Ron Nicole J, Dolbinski Sarah C, Hodonicky Elizabeth G, Middlebrook Darby O, Olmstead Sally R, Olsen Sandra L, Ron Eyal D, Hollman John H
Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN.
Program in Physical Therapy, Mayo Clinic School of Health Sciences, Mayo Clinic College of Medicine and Science, Rochester, MN.
J Womens Pelvic Health Phys Ther. 2024 Jul-Sep;48(3):147-153. doi: 10.1097/jwh.0000000000000302. Epub 2024 Jul 17.
Women with stress urinary incontinence (SUI) may have altered running mechanics and reduced hip muscle strength compared to women without SUI. Little research has examined running metrics and functional lower extremity strength of parous runners.
To determine if stress urinary incontinence (SUI) severity correlates with running metrics and lower extremity muscle strength among parous women.
Cross-sectional observational study of 22 parous participants (mean age 39.8 years, with a mean of 3.4 pregnancies and 8.1 years interval since last delivery).
Participants completed the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI), Urinary Distress Inventory (UDI) 6, Colorectal-Anal Distress (CRAD) Inventory 8, and Pelvic Organ Prolapse Distress Inventory (POPDI) 6, Questionnaire for Urinary Incontinence Diagnosis (QUID), and provided demographic, relevant running, and obstetric/gynecologic history information. After a brief warm-up, participants completed 30-second single leg sit to stand tests bilaterally and a standardized 10-minute treadmill run with pod cadence assessment. Pearson-product moment correlation coefficients were calculated (alpha = 0.05).
Prolonged ground contact times were associated with higher ICIQ-UI SF (r = 0.523, p = 0.015), POPDI-6 (r = 0.694, p < 0.001), and UDI-6 scores (r = 0.577, p = 0.006), while lower cadences were associated with higher POPDI-6 (r = -0.550, p = 0.010) and UDI-6 scores (r = -0.444, p=0.044).
Parous female runners with more severe SUI and prolapse symptoms demonstrate altered running mechanics characterized by prolonged ground contact times and slower cadences.
与无压力性尿失禁（SUI）的女性相比，患有压力性尿失禁的女性可能会改变跑步力学，并且髋部肌肉力量减弱。很少有研究调查经产妇跑步指标和下肢功能力量。
确定经产妇中压力性尿失禁（SUI）的严重程度是否与跑步指标和下肢肌肉力量相关。
对22名经产妇参与者进行横断面观察研究（平均年龄39.8岁，平均怀孕3.4次，自上次分娩以来间隔8.1年）。
参与者完成了国际尿失禁咨询问卷-尿失禁简表（ICIQ-UI）、排尿困扰量表（UDI）6项、结直肠-肛门困扰量表（CRAD）8项、盆腔器官脱垂困扰量表（POPDI）6项、尿失禁诊断问卷（QUID），并提供了人口统计学、相关跑步以及产科/妇科病史信息。经过短暂热身，参与者双侧完成30秒单腿坐立试验以及一次标准化的10分钟跑步机跑步，并进行步频评估。计算Pearson积矩相关系数（α = 0.05）。
较长的地面接触时间与较高的ICIQ-UI SF（r = 0.523，p = 0.015）、POPDI-6（r = 0.694，p < 0.001）和UDI-6评分相关（r = 0.577，p = 0.006），而较低的步频与较高的POPDI-6（r = -0.550，p = 0.010）和UDI-6评分相关（r = -0.444，p = 0.044）。
患有更严重SUI和脱垂症状的经产妇跑步力学改变，表现为地面接触时间延长和步频减慢。
