Amelioration of Kinaesthesia in Pregnant Women Using Pezzi Ball Exercises: Randomized Controlled Trial

Main Article Content

Fayiz F. El-Shamy1, Ahmed El Saied M2 , Shereef Lotfy Elshwaikh3, Eman A. Elhosary1, Ibrahim Mohamed Hamoda4 , Rania Elsayed Abdelaleem5

Keywords

Pregnancy, Kinaesthetic exercises, Postural stability, Pezzi ball

Abstract

Some modifications to posture and gait occur during pregnancy which affect balance and increase the risk of falling. PURPOSE: The purpose of this study is to examine the short-term impact of kinaesthetic training on pregnant women's postural balance. METHODS: Thirty pregnant women were randomized to either the intervention group (KEG; n=15) which received kinaesthetic exercises on the Pezzi ball and standard care or the control group (CG; n=15) which received the standard care only. Performance and postural stability were measured using a balance check board 636-1 (BCB) and Mini-BESTest at 28 weeks gestation (WG),32 WG, and 2 weeks postpartum. RESULTS: Within-group analysis, performance, and postural stability increased significantly in KEG (p< 0.05) between 28 WG and 32 WG and between 28 WG and 2 weeks postpartum. There was no statistically significant difference in KEG performance and postural stability between 32 WG and 2 weeks postpartum (p >0.05). Between-group analyses, there was no statistically significant difference in performance and postural stability (p > 0.05) before treatment between both groups at 28 WG, with a significant difference (p<0.05) between both groups at 32 WG and 2 weeks postpartum. CONCLUSION: kinaesthetic training improves performance and postural stability during pregnancy and 2 weeks postpartum

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References

[1]Nicholls, J. A., & Grieve, D. W. (1992). Posture, performance and discomfort in pregnancy. Applied Ergonomics, 23(2), 128-132.
[2] Foti, T., Davids, J. R., & Bagley, A. (2000). A biomechanical analysis of gait during pregnancy. JBJS, 82(5), 625.
[3] Borg-Stein, J., Dugan, S. A., & Gruber, J. (2005). Musculoskeletal aspects of pregnancy. American journal of physical medicine & rehabilitation, 84(3), 180-192.
[4] Calguneri, M., Bird, H. A., & Wright, V. (1982). Changes in joint laxity occurring during pregnancy. Annals of the rheumatic diseases, 41(2), 126-128.
[5] Blecher, A. M., & Richmond, J. C. (1998). Transient laxity of an anterior cruciate ligament-reconstructed knee related to pregnancy. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 14(1), 77-79.
[6] Mogren, I. M., & Pohjanen, A. I. (2005). Low back pain and pelvic pain during pregnancy: prevalence and risk factors. Spine, 30(8), 983-991.
[7] El-shamy, F. F., Ribeiro, A. P., & Abo Gazia, A. A. (2019). Effectiveness of proprioceptive training on dynamic postural balance during pregnancy: A randomized controlled trial. Physiotherapy Practice and Research, 40(1), 77-85.
[8] Butler, E. E., Colón, I., Druzin, M. L., & Rose, J. (2006). Postural equilibrium during pregnancy: decreased stability with an increased reliance on visual cues. American journal of obstetrics and gynecology, 195(4), 1104-1108.
[9] Jang, J., Hsiao, K. T., & Hsiao-Wecksler, E. T. (2008). Balance (perceived and actual) and preferred stance width during pregnancy. Clinical biomechanics, 23(4), 468-476.
[10] Dunning, K., LeMasters, G., & Bhattacharya, A. (2010). A major public health issue: the high incidence of falls during pregnancy. Maternal and child health journal, 14, 720-725.
[11] McCrory, J. L., Chambers, A. J., Daftary, A., & Redfern, M. S. (2010). Dynamic postural stability during advancing pregnancy. Journal of biomechanics, 43(12), 2434-2439.
[12] McCrory, J. L., Chambers, A. J., Daftary, A., & Redfern, M. S. (2010). Dynamic postural stability in pregnant fallers and non‐fallers. BJOG: An International Journal of Obstetrics & Gynaecology, 117(8), 954-962.
[13] Butler, E. E., Colón, I., Druzin, M., & Rose, J. (2006). An investigation of gait and postural balance during pregnancy. Gait & Posture, (24), S128-S129.
[14] Cakmak, B., Ribeiro, A. P., & Inanir, A. (2016). Postural balance and the risk of falling during pregnancy. The Journal of Maternal-Fetal & Neonatal Medicine, 29(10), 1623-1625.
[15] Paul, J. A., Salle, H., & Frings-Dresen, M. H. W. (1996). Effect of posture on hip joint moment during pregnancy, while performing a standing task. Clinical Biomechanics, 11(2), 111-115.
[16] Dunning, K., LeMasters, G., Levin, L., Bhattacharya, A., Alterman, T., & Lordo, K. (2003). Falls in workers during pregnancy: risk factors, job hazards, and high risk occupations. American journal of industrial medicine, 44(6), 664-672.
[17] de Groot, R. H., Adam, J. J., & Hornstra, G. (2003). Selective attention deficits during human pregnancy. Neuroscience letters, 340(1), 21-24.
[18] Weiss, H. B. (1999). Pregnancy-associated injury hospitalizations in Pennsylvania, 1995. Annals of emergency medicine, 34(5), 626-636.
[19] Curet, M. J., Schermer, C. R., Demarest, G. B., Bieneik III, E. J., & Curet, L. B. (2000). Predictors of outcome in trauma during pregnancy: identification of patients who can be monitored for less than 6 hours. Journal of Trauma and Acute Care Surgery, 49(1), 18-25.
[20] Ritchie, J. R. (2003). Orthopedic considerations during pregnancy. Clinical obstetrics and gynecology, 46(2), 456-466.
[21] Sekendiz B, Cug M, Korkusuz F. Effects of Swiss-ball core strength training on strength, endurance, flexibility, and balance in sedentary women. The Journal of Strength & Conditioning Research. 2010 Nov 1;24(11):3032-40.
[22] My, A. C. O. G., Connection, C., & Rounds, A. (2015). Physical activity and exercise during pregnancy and the postpartum period. Physical activity and exercise during pregnancy and the postpartum period.
[23] El-Shamy, F., Ghait, A., & Morsy, M. (2016). Evaluation of postural stability in pregnant women. British Journal of Medicine and Medical Research, 11(10), 1-5.
[24] Cox, E. D., Lephart, S. M., & Irrgang, J. J. (1993). Unilateral balance training of noninjured individuals and the effects on postural sway. Journal of Sport Rehabilitation, 2(2), 87-96.
[25] Di Carlo, S., Bravini, E., Vercelli, S., Massazza, G., & Ferriero, G. (2016). The Mini-BESTest: a review of psychometric properties. International Journal of Rehabilitation Research, 39(2), 97-105.
[26] El-Shamy, F. F., El-Kholy, S. S., Labib, M., & Kabel, A. M. (2018). Ameliorative potential of acupressure on gestational diabetes mellitus: a randomized controlled trial. Journal of Complementary and Integrative Medicine, 16(1), 20180011.
[27] Ribas, S. I., & Guirro, E. C. O. (2007). Analysis of plantar pressure and postural balance during different phases of pregnancy. Brazilian Journal of Physical Therapy, 11, 391-396.
[28] Carrière B, Tanzberger R. (1998). The Swiss ball: theory, basic exercises and clinical application. New York: Springer Science & Business Media;.
[29] Lephart, S. M., Kocher, M. S., Fu, F. H., Borsa, P. A., & Harner, C. D. (1992). Proprioception following anterior cruciate ligament reconstruction. Journal of Sport Rehabilitation, 1(3), 188-196.
[30] An, K. O., Park, G. D., & Lee, J. C. (2015). Effects of acceleration training 24 weeks after anterior cruciate ligament reconstruction on proprioceptive and dynamic balancing functions. Journal of Physical Therapy Science, 27(9), 2825-2828.
[31] Adler SS, Beckers D, Buck M. (2007 Dec 22). PNF in practice: an illustrated guide.3rd ed. New York :Springer Science & Business Media;.
[32] Wojtys EM, Ashton-Miller JA, Fry-Welch D, Huston LJ. (2001). Can proprioception really be improved by exercises?. Journal of Knee Surg, Sports Traumatol, Arthrosc, 9 : 128–136