Static postural evaluation in women with and without common pelvic floor disorders
Abstract
Back ground and aim: Pelvic floor disorders include a wide variety of diseases. According to scientific studies patients with pelvic floor disorders showed some postural changes. This study tries to find out if there is any postural change and bony and muscular differentiation in subjects with pelvic floor disorders.
Methods: In this case control study, we evaluated 47 women suffering from pelvic floor disorders (urinary incontinence, pelvic floor prolapse, chronic pelvic pain) matched (age, parity, body mass index) with 47 healthy women without that claim, totaling 94 women. The evaluation consisted of placement of fixed markers in anatomical points defined and obtaining photographs in anterior, posterior view and left side. We also used flexi ruler for evaluation of thoracic kyphosis and lumbar lordosis curvatures. The analysis of the photos was held with the Autocad 2010. Evaluation contains angle of lumbar lordosis, thoracic kyphosis, scapular alignment, coronal and sagittal pelvic tilt, coronal and sagittal alignment of ankle, Quadriceps angle, coronal and sagittal angle of shoulder, coronal and sagittal head tilt, craniovertebral, pelvic inclination to femur, sagittal knee alignment.
Results: The results showed significant decreasing in quadriceps angle (P<0.001), pronation of foot (P<0.001), rounded shoulder (P=0.002), increasing in thoracic kyphosis and decreasing in lumbar lordosis (P=0.002) in patient group compared to control group. Significant difference was observed between cases and controls to beck depression test (P<0.001).
Conclusions: The results obtained suggested possible relationship between some postural changes (bow leg, pronation of foot, rounded shoulder, increased thoracic kyphosis, decreased lumbar lordosis) and pelvic floor disorder. These findings suggest that a more detailed assessment of women with Pelvic floor disorder is necessary for better diagnosis and for more effective treatment.
Back ground and aim: Pelvic floor disorders include a wide variety of diseases. According to scientific studies patients with pelvic floor disorders showed some postural changes. This study tries to find out if there is any postural change and bony and muscular differentiation in subjects with pelvic floor disorders.
Methods: In this case control study, we evaluated 47 women suffering from pelvic floor disorders (urinary incontinence, pelvic floor prolapse, chronic pelvic pain) matched (age, parity, body mass index) with 47 healthy women without that claim, totaling 94 women. The evaluation consisted of placement of fixed markers in anatomical points defined and obtaining photographs in anterior, posterior view and left side. We also used flexi ruler for evaluation of thoracic kyphosis and lumbar lordosis curvatures. The analysis of the photos was held with the Autocad 2010. Evaluation contains angle of lumbar lordosis, thoracic kyphosis, scapular alignment, coronal and sagittal pelvic tilt, coronal and sagittal alignment of ankle, Quadriceps angle, coronal and sagittal angle of shoulder, coronal and sagittal head tilt, craniovertebral, pelvic inclination to femur, sagittal knee alignment.
Results: The results showed significant decreasing in quadriceps angle (P<0.001), pronation of foot (P<0.001), rounded shoulder (P=0.002), increasing in thoracic kyphosis and decreasing in lumbar lordosis (P=0.002) in patient group compared to control group. Significant difference was observed between cases and controls to beck depression test (P<0.001).
Conclusions: The results obtained suggested possible relationship between some postural changes (bow leg, pronation of foot, rounded shoulder, increased thoracic kyphosis, decreased lumbar lordosis) and pelvic floor disorder. These findings suggest that a more detailed assessment of women with Pelvic floor disorder is necessary for better diagnosis and for more effective treatment.