CrossFit®运动员的骨盆底评估与尿失禁:一项横断面观察性研究。
Pelvic floor evaluation in CrossFit® athletes and urinary incontinence: a cross-sectional observational study.
机构信息
Postgraduate Program in Rehabilitation Sciences, Federal University of Health Sciences of Porto Alegre, Porto Alegre, Brazil.
Department of Obstetrics and Gynecology, "Filippo Del Ponte" Hospital, University of Insubria, Varese, Italy.
出版信息
Women Health. 2021 May-Jun;61(5):490-499. doi: 10.1080/03630242.2021.1927288.
Athletic urinary incontinence is characterized by urinary loss during sports practice. This condition occurs in the case of CrossFit®, a modality based on high intensity training and functional movements, it can also be considered as having a high impact on the pelvic floor. This study aimed to compare the force and the contraction capacity of the pelvic floor musculature and urinary incontinence between female CrossFit® practitioners (AG) and non-practitioners (CG). We performed a cross-sectional observational study in the period from December 2018 and May 2019. Complaints of urinary incontinence was assessed by the International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF); the functional evaluation of the pelvic floor was performed by digital palpation; resting tone, maximum voluntary contraction, fast contractions and sustained contraction of the pelvic floor muscles was tested by electromyography. The prevalence of urinary incontinence was significantly higher in AG compared with CG ( < .001). Nevertheless, we did not find significant differences between the two groups for functional assessment and electromyographic parameters. The AG presented a prevalence 60% of UI, while CG only 9,5 ( < 0,001). Considering this point, tailored prevention strategies seem mandatory in this population, in order to allow early identification and management of urinary incontinence.
运动性尿失禁的特点是在运动训练中出现尿失禁。这种情况发生在 CrossFit®,一种基于高强度训练和功能性运动的模式,也可以被认为对盆底有很高的影响。本研究旨在比较女性 CrossFit®运动员(AG)和非运动员(CG)的盆底肌肉力量和收缩能力以及尿失禁情况。我们在 2018 年 12 月至 2019 年 5 月期间进行了一项横断面观察性研究。尿失禁的投诉通过国际尿失禁咨询问卷 - 简短形式(ICIQ-SF)进行评估;盆底功能评估通过数字触诊进行;通过肌电图测试盆底肌肉的静息张力、最大随意收缩、快速收缩和持续收缩。AG 组的尿失禁患病率明显高于 CG 组(<0.001)。然而,我们没有发现两组在功能评估和肌电图参数方面存在显著差异。AG 组的 UI 患病率为 60%,而 CG 组仅为 9.5(<0.001)。考虑到这一点,针对这一人群的有针对性的预防策略似乎是强制性的,以便能够早期识别和管理尿失禁。