) during the postpartum period. DESIGN AND SETTING: Prospective, single-blinded, randomized clinical trial conducted at a podiatry and physiotherapy clinical center. METHODS: A nine-week program of wearing either unstable shoes (A) or conventional shoes (B) was implemented. The following outcomes were measured in three assessments: pain intensity, using a visual analogue scale (VAS); low-back mobility, using a modified Schober test; and stability, using a pressure platform. RESULTS: The lateral stability speed, anterior stability speed and anterior center of pressure (COP) showed significant (P < 0.05) decreases in the unstable shoes group after nine weeks, in relation to the conventional group. Intra-group measurements showed significant differences (P < 0.05) in VAS between the second and third assessments and between the first and third assessments in both groups. Intra-group evaluations also showed statistically significant differences (P < 0.05) in the lateral stability speed and anterior stability speed. CONCLUSIONS: Unstable shoes were effective in decreasing the pain intensity at five and nine weeks in women with postpartum LPP. In addition, their use produced decreases in lateral stability speed, anterior stability speed and anterior COP at nine weeks. Associação Paulista de Medicina - APM 2021-06-11 /pmc/articles/PMC9615595/ /pubmed/34161523 http://dx.doi.org/10.1590/1516-3180.2020.0738.R1.0402021 Text en © 2022 by Associação Paulista de Medicina https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons license. |
spellingShingle | Original Article Díaz-Meco Conde, Raquel Ruiz Ruiz, Beatriz Rubio Alonso, Margarita Calvo-Lobo, César de Labra, Carmen López-López, Daniel Romero Morales, Carlos Influence of unstable shoes on women with lumbopelvic postpartum pain: randomized clinical trial |
title | Influence of unstable shoes on women with lumbopelvic postpartum pain: randomized clinical trial |
title_full | Influence of unstable shoes on women with lumbopelvic postpartum pain: randomized clinical trial |
title_fullStr | Influence of unstable shoes on women with lumbopelvic postpartum pain: randomized clinical trial |
title_full_unstemmed | Influence of unstable shoes on women with lumbopelvic postpartum pain: randomized clinical trial |
title_short | Influence of unstable shoes on women with lumbopelvic postpartum pain: randomized clinical trial |
title_sort | influence of unstable shoes on women with lumbopelvic postpartum pain: randomized clinical trial |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9615595/ https://www.ncbi.nlm.nih.gov/pubmed/34161523 http://dx.doi.org/10.1590/1516-3180.2020.0738.R1.0402021 |
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