Christopher Shefali M, Garcia Alessandra N, Snodgrass Suzanne J, Cook Chad
Department of Physical Therapy Education, Elon University, Campus box 2085, Elon, NC 27244 Australia.
Discipline of Physiotherapy, School of health Sciences, The University of Newcastle, Callaghan, NSW 2308 Australia.
Arch Physiother. 2020 Oct 26;10:19. doi: 10.1186/s40945-020-00090-y. eCollection 2020.
Postpartum runners report musculoskeletal pain with running. Because of inadequate research, little is known about the origin and pain-related classification. Through expert consensus, this study is the first attempt to understand the musculoskeletal impairments that these runners present with. The objective of this survey was to gather expert consensus on characteristics of reported impairments in postpartum runners that have musculoskeletal pain.
A web-based Delphi survey was conducted and was composed of five categories: strength, range of motion, alignment and flexibility impairments, as well as risk factors for pain in postpartum runners.
A total of 117 experts were invited. Forty-five experts completed round I and forty-one completed rounds II and III. The strength impairments that reached consensus were abdominal, hip and pelvic floor muscle weakness. The range of motion impairments that reached consensus were hip extension restriction, anterior pelvic tilt and general hypermobility. The alignment impairments that reached consensus were a Trendelenburg sign, dynamic knee valgus, lumbar lordosis, over-pronation and thoracic kyphosis. The flexibility impairments that reached consensus were abdominal wall laxity, and tightness in hip flexors, lumbar extensors, iliotibial band and hamstrings. The risk factors for pain in postpartum runners were muscular imbalance, poor lumbopelvic control, too much too soon, life stressors, pain during pregnancy and pelvic floor trauma.
This study presents a framework for clinicians to understand pain in postpartum runners and that can be investigated in future cohort studies.
产后跑步者报告称跑步时存在肌肉骨骼疼痛。由于研究不足，对于其疼痛起源及相关分类知之甚少。通过专家共识，本研究首次尝试了解这些跑步者所呈现的肌肉骨骼损伤情况。本调查的目的是就产后跑步且有肌肉骨骼疼痛的跑步者所报告损伤的特征达成专家共识。
开展了一项基于网络的德尔菲调查，该调查由五个类别组成：力量、活动范围、排列和灵活性损伤，以及产后跑步者疼痛的风险因素。
共邀请了117位专家。45位专家完成了第一轮调查，41位专家完成了第二轮和第三轮调查。达成共识的力量损伤为腹部、髋部和盆底肌无力。达成共识的活动范围损伤为髋部伸展受限、骨盆前倾和全身关节活动过度。达成共识的排列损伤为臀中肌步态、动态膝外翻、腰椎前凸、过度内旋和胸椎后凸。达成共识的灵活性损伤为腹壁松弛，以及髋屈肌、腰伸肌、髂胫束和腘绳肌紧张。产后跑步者疼痛的风险因素为肌肉失衡、腰骨盆控制不佳、操之过急、生活压力源、孕期疼痛和盆底创伤。
本研究为临床医生理解产后跑步者的疼痛提供了一个框架，可在未来的队列研究中进行调查。
5级。
