ÜÇÜNCÜ TRİMESTERDE AYAKKABI UYGUNLUĞU, DÜŞME KORKUSU VE FİZİKSEL AKTİVİTE ARASINDAKİ İLİŞKİ

Amaç: Gebelik, özellikle üçüncü trimesterde yoğun fizyolojik ve fiziksel değişikliklere bağlı olarak vücut biyomekaniğinin değiştiği, düşmelerde artış ve fiziksel aktivitede azalmanın söz konusu olabildiği bir dönemdir. Bu çalışmanın amacı gebeliğin üçüncü trimesterinde gebelerin kullanmış olduğu ayakkabıların uygunluğu, düşme korkusu ve fiziksel aktivite arasındaki ilişkiyi araştırmaktır. Yöntem: Çalışmaya 18 - 40 yaş arası, gestasyonel yaşı 28 hafta ve üzeri olan 123 gebe dahil edildi. Ayakkabı uygunluğunu değerlendirmek için Ayakkabı Değerlendirme Ölçeği kullanıldı. Katılımcıların düşme korkusu Uluslararası Düşme Etkinlik Ölçeği ile, fiziksel aktivite düzeyleri ise Uluslararası Fiziksel Aktivite Anketi – kısa form kullanılarak ölçüldü. Sonuçlar: Gebelerde fiziksel aktivite ile düşme korkusu arasında düşük negatif korelasyon (r=- 0,215;p<0,05), ayakkabı uygunluğu ile fiziksel aktivite arasında düşük pozitif korelasyon (r= 0,25;p<0,01) bulundu. Ayakkabı uygunluğu ile düşme korkusu arasında istatistiksel olarak anlamlı bir ilişki (r=-0,120;p=0,185) yoktu. Tartışma: Bu araştırmanın bulgularına göre gebe kadınlarda fiziksel aktivite düzeyi arttıkça ayakkabı seçiminde daha uygun ayakkaılar olacağı ve fiziksel aktivitenin gebelikte düşme korkusunu azaltabileceği sonucuna varılabilir. Gebelikte ayakkabı uygunluğunun daha detaylı araştırılması için gelecek çalışmalara ihtiyaç vardır.

CORRELATION BETWEEN FOOTWEAR SUITABILITY, FEAR OF FALLING AND PHYSICAL ACTIVITY IN THE THIRD TRIMESTER

Purpose: Pregnancy is a time in which the biomechanics of the body changes due to intense physiological and physical changes, especially in the third trimester, when an increase in falls and a decrease in physical activity may occur. The aim of this study is to investigate the relationship between the suitability of footwear used by pregnant women, fear of falling, and physical activity in third trimester of pregnancy. Methods: One hundred twenty-three pregnant women aged between 18-40 years with a gestational age of 28 weeks and above were included the study. The Footwear Assessment Score was used to assess the suitability of the footwear. The fear of falling of the participants was measured using the Falls Efficacy Scale-International, and the physical activity level was measured using the short form of the International Physical Activity Questionnaire. Results: A low negative correlation (r=-0.215;p<0.05) was found between physical activity and fear of falling, and a low positive correlation (r=0.256;p<0.01) was found between footwear suitability and physical activity in pregnant women. There was no statistically significant relationship (r=- 0.120;p=0.185) between footwear suitability and fear of falling. Conclusion: According to the findings of the current study, it can be concluded that physical activity and a more appropriate choice of shoes based on the level of physical activity may reduce the fear of falling during pregnancy. Future studies are needed to investigate footwear suitability during pregnancy in more detail.

___

  • 1. Brewin D, Nannini A. Women’s perspectives on falls and fall prevention. MCN Am J Matern/Child Nurs. 2014;35(5):300–305.
  • 2. Cakmak B, Ribeiro AP, Inanir A. Postural balance and the risk of falling during pregnancy. J Matern Neonatal Med. 2016;29:1623–1625.
  • 3. Atay E, Başalan F. Investigation of the effect of changes in muscle strength in gestational age upon fear of falling and quality of life. Turk J Med Sci. 2015;45(4):977–983.
  • 4. Pardo FJV, del Amo AL, Rios MP, Gijon-Nogueron G, Yuste CC. Changes in foot posture during pregnancy and their relation with musculoskeletal pain: a longitudinal cohort study. Women Birth. 2018;31(2):e84–e88.
  • 5. Chiou WK, Chiu HT, Chao AS, Wang MH, Chen YL. The influence of body mass on foot dimensions during pregnancy. Appl Ergon. 2015;46(pt A):212–217.
  • 6. Gijon-Nogueron GA, Gavilan-Diaz M, Valle-Funes V, Jimenez-Cebrian AM, Cervera-Marin JA, Morales-Asencio JM. Anthropometric foot changes during pregnancy: A pilot study. J Am Podiatr Med Assoc. 2013;103(4):314–321.
  • 7. Kolářová K, Zvonař M, Vaváček M, Duvač I, Sebera M. Plantar Pressure Distribution During and after Pregnancy and the Effect of Biomechanical Shoes. Anthropol Integr. 2017;8(1):7–12.
  • 8. Cernekova M, Hlavacek P. The problem of footwear for women in the final term of pregnancy. Comput Methods Biomech Biomed Engin. 2005;8(sup1):49–50.
  • 9. Gimunová M, Zvonař M, Sebera M, Turčínek P, Kolářová K. Special footwear designed for pregnant women and its effect on kinematic gait parameters during pregnancy and postpartum period. PLoS One. 2020;15(5):e0232901.
  • 10. Gimunová M, Zvonař M, Kolářová K, Janík Z, Mikeska O, Musil R, et al. Changes in lower extremity blood flow during advancing phases of pregnancy and the effects of special footwear. J Vasc Bras. 2017;16(3):214–219.
  • 11. Zvonar M, Vavacek M, Cierna D. Temperature changes on the foot during pregnancy affected by wearing biomechanical shoes. Sport Mont. 2016;14(1):3–6.
  • 12. Awoleke JO, Olofinbiyi BA, Awoleke AO, Omoyajowo AC. Obstetric correlates of maternal falls in Southern Nigeria. Sci World J. 2019;2019:1-7.
  • 13. Dunning K, Lemasters G, Bhattacharya A. A major public health issue: The high incidence of falls during pregnancy. Matern Child Health J. 2010;14(5):720–725.
  • 14. Hrvatin I, Rugelj D. Risk factors for accidental falls during pregnancy–a systematic literature review. J Matern Neonatal Med. 2021;e1–10.
  • 15. McCrory JL, Chambers AJ, Daftary A, Redfern MS. Dynamic postural stability during advancing pregnancy. J Biomech. 2010;43(12):2434–2439.
  • 16. Nakamura A, van der Waerden J, Melchior M, Bolze C, El-Khoury F, Pryor L. Physical activity during pregnancy and postpartum depression: Systematic review and meta-analysis. J Affect Disord. 2019;246:29–41. 17. De Sousa VPS, Cury A, Eufrásio LS, De Sousa SES, Coe CB, De Souza Ramalho Viana E. The influence of gestationa l trimester, physical activity practice and weight gain on the low back and pelvic pain intensity in low risk pregnant women. J Back Musculoskelet Rehabil. 2019;32(5):671–676.
  • 18. Marín-Jiménez N, Acosta-Manzano P, Borges-Cosic M, Baena-García L, Coll-Risco I, Romero-Gallardo L, et al. Association of self-reported physical fitness with pain during pregnancy: The GESTAFIT Project. Scand J Med Sci Sport. 2019;29(7):1022–1030.
  • 19. Aune D, Sen A, Henriksen T, Saugstad OD, Tonstad S. Physical activity and the risk of gestational diabetes mellitus: a systematic review and dose–response meta-analysis of epidemiological studies. Eur J Epidemiol. 2016;31(10):967–97.
  • 20. de Oliveira CS, Imakawa T dos S, Moisés ECD. Physical activity during pregnancy: Recommendations and assessment tools. Rev Bras Ginecol Obstet. 2017;39(8):424–432.
  • 21. Román-Gálvez MR, Amezcua-Prieto C, Salcedo-Bellido I, Olmedo-Requena R, Martínez-Galiano JM, Khan KS, et al. Physical activity before and during pregnancy: A cohort study. Int J Gynecol Obstet. 2021;152(3):374–381.
  • 22. Shahudin NN, Yusof SM, Razak FA, Sariman MH, Azam MZM, Norman WMNW. Effects of age on physical activity level, strength and balance towards fall risk index among women aged 20–73 years. In Proceedings of the 2nd International Colloquium on Sports Science, Exercise, Engineering and Technology (ICoSSEET), 2015, Singapore. Proceedings of the 2nd International Colloquium on Words, Languages and Combinatorics. Springer. Vol. 134; 25-34.
  • 23. Algina J, Olejnik S. Sample size tables for correlation analysis with applications in partial correlation and multiple regression analysis. Multivariate Behav Res 2003; 38(3):309-323.
  • 24. Yurt Y, Sener G, Yakut Y. Footwear suitability in Turkish preschool-aged children. Prosthet Orthot Int. 2014;38(3):224–231.
  • 25. Delbaere K, Close JCT, Mikolaizak AS, Sachdev PS, Brodaty H, Lord SR. The falls efficacy scale international (FES-I). A comprehensive longitudinal validation study. Age Ageing. 2010;39(2):210–216.
  • 26. Ulus Y, Durmus D, Akyol Y, Terzi Y, Bilgici A, Kuru O. Reliability and validity of the Turkish version of the Falls Efficacy Scale International (FES-I) in community-dwelling older persons. Arch Gerontol Geriatr. 2012;54(3):429–433.
  • 27. Saglam M, Arikan H, Savci S, Inal-Ince D, Bosnak-Guclu M, Karabulut E, et al. International physical activity questionnaire: Reliability and validity of the Turkish version. Percept Mot Skills. 2010;111(1):278–284.
  • 28. Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-Country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381–1395.
  • 29. Bauman A, Bull F, Chey T, Craig CL, Ainsworth BE, Sallis JF, et al. The international prevalence study on physical activity: Results from 20 countries. Int J Behav Nutr Phys Act. 2009;6:1–11.
  • 30. Branco M, Santos-Rocha R, Aguiar L, Vieira F, Veloso A. Kinetic analysis of gait in the second and third trimesters of pregnancy. J Mech Med Biol. 2016;16(4):e1650055.
  • 31. Catena RD, Bailey JP, Campbell N, Stewart BC, Marion SJ. Correlations between joint kinematics and dynamic balance control during gait in pregnancy. Gait Posture. 2020;80:106–112.
  • 32. El-Gharib MN, Albehoty SB. High-heeled Shoes in Pregnancy. J Pregnancy and Newborncare. 2018;1(1):1-3.
  • 33. Inanir A, Cakmak B, Hisim Y, Demirturk F. Evaluation of postural equilibrium and fall risk during pregnancy. Gait Posture. 2014;39(4):1122–1125.
  • 34. Jang J, Hsiao KT, Hsiao-Wecksler ET. Balance (perceived and actual) and preferred stance width during pregnancy. Clin Biomech. 2008;23(4):468–476.
  • 35. Butler EE, Colón I, Druzin ML, Rose J. Postural equilibrium during pregnancy: Decreased stability with an increased reliance on visual cues. Am J Obstet Gynecol. 2006;195(4):1104–1108.
  • 36. Rothwell SA, Eckland CB, Campbell N, Connolly CP, Catena RD. An analysis of postpartum walking balance and the correlations to anthropometry. Gait Posture 2020;76:270–276.
  • 37. El Kady D, Gilbert WM, Anderson J, Danielsen B, Towner D, Smith LH. Trauma during pregnancy: An analysis of maternal and fetal outcomes in a large population. Am J Obstet Gynecol. 2004;190(6):1661–1668.
  • 38. Okeke TC, Ugwu EO, Ikeako LC, Adiri CO, Ezenyeaku CCT, Ekwuazi KE, et al. Falls among pregnant women in Enugu, southeast Nigeria. Niger J Clin Pract. 2014;17(3):292–295.
  • 39. Dunning K, LeMasters G, Levin L, Bhattacharya A, Alterman T, Lordo K. Falls in Workers during Pregnancy: Risk Factors, Job Hazards, and High Risk Occupations. Am J Ind Med. 2003;44(6):664–672.
  • 40. Wu X, Yeoh HT. Intrinsic factors associated with pregnancy falls. Work Heal Saf. 2014;62(10):403–408.
  • 41. Mottola MF, Davenport MH, Ruchat SM, Davies GA, Poitras V, Gray C, et al. 2019 Canadian guideline for physical activity throughout pregnancy. Br J Sports Med 2018;52:1339–1346.
  • 42. Evenson KR, Barakat R, Brown WJ, Dargent-Molina P, Haruna M, Mikkelsen EM, et al. Guidelines for Physical Activity During Pregnancy: Comparisons From Around the World. Am J Lifestyle Med. 2014;8(2):102–121.
  • 43. Daşıkan Z, Güner Ö, Bozkurt T. İkinci ve üçüncü trimester gebelerin fiziksel aktivite düzeyi ve fiziksel aktivite engelleri. Adıyaman Üni Sağlık Bilim Derg. 2019;5(3):1731-1745.
  • 44. DiPietro L, Evenson KR, Bloodgood B, Sprow K, Troiano RP, et al. Benefits of physical activity during pregnancy and postpartum: an umbrella review. Med Sci Sports Exerc. 2019;51:1292–302.
  • 45. Schoene D, Heller C, Aung YN, Sieber CC, Kemmler W, Freiberger E. A systematic review on the influence of fear of falling on quality of life in older people: Is there a role for falls? Clin Interv Aging. 2019;14:701–719.
Türk Fizyoterapi ve Rehabilitasyon Dergisi-Cover
  • ISSN: 2651-4451
  • Başlangıç: 1974
  • Yayıncı: Türkiye Fizyoterapistler Derneği
Sayıdaki Diğer Makaleler

KARPAL TÜNEL SENDROMLU HASTALARDA MANUEL TEDAVİ VE EKSTRAKORPOREAL ŞOK DALGA TEDAVİSİNİN ETKİLERİNİN KARŞILAŞTIRILMASI

Neslihan TORUN, Ayşenur TUNCER

SEREBRAL PALSİLİ ÇOCUKLARDA SANAL GERÇEKLİK EĞİTİMİNİN DENGE VE FONKSİYONELLİK ÜZERİNE ETKİSİ: RANDOMİZE KONTROLLÜ ÇALIŞMA

Öznur FİDAN, Arzu GENÇ

KOVİD-19 PANDEMİSİ SÜRECİNDE UZAKTAN EĞİTİM GÖREN TÜRK FİZYOTERAPİ ÖĞRENCİLERİNİN ÖĞRENME STİLLERİNE GÖRE AKADEMİK PERFORMANSLARININ VE E-ÖĞRENMEYE YÖNELİK TUTUMLARININ KARŞILAŞTIRILMASI

Arife AKBULUT, Oğuzhan METE, Şeyda TOPRAK ÇELENAY

COVİD-19 TANISI ALMIŞ KİŞİLERİN FİZİKSEL AKTİVİTE DÜZEYLERİNİN DEĞERLENDİRİLMESİ

Ekin TAÇALAN, Nihan KAFA

ALT EKSTREMİTE KAS KUVVETİ, KALÇA EKLEM HAREKET AÇIKLIĞI VE SUBTALAR AÇININ DİNAMİK DENGE İLE İLİŞKİSİ

Yusuf TOPAL, Gizem İrem KINIKLI, Sibel BOZGEYİK, Hande GUNEY DENİZ

NÖROMUSKÜLER HASTALIKLARDA GÖRÜLEN POSTÜR BOZUKLUĞU İLE HASTALIK ŞİDDETİ, FONKSİYONEL KAPASİTE, GÜNLÜK YAŞAM AKTİVİTELERİ VE DENGE ARASINDAKİ İLİŞKİNİN ARAŞTIRILMASI

İzel DEMİRHAN, Muhammed KILINÇ

HEMOFİLİ HASTALARINA YÖNELİK YOUTUBE’DA PAYLAŞILAN EGZERSİZ VE FİZYOTERAPİ VİDEOLARININ KALİTE VE GÜVENİLİRLİĞİNİN DEĞERLENDİRİLMESİ: KESİTSEL BİR ÇALIŞMA

Necati Muhammed TAT, Ayşe Merve TAT

KRONİK BEL AĞRISINDA FARKLI FİZYOTERAPİ EGZERSİZ TEKNİKLERİNİN ETKİNLİĞİ: RANDOMİZE KONTROLLÜ BİR ÇALIŞMA

Ayça AYTAR, Aslıcan ÇAĞLAR, Mustafa Agah TEKİNDAL, Oya ÜMİT YEMİŞÇİ, Aydan AYTAR

ÜÇÜNCÜ TRİMESTERDE AYAKKABI UYGUNLUĞU, DÜŞME KORKUSU VE FİZİKSEL AKTİVİTE ARASINDAKİ İLİŞKİ

Büşra KEPENEK VAROL, Didar ODABAŞI, Birsen Ezgi DOĞAN, Gülsüm GÜLENER, Ayşenur SELÇUK, Meltem YAZICI-GÜLAY, Hüseyin AKSOY

BİLATERAL TOTAL DİZ PROTEZİ SONRASI ERKEN İLERLEYİCİ KAPALI KİNETİK ZİNCİR EGZERSİZLERİNİN STANDART EGZERSİZ PROGRAMINA GÖRE ETKİLERİ - RANDOMİZE KONTROLLÜ ÇALIŞMA

Elif KIRAÇ CAN, Murat TOMRUK, Nihal GELECEK