Fatigability of the Lumbopelvic Stabilizing Muscles in Women 8 and 26 Weeks Postpartum

Background: Pregnancy and childbirth are associated with lumbopelvic pain and instability. Fatigability of the lumbopelvic stabilizing muscles after childbirth is unknown, and no clinical tests exist to assess this important metric of muscle function. Objectives: To compare fatigability of the lumbopelvic stabilizing muscles in postpartum and nulligravid (control) women using the Active Straight Leg Raise (ASLR) Fatigue Task, and to determine whether fatigability is associated with interrecti distance (IRD), physical function, and pain/disability. Study design: A longitudinal case-control study. Methods: Twenty-nine nulligravid (25.4 ± 9.1 years) and 31 postpartum women (31.4 ± 5.2 years; vaginal delivery n = 18) were tested at 2 time points, 16 weeks apart (postpartum women tested at 8-10 and 24-26 weeks postpartum). Muscular function was assessed with manual muscle testing (MMT), the ASLR test, and a new ASLR Fatigue Task. Other measures included IRD, rectus abdominis thickness, physical activity, and 6-minute walk distance. Results: Postpartum women were 23% more fatigable (P = .028) and were weaker (MMT) (P
Source: Journal of Women’s Health Physical Therapy - Category: Physiotherapy Tags: Research Reports Source Type: research