First Pregnancy, Pregnant Women
Conditions
Keywords
pregnant women, thoracolumbar fascia, stiffness, creep
Brief summary
Pregnancy causes the development of biomechanical adaptations in the musculoskeletal system, especially in the lumbopelvic region. In this context, the thoracolumbar fascia (TLF) is the most important structure in this region and is an exoskeleton for the muscles of the lumbar region. However, it has not been objectively clarified how the TLF adapts to the changes in the lumbopelvic region during pregnancy. Therefore, the aim of this pilot study is to investigate the trimester-specific biomechanical (stiffness, decrement and tone) and viscoelastic (creep and relaxation time) properties of the TLF, which adapts to the lumbopelvic region changes in pregnant women.
Interventions
The biomechanical and viscoelastic properties of the Thoracolumbar fascia will be measured in the side line position. Measurements will be taken from three different points; L1, L3-4 and L5 level.
Sponsors
Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey
Study design
Observational model
OTHER
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* First pregnancy * They are between the ages of 18-40 * Pre-pregnancy Body-Mass-Index (BMI) \< 30 kg/m2
Exclusion criteria
* Presence of connective tissue disease * Deterioration of skin integrity in measurement areas * Presence of orthopedic, neurological, rheumatic problems that may cause musculoskeletal disorders and deviations from normal in biomechanical alignment * History of spine, pelvis or lower extremity surgery or fracture in the past 6 months * Description of chronic (more than 3 months) lumbar-pelvic region pain before pregnancy * Defining metabolic disorders such as type I, II diabetes, gestational diabetes mellitus (GDM), preeclampsia * Having Pelvic Girdle Pain
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of biomechanical properties of thoracolumbar fascia | Measurement the baseline stiffness values of Thoracolumbar fascia between 10-14 weeks, between 20-24 weeks and between 32-36 weeks | Measuring of the stiffness (N/m) of the thoracolumbar fascia (with MyotonPro, Myoton AS, Tallin, Estonia) in the side line position. |
| Evaluation of viscoelastic properties of thoracolumbar fascia | Measurement the baseline relaxation time values of Thoracolumbar fascia between 10-14 weeks, between 20-24 weeks and between 32-36 weeks | Measuring of the relaxation time (ms) of the thoracolumbar fascia (with MyotonPro, Myoton AS, Tallin, Estonia) in the side line position. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of Body Weight | Measurement the baseline body weight (kg) at evaluation time | Measuring of the Body Weight |
| Evaluation of Body Mass Index (BMI) | Measurement the baseline BMI values at evaluation time | BMI (kg/m2) will be calculated as person\'s weight in kilograms divided by the square of height in meters. |
Countries
Turkey (Türkiye)
Outcome results
None listed