DOES THE BIRTH HISTORY AFFECT THE SAGITTAL SPINAL CURVATURES?

Yıl 2025, Cilt: 6 Sayı: 1, 129 - 142, 28.02.2025

Kezban Ümran Kömür , Engin Sımsek , Ömer Akçalı , Ata Elvan , Mehmet Alphan Çakıroğlu , Seher Özyürek

https://doi.org/10.70813/ssd.1576565

Öz

Purpose: Pregnancy and labour lead to physiological, hormonal, anatomical, and biomechanical changes in a woman's body. Limited studies examine the effects of all these adaptations on the sagittal curvatures of the spine, particularly in the lumbar region. This study aimed to compare the static sagittal curvatures of the spine in women with and without a birth history.
Methods: The study included 201 healthy women aged 18-57 (114 participants with a birth history and 87 participants without a birth history). Thoracic kyphosis and lumbar lordosis (C7-S2 vertebra range) were assessed using the Spinal Mouse device. The Oswestry Disability Index and the Scandinavian Musculoskeletal System Questionnaire were used as inclusion or exclusion criteria.
Results: The participants’ mean thoracic kyphosis angle (n=201, average age: 35.73±11.29 years) was 48.50±9.66 degrees, and the lumbar lordosis angle was 32.66±12.33 degrees. Participants consisted of women who had never given birth (n=114, without a birth history) and women who had given at least one birth (n=87 with a birth history). No significant difference was found between the groups regarding thoracic kyphosis and lumbar lordosis (p>0.05). The thoracic kyphosis and lumbar lordosis were similar between the groups according to the number of births (p>0.05).
Conclusion: The study results indicate that the sagittal curvatures of the spine are similar in women with and without a birth history. Additionally, it was observed that the angles of thoracic kyphosis and lumbar lordosis in women with a birth history were unaffected by the number of births.

Anahtar Kelimeler

Birth, pregnancy, lumbar lordosis, thoracic kyphosis

DOĞUM HİKAYESİ OMURGANIN SAGİTAL EĞRİLİKLERİNİ ETKİLER Mİ?

Öz

Amaç: Gebelik ve doğum süreci kadın vücudunda fizyolojik, hormonal, anatomik ve biyomekaniksel değişime yol açmaktadır. Lumbar omurga başta olmak üzere, tüm omurgada meydana gelen bu adaptasyonların omurga sagital eğrileri üzerine etkilerini inceleyen çalışma sayısı sınırlıdır. Çalışmadaki amaç, doğum hikayesi olan ve olmayan kadınlarda omurganın ayakta duruştaki statik sagital eğriliklerini karşılaştırmaktı.
Yöntem: Çalışmaya 18-57 yaş aralığında 201 sağlıklı kadın (doğum hikayesi olan 87 ve olmayan 114 katılımcı) dahil edildi. Torakal kifoz ve lumbal lordoz (C7-S2 vertebra aralığı) Spinal Mouse cihazı ile değerlendirildi. Oswestry Disabilite İndeksi ve İskandinav Kas İskelet Sistemi Sorgusu dahil edilme ya da dışlama kriteri olarak kullanıldı.
Bulgular: Katılımcıların (n=201 ve yaş ortalaması: 35,73±11.29 yıl) ortalama torakal kifoz derecesi 48.50±9.66 ve lumbar lordoz derecesi 32,66±12,33 idi. Katılımcılar hiç doğum yapmamış (n=114 doğum hikayesi olmayan) ve en az 1 kez doğum yapmış (n=87 doğum hikayesi olan) kadınlardan oluşmaktaydı. Gruplar arasında torakal kifoz ve lumbal lordoz açısından anlamlı bir fark bulunmadı (p>0,05). Doğum sayılarına göre de torakal kifoz ve lumbal lordoz gruplar arasında benzerdi (p>0,05).
Sonuç: Çalışma sonuçları, doğum hikayesi olan ve olmayan kadınların omurga sagital eğriliklerinin benzer olduğunu gösterdi. Ayrıca doğum hikayesi olan kadınlarda torasik kifoz ve lomber lordoz açılarının doğum sayısından etkilenmediği gözlendi.

Anahtar Kelimeler

Doğum, gebelik, lumbal lordoz, torakal kifoz

Kaynakça

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