{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T12:38:39Z","timestamp":1791549519457,"version":"4.3.4"},"reference-count":26,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Geburtshilfe Neonatol"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Considering that the incisions made during cesarean delivery may damage\n                    subcutaneous tissue and fascia, and pelvic floor muscle contractions are\n                    effective in femoral head movements, it is hypothesized that the mode of\n                    delivery may have an impact on balance and kinesiophobia. This study aimed to\n                    investigate the effect of cesarean delivery on balance, kinesiophobia, and body\n                    awareness.A total of 70 women participated in the study. Demographic and\n                    obstetric data of the participants were recorded. Thoracolumbar fascia was\n                    assessed using a goniometric platform, trunk flexibility with the Modified\n                    Schober test, static balance with the Flamingo Balance test, and dynamic balance\n                    with the Y Balance Test. The Tampa Scale of Kinesiophobia was used to evaluate\n                    movement fear, and the Body Awareness Questionnaire was used to assess body\n                    awareness.No significant differences were found between cesarean and vaginal\n                    deliveries in terms of thoracolumbar fascia assessment, static balance, or\n                    dynamic balance measurements (p&gt;0.05). In women who delivered vaginally,\n                    dynamic balance was observed to decrease with advancing age (p&lt;0.05).\n                    Moreover, in vaginal deliveries, a shorter time since last birth was associated\n                    with improved anterior dynamic balance, while an increased number of deliveries\n                    was linked to impaired anterior dynamic balance (p&lt;0.05). Regardless of the\n                    mode of delivery, all women experienced a decline in static balance and reduced\n                    anterior reach with increasing age. Additionally, an increased number of\n                    deliveries was associated with impaired static balance, and shorter postpartum\n                    duration was linked to decreased dynamic balance (p&lt;0.05). No significant\n                    difference was found between vaginal and cesarean deliveries in terms of\n                    kinesiophobia (p&gt;0.05). However, in women who delivered vaginally, body\n                    awareness decreased with age (p&lt;0.05). In conclusion, the study found that\n                    cesarean scars had no adverse effects on balance, kinesiophobia, or body\n                    awareness. Nevertheless, further research focusing on balance is\n                    recommended.<\/jats:p>","DOI":"10.1055\/a-2629-6700","type":"journal-article","created":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T19:04:52Z","timestamp":1750273492000},"page":"421-427","source":"Crossref","is-referenced-by-count":2,"title":["Postpartum Balance and Kinesiophobia in Cesarean Delivery: Impact of\n                    Abdominal Fascial Scars"],"prefix":"10.1055","volume":"229","author":[{"given":"Ya\u011fmur","family":"Meng\u00fc","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation,\n                    Istanbul Okan University, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6547-4798","authenticated-orcid":false,"given":"Emine","family":"Atici","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation,\n                    Istanbul Okan University, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,6,18]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"954","DOI":"10.1111\/j.1471-0528.2010.02589.x","article-title":"Dynamic postural stability in pregnant fallers and non-fallers","volume":"117","author":"J L McCrory","year":"2010","journal-title":"BJOG"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"452","DOI":"10.1053\/j.jfas.2010.06.018","article-title":"Lower extremity changes experienced during pregnancy","volume":"49","author":"P Ponnapula","year":"2010","journal-title":"J Foot Ankle Surg"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"153","DOI":"10.3113\/FAI.2010.0153","article-title":"Plantar pressure and foot pain in the last trimester of pregnancy","volume":"31","author":"E Karadag-Saygi","year":"2010","journal-title":"Foot Ankle 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Sport"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"5967","DOI":"10.3390\/app10175967","article-title":"Flexibility measurement affecting the reduction pattern of back muscle\n                    activation during trunk flexion","volume":"10","author":"Y-L Chen","year":"2020","journal-title":"Appl Sci"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"5474","DOI":"10.3390\/ijerph17155474","article-title":"Balance tests in pre-adolescent children: Retest reliability, construct\n                    validity, and relative ability","volume":"17","author":"V Sember","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"ref13","first-page":"182","article-title":"Interrater, test-retest reliability of the y balance test: A reliability study\n                    including 51 healthy participants","volume":"16","author":"F N Foldager","year":"2023","journal-title":"Int J Exerc Sci"},{"key":"ref14","first-page":"44","article-title":"Tampa Kinezyofobi 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experience in an Italian\n                    level III university hospital","volume":"191","author":"S Dessole","year":"2004","journal-title":"Am J Obstet Gynecol"},{"key":"ref18","first-page":"179","article-title":"Fascia: a morphological description and classification system based on a\n                    literature review","volume":"56","author":"M Kumka","year":"2012","journal-title":"J Can Chiropr Assoc"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"352","DOI":"10.1007\/s11916-013-0352-9","article-title":"Fascial components of the myofascial pain syndrome","volume":"17","author":"A Stecco","year":"2013","journal-title":"Curr Pain Headache Rep"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1016\/j.gaitpost.2019.03.009","article-title":"Anthropometry, standing posture, and body center of mass changes up to 28 weeks\n                    postpartum in Caucasians in the United States","volume":"70","author":"R D Catena","year":"2019","journal-title":"Gait Posture"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1016\/j.gaitpost.2020.05.025","article-title":"Correlations between joint kinematics and dynamic balance control during gait in\n                    pregnancy","volume":"80","author":"R D Catena","year":"2020","journal-title":"Gait Posture"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"440","DOI":"10.1007\/s00586-010-1487-6","article-title":"Impact of postpartum lumbopelvic pain on disability, pain intensity,\n                    health-related quality of life, activity level, kinesiophobia, and depressive\n                    symptoms","volume":"20","author":"A Gutke","year":"2011","journal-title":"Eur Spine J"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000001331","article-title":"Impact of exergames on the rehabilitation of cancer patients undergoing major\n                    abdominal surgery: A randomized controlled trial","author":"I Alves","year":"2024","journal-title":"Cancer Nurs"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"2143","DOI":"10.53730\/ijhs.v6nS5.9104","article-title":"The efficacy of balance training on balance performance in obese patients\n                    undergoing sleeve gastrectomy","volume":"6","author":"O M Shawkey","year":"2022","journal-title":"Int J Health Sci"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1097\/SAP.0000000000001807","article-title":"Postural changes after abdominoplasty in morbid obese patients","volume":"83","author":"R Grella","year":"2019","journal-title":"Ann Plast Surg"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1016\/j.jbmt.2015.11.012","article-title":"A fascia and the fascial system","volume":"20","author":"C Stecco","year":"2016","journal-title":"J Bodyw Mov 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Neonatologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2629-6700.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T00:04:32Z","timestamp":1764806672000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2629-6700"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,18]]},"references-count":26,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2025,12,3]]},"published-print":{"date-parts":[[2025,12]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2629-6700","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0948-2393","1439-1651"],"issn-type":[{"value":"0948-2393","type":"print"},{"value":"1439-1651","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,18]]}}}