Selman Rachel, Early Kate, Battles Brianna, Seidenburg Misty, Wendel Elizabeth, Westerlund Susan
Physical Therapy, Benchmark Physical Therapy.
Department of Kinesiology & Health Sciences, Columbus State University.
Int J Sports Phys Ther. 2022 Oct 1;17(6):1170-1183. doi: 10.26603/001c.37863. eCollection 2022.
Increased participation and duration in sport has become commonplace for women with their involvement often including the transition to motherhood in the peak of their athletic careers. No rehabilitation models that assess the full spectrum of pregnancy to postpartum have been developed for women to assist in safe exercise progressions that reduce postpartum symptoms and optimize performance during the return to full activity. Referral to physical therapy both in the prenatal and postnatal period is currently not considered standard of care to reduce prevalence of symptoms such as musculoskeletal pain, diastasis recti, and pelvic floor dysfunction which may ultimately interfere with physical activity and performance. This commentary presents a timeline and suggested progression for exercise participation to improve awareness of the musculoskeletal changes that occur after labor and delivery. The concepts covered may increase the understanding of how to manage pregnant and postpartum athletes from a musculoskeletal perspective and serve as a starting point for establishing appropriate and guided rehabilitation for safe return to sport after childbirth.
女性更多地参与体育运动且运动时间延长已变得很常见，她们的参与往往包括在运动生涯巅峰期过渡到成为母亲。目前尚未开发出针对女性从怀孕到产后全过程进行评估的康复模式，以帮助她们安全地进行运动进展，减少产后症状，并在恢复全面活动时优化表现。目前，在产前和产后转诊至物理治疗并不被视为降低肌肉骨骼疼痛、腹直肌分离和盆底功能障碍等症状发生率的标准护理措施，而这些症状最终可能会干扰身体活动和表现。本评论提供了一个运动参与的时间线和建议进展，以提高对分娩后发生的肌肉骨骼变化的认识。所涵盖的概念可能会增加从肌肉骨骼角度对如何管理怀孕和产后运动员的理解，并作为为产后安全重返运动建立适当且有指导的康复的起点。
