Could Electromyographic and Pressure Related Signals Identify Differences in Abdominal Activity and Postural Control between Women with and without C-Section?
Background: Scars interfere with the motor system; however, the influence of c-section scars has not been described yet. The aim of this study is to relate the presence of abdominal scars from a caesarean section with changes in postural control—stability and orientation and abdominal and lumbar neu...
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MDPI AG
2023-05-01
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Online Access: | https://www.mdpi.com/1424-8220/23/10/4878 |
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author | Ana Figueiredo Maria Lopes Ana Pereira Andreia S. P. Sousa Cláudia Silva Andreia Noites |
author_facet | Ana Figueiredo Maria Lopes Ana Pereira Andreia S. P. Sousa Cláudia Silva Andreia Noites |
author_sort | Ana Figueiredo |
collection | DOAJ |
description | Background: Scars interfere with the motor system; however, the influence of c-section scars has not been described yet. The aim of this study is to relate the presence of abdominal scars from a caesarean section with changes in postural control—stability and orientation and abdominal and lumbar neuromuscular control in the orthostatic position. Methods: Cross-sectional analytical observational study comparing healthy primiparous women with caesarean delivery (<i>n</i> = 9) and physiologic delivery (<i>n</i> = 12) who have delivered more than one year before. The relative electromyographic activity of the rectus abdominis, transverse abdominis/oblique internus and lumbar multifidus muscles, antagonist co-activation, the ellipse area, amplitude, displacement, velocity, standard deviation, and spectral power of the centre of pressure, and thoracic and lumbar curvatures, were evaluated in the standing position in both groups, through an electromyographic system, a pressure platform and spinal mouse system. In the “caesarean delivery” group, scar mobility was evaluated using a modified adheremeter. Results: Significant differences in CoP medial-lateral velocity and mean velocity were observed between groups (<i>p</i> < 0.050), while no significant differences were in the level of muscle activity, antagonist co-activation, and thoracic and lumbar curvatures (<i>p</i> > 0.05). Conclusions: The information provided by the pressure signal seems to identify postural impairments in women with c-sections. |
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spelling | doaj.art-ea5399dc439640c59fbf2e951d8526bb2023-11-18T03:13:56ZengMDPI AGSensors1424-82202023-05-012310487810.3390/s23104878Could Electromyographic and Pressure Related Signals Identify Differences in Abdominal Activity and Postural Control between Women with and without C-Section?Ana Figueiredo0Maria Lopes1Ana Pereira2Andreia S. P. Sousa3Cláudia Silva4Andreia Noites5Center for Rehabilitation Research, Human Movement System (Re)habilitation Area, School of Health, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida, 400, 4200-072 Porto, PortugalCenter for Rehabilitation Research, Human Movement System (Re)habilitation Area, School of Health, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida, 400, 4200-072 Porto, PortugalCenter for Rehabilitation Research, Human Movement System (Re)habilitation Area, School of Health, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida, 400, 4200-072 Porto, PortugalCenter for Rehabilitation Research, Human Movement System (Re)habilitation Area, School of Health, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida, 400, 4200-072 Porto, PortugalCenter for Rehabilitation Research, Human Movement System (Re)habilitation Area, School of Health, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida, 400, 4200-072 Porto, PortugalCenter for Rehabilitation Research, Human Movement System (Re)habilitation Area, School of Health, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida, 400, 4200-072 Porto, PortugalBackground: Scars interfere with the motor system; however, the influence of c-section scars has not been described yet. The aim of this study is to relate the presence of abdominal scars from a caesarean section with changes in postural control—stability and orientation and abdominal and lumbar neuromuscular control in the orthostatic position. Methods: Cross-sectional analytical observational study comparing healthy primiparous women with caesarean delivery (<i>n</i> = 9) and physiologic delivery (<i>n</i> = 12) who have delivered more than one year before. The relative electromyographic activity of the rectus abdominis, transverse abdominis/oblique internus and lumbar multifidus muscles, antagonist co-activation, the ellipse area, amplitude, displacement, velocity, standard deviation, and spectral power of the centre of pressure, and thoracic and lumbar curvatures, were evaluated in the standing position in both groups, through an electromyographic system, a pressure platform and spinal mouse system. In the “caesarean delivery” group, scar mobility was evaluated using a modified adheremeter. Results: Significant differences in CoP medial-lateral velocity and mean velocity were observed between groups (<i>p</i> < 0.050), while no significant differences were in the level of muscle activity, antagonist co-activation, and thoracic and lumbar curvatures (<i>p</i> > 0.05). Conclusions: The information provided by the pressure signal seems to identify postural impairments in women with c-sections.https://www.mdpi.com/1424-8220/23/10/4878electromyographystabilometrypostural controladherimetryorthostatic positionsensors |
spellingShingle | Ana Figueiredo Maria Lopes Ana Pereira Andreia S. P. Sousa Cláudia Silva Andreia Noites Could Electromyographic and Pressure Related Signals Identify Differences in Abdominal Activity and Postural Control between Women with and without C-Section? Sensors electromyography stabilometry postural control adherimetry orthostatic position sensors |
title | Could Electromyographic and Pressure Related Signals Identify Differences in Abdominal Activity and Postural Control between Women with and without C-Section? |
title_full | Could Electromyographic and Pressure Related Signals Identify Differences in Abdominal Activity and Postural Control between Women with and without C-Section? |
title_fullStr | Could Electromyographic and Pressure Related Signals Identify Differences in Abdominal Activity and Postural Control between Women with and without C-Section? |
title_full_unstemmed | Could Electromyographic and Pressure Related Signals Identify Differences in Abdominal Activity and Postural Control between Women with and without C-Section? |
title_short | Could Electromyographic and Pressure Related Signals Identify Differences in Abdominal Activity and Postural Control between Women with and without C-Section? |
title_sort | could electromyographic and pressure related signals identify differences in abdominal activity and postural control between women with and without c section |
topic | electromyography stabilometry postural control adherimetry orthostatic position sensors |
url | https://www.mdpi.com/1424-8220/23/10/4878 |
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