Influence of unstable shoes on women with lumbopelvic postpartum pain: randomized clinical trial
ABSTRACT 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 st...
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| Format: | Article |
| Language: | English |
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Associação Paulista de Medicina
2021-06-01
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| Series: | São Paulo Medical Journal |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802021000400312&tlng=en |
| _version_ | 1818987681942601728 |
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| author | Raquel Díaz-Meco Conde Beatriz Ruiz Ruiz Margarita Rubio Alonso César Calvo-Lobo Carmen de Labra Daniel López-López Carlos Romero Morales |
| author_facet | Raquel Díaz-Meco Conde Beatriz Ruiz Ruiz Margarita Rubio Alonso César Calvo-Lobo Carmen de Labra Daniel López-López Carlos Romero Morales |
| author_sort | Raquel Díaz-Meco Conde |
| collection | DOAJ |
| description | ABSTRACT 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. |
| first_indexed | 2024-12-20T19:10:34Z |
| format | Article |
| id | doaj.art-4ab832a9635f455ca060476e118a0434 |
| institution | Directory Open Access Journal |
| issn | 1806-9460 |
| language | English |
| last_indexed | 2024-12-20T19:10:34Z |
| publishDate | 2021-06-01 |
| publisher | Associação Paulista de Medicina |
| record_format | Article |
| series | São Paulo Medical Journal |
| spelling | doaj.art-4ab832a9635f455ca060476e118a04342022-12-21T19:29:14ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-94602021-06-01139431231810.1590/1516-3180.2020.0738.r1.0402021Influence of unstable shoes on women with lumbopelvic postpartum pain: randomized clinical trialRaquel Díaz-Meco Condehttps://orcid.org/0000-0002-5835-1503Beatriz Ruiz Ruizhttps://orcid.org/0000-0002-2774-3336Margarita Rubio Alonsohttps://orcid.org/0000-0003-2484-1042César Calvo-Lobohttps://orcid.org/0000-0002-6569-1311Carmen de Labrahttps://orcid.org/0000-0002-5306-0475Daniel López-Lópezhttps://orcid.org/0000-0002-9818-6290Carlos Romero Moraleshttps://orcid.org/0000-0001-6598-829XABSTRACT 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802021000400312&tlng=enPostpartum periodLow back painShoesPregnancyPostpartumBackacheFootwearLumbopelvic pain |
| spellingShingle | Raquel Díaz-Meco Conde Beatriz Ruiz Ruiz Margarita Rubio Alonso César Calvo-Lobo Carmen de Labra Daniel López-López Carlos Romero Morales Influence of unstable shoes on women with lumbopelvic postpartum pain: randomized clinical trial São Paulo Medical Journal Postpartum period Low back pain Shoes Pregnancy Postpartum Backache Footwear Lumbopelvic pain |
| 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 | Postpartum period Low back pain Shoes Pregnancy Postpartum Backache Footwear Lumbopelvic pain |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802021000400312&tlng=en |
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