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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Main Authors: Ana Figueiredo, Maria Lopes, Ana Pereira, Andreia S. P. Sousa, Cláudia Silva, Andreia Noites
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:Sensors
Subjects:
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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