Selman Rachel, Early Kate S
Synthesis Physical Therapy LLC.
Kinesiology and Health Sciences Columbus State University.
Int J Sports Phys Ther. 2024 Aug 1;19(8):1012-1019. doi: 10.26603/001c.121421. eCollection 2024.
Recent changes to medical recommendations for exercise in pregnancy and postpartum have expanded to include recreational athletes. While women are transitioning into motherhood at the height of their athletic careers, there is limited guidance on musculoskeletal training from pregnancy through safe return to activity. The lack of education and support in this population may lead to increased prevalence of symptoms and delay of treatment, ultimately hindering athletic performance. The purpose of this case series is to assess pelvic floor symptoms through implementing a new pre- and postnatal exercise training paradigm in a group of women aiming to return to recreational athletics.
Case series.
Six recreationally athletic women between 25-35 years of age were referred to physical therapy during pregnancy to participate in this protocol. The women completed a standardized pregnancy and postpartum rehabilitation plan focused on core and pelvic floor control in addition to specific strength and mobility training.
Pain, urinary dysfunction, and pelvic floor muscle strength were assessed at six weeks postpartum and at discharge. Meaningful improvement was noted in pain, urinary dysfunction, and muscle strength by the time of discharge.
The decrease in symptoms and improvements in measures of musculoskeletal health suggests that a physical therapist guided rehabilitation protocol may be useful as part of the standard of care to reduce prevalence of pain and dysfunction, particularly in the recreational athlete population. Improving understanding of exercise training in this population may minimize musculoskeletal symptoms and encourage additional research to improve the standard of care for this group of patients.
Level 4.
近期针对孕期及产后运动的医学建议有所变化，已扩大至包括业余运动员。当女性在其运动生涯巅峰期过渡到母亲角色时，从孕期到安全恢复运动期间，关于肌肉骨骼训练的指导有限。这一人群缺乏教育和支持可能导致症状患病率增加及治疗延迟，最终阻碍运动表现。本病例系列的目的是通过在一组旨在恢复业余运动的女性中实施新的产前和产后运动训练模式来评估盆底症状。
病例系列。
6名年龄在25 - 35岁之间的业余运动女性在孕期被转介至物理治疗科参与本方案。这些女性除了进行特定的力量和活动能力训练外，还完成了一项专注于核心和盆底控制的标准化孕期及产后康复计划。
在产后六周和出院时评估疼痛、排尿功能障碍和盆底肌肉力量。出院时，疼痛、排尿功能障碍和肌肉力量有显著改善。
症状的减轻和肌肉骨骼健康指标的改善表明，物理治疗师指导的康复方案作为护理标准的一部分，可能有助于降低疼痛和功能障碍的患病率，特别是在业余运动员人群中。提高对这一人群运动训练的认识可能会最大限度地减少肌肉骨骼症状，并鼓励更多研究以改善这组患者的护理标准。
4级。
