Certain Voicing Tasks Improve Balance in Postpartum Women Compared With Nulliparous Women.
Background: Postpartum women are at an increased risk of falls. Maintaining standing balance is multifactorial, involving abdominal wall/pelvic floor muscle responsivity, quick generation of intra-abdominal pressure, and glottis position. Objective: To identify whether using voicing tasks improves b...
| Publicado en: | Journal of Women's Health Physical Therapy Vol. 46; no. 3; pp. 138 - 147 |
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| Autores principales: | , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Jul-Sep2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=158160169&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 158160169 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15566803 22S2 jtl: Journal of Women's Health Physical Therapy issn: 15566803 maglogo: N pubinfo: dt: Jul-Sep2022 vid: 46 iid: 3 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 158160169 158160169 158160169 10.1097/JWH.0000000000000242 158160169 ppf: 138 ppct: 9 formats: tig: atl: Certain Voicing Tasks Improve Balance in Postpartum Women Compared With Nulliparous Women. aug: au: Rudavsky, Aliza Hickox, Lauren Frame, Megan Philtron, Daisy Massery, Mary affil: Department of Kinesiology, Pennsylvania State University, University Park. sug: subj: Accidental Falls Prevention and Control Balance, Postural Evaluation Task Performance and Analysis Speech Nulliparas Postnatal Care Human Pennsylvania Female Comparative Studies Case Control Studies Adult Posturography Adult: 19-44 years Female ab: Background: Postpartum women are at an increased risk of falls. Maintaining standing balance is multifactorial, involving abdominal wall/pelvic floor muscle responsivity, quick generation of intra-abdominal pressure, and glottis position. Objective: To identify whether using voicing tasks improves balance in postpartum women. Study Design: Research report. Methods: Eleven postpartum women and 10 age-matched nulliparous controls stood on a force plate when balance was perturbed to the front or back of their bodies while performing 6 different breathing and voicing tasks. Tasks modified glottis position and lung volume. Primary outcome measure was maximal displacement of center of pressure immediately following perturbation. Results: When comparing the 2 groups' responses, postpartum women showed worse balance during the "Ah" sound and "normal exhale without breath hold" (P =.049 and P =.031, respectively). When comparing all responses to each task, participants in both groups showed no significantly different response to any tasks when they were perturbed anteriorly. The nulliparous group also had no significantly different responses when perturbed posteriorly. Postpartum women showed a significant difference in response to "normal exhale without breath hold" compared with "counting" (P =.01), with better balance for "counting." Conclusion: Postpartum women showed improved balance during the "counting" task, which incorporates the glottis into the balance mechanism. Tasks that did not incorporate the glottis (exhalation) and relied more on the abdominal wall/pelvic floor produced worse balance in postpartum women. For recently postpartum women, counting may be a helpful strategy to improve balance and reduce fall risk. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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