Musculoskeletal lower back load of accoucheurs during childbirth - A pilot and feasibility study

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00669806%3A_____%2F21%3A10430795" target="_blank" >RIV/00669806:_____/21:10430795 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216208:11140/21:10430795

Výsledek na webu

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=ejSfWxXDSU" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=ejSfWxXDSU</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.ejogrb.2021.07.042" target="_blank" >10.1016/j.ejogrb.2021.07.042</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Musculoskeletal lower back load of accoucheurs during childbirth - A pilot and feasibility study

Popis výsledku v původním jazyce

INTRODUCTION: Back problems represent one of the leading causes of accouchers&apos; work-related musculoskeletal morbidities. The correct execution of birth-related maneuvers including manual perineal protection is crucial not only for the mother and child but also for obstetricians and midwives to reduce any strain on their musculoskeletal system. Therefore, the overall aim of this study was to test the feasibility of determining the effect of different accouchers&apos; postures (standing and kneeling) on their musculoskeletal system. METHODS: The biomechanical analysis is based on musculoskeletal simulations that included motion recordings of real deliveries as well as deliveries conducted on a birthing simulator. These simulations were then used to determine individual joints&apos; loads. RESULTS: In the kneeling posture, both a low intra-operator variability and a lower average maximum load of the lower back was observed. For the standing position the spine load was reduced by pivoting the elbow on the accouchers&apos; thigh, which in turn was associated with a significantly greater load on the shoulder joint. CONCLUSION: The study demonstrated the feasibility of our technique to assess joints loads. It also provided initial data indicating that a posture that reduces spinal flexion and tilt, achieved in this study by the kneeling, can significantly reduce the strain on the practitioner&apos;s musculoskeletal system.

Název v anglickém jazyce

Musculoskeletal lower back load of accoucheurs during childbirth - A pilot and feasibility study

Popis výsledku anglicky

INTRODUCTION: Back problems represent one of the leading causes of accouchers&apos; work-related musculoskeletal morbidities. The correct execution of birth-related maneuvers including manual perineal protection is crucial not only for the mother and child but also for obstetricians and midwives to reduce any strain on their musculoskeletal system. Therefore, the overall aim of this study was to test the feasibility of determining the effect of different accouchers&apos; postures (standing and kneeling) on their musculoskeletal system. METHODS: The biomechanical analysis is based on musculoskeletal simulations that included motion recordings of real deliveries as well as deliveries conducted on a birthing simulator. These simulations were then used to determine individual joints&apos; loads. RESULTS: In the kneeling posture, both a low intra-operator variability and a lower average maximum load of the lower back was observed. For the standing position the spine load was reduced by pivoting the elbow on the accouchers&apos; thigh, which in turn was associated with a significantly greater load on the shoulder joint. CONCLUSION: The study demonstrated the feasibility of our technique to assess joints loads. It also provided initial data indicating that a posture that reduces spinal flexion and tilt, achieved in this study by the kneeling, can significantly reduce the strain on the practitioner&apos;s musculoskeletal system.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30214 - Obstetrics and gynaecology

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2021

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

European Journal of Obstetrics &amp; Gynecology and Reproductive Biology

ISSN

0301-2115

e-ISSN

—

Svazek periodika

264

Číslo periodika v rámci svazku

September

Stát vydavatele periodika

IE - Irsko

Počet stran výsledku

8

Strana od-do

306-313

Kód UT WoS článku

000755157800055

EID výsledku v databázi Scopus

2-s2.0-85111741659