Assessment of Pelvic-Lumbar-Thigh Biomechanics to Optimize The Childbirth Position: An "In Vivo" Innovative Biomechanical Study.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_E0497B5D530C
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Assessment of Pelvic-Lumbar-Thigh Biomechanics to Optimize The Childbirth Position: An "In Vivo" Innovative Biomechanical Study.
Journal
Scientific reports
Author(s)
Desseauve D., Pierre F., Fernandez A., Panjo H., Decatoire A., Lacouture P., Fradet L.
ISSN
2045-2322 (Electronic)
ISSN-L
2045-2322
Publication state
Published
Issued date
04/11/2019
Peer-reviewed
Oui
Volume
9
Number
1
Pages
15968
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
The study aimed to assess the associations between the pelvis orientation, lumbar curve and thigh postures throughout pregnancy in a population of healthy women. Additionally, optimal mechanical birth conditions in terms of the pelvic inlet and lumbar curve were researched. The individuals' posture was assessed with three-dimensional motion analysis and the lumbar curve with the Epionics SPINE system. The association between the hip joint angles (flexion and abduction), the pelvis external conjugate, and lumbar curve position was assessed with a generalized linear mixed model (GLMM) adjusted to individuals' characteristics. Joint laxity was assessed with a modified Jobbin's extensometer. For all of the subjects, hip flexion and hip abduction were significantly associated with the angle between the external conjugate and spine, with higher correlation in the multivariate regression model. The association between hip flexion and the lumbar curve was less significant in multivariate than univariate regression analysis. Optimal birth conditions were never reached. The findings contribute to the understanding of the association between the hip position (flexion and abduction), pelvic orientation, and lumbar curve adjusted for joint laxity in healthy pregnant women. They lay the groundwork for future research in the field of obstetrical biomechanics.
Pubmed
Web of science
Open Access
Yes
Create date
07/11/2019 22:40
Last modification date
30/04/2021 6:15
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