Joint Laxity in Pregnancy

By Carolyn Kisner PT, MS and Lynn Allen Colby PT, MS on February 24th 2009

Significance
All joint structures are at increased risk of injury during pregnancy and during the immediate postpartum period. The tensile quality of the ligamentous support is decreased, and therefore injury can occur if women are not educated regarding joint protection. There is much controversy regarding the impact of postpartum hormone levels; however, elevated levels have been found 3 to 5 months after delivery. This may persist even longer if the woman is nursing. Many patients are aware of persistent symptoms in conjunction with the menstrual cycle.

Interventions
• Exercise modification. Teach the woman safe exercises to perform during the childbearing year, including modification of exercises to decrease excessive joint stress

• Aerobic exercise. Suggest nonweight-bearing or less stressful aerobic activities such as swimming, walking, or biking, particularly for women who were relatively sedentary before pregnancy.

Buy the Book that holds this excerpt: Therapeutic Exercise: Foundations and Techniques (Therapeutic Exercise: Foundations & Techniques)

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Filed Under: Jeff, Physical Therapy
Tags: Joint Laxity, Pregnancy, Significance

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