A Pre and Postnatal Physical Therapy Protocol for Recreational Athletes: A Case Series.

IF 1.6 Q3 SPORT SCIENCES
International Journal of Sports Physical Therapy Pub Date : 2024-08-01 eCollection Date: 2024-01-01 DOI:10.26603/001c.121421
Rachel Selman, Kate S Early
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Abstract

Background and purpose: 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.

Study design: Case series.

Methods: 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.

Results: 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.

Conclusion: 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 of evidence: Level 4.

休闲运动员产前产后物理治疗方案:病例系列。
背景和目的:最近,孕期和产后运动的医学建议发生了变化,休闲运动员也被纳入其中。虽然妇女们在运动生涯最辉煌的时候过渡到了母亲的角色,但从怀孕到安全恢复运动,有关肌肉骨骼训练的指导却很有限。这部分人群缺乏教育和支持,可能会导致症状更加普遍和治疗延迟,最终影响运动成绩。本病例系列的目的是通过在一群希望恢复休闲运动的女性中实施新的产前和产后运动训练范例来评估盆底症状:研究设计:病例系列:研究设计:病例系列。方法:六名年龄在 25-35 岁之间的休闲运动女性在怀孕期间被转介到物理治疗中心参与该方案。这些妇女完成了一个标准化的孕期和产后康复计划,除了特定的力量和活动能力训练外,该计划还侧重于核心和骨盆底控制:结果:产后六周和出院时对疼痛、排尿功能障碍和骨盆底肌肉力量进行了评估。到出院时,疼痛、排尿功能障碍和肌肉力量均有明显改善:症状的减轻和肌肉骨骼健康指标的改善表明,理疗师指导的康复方案可作为标准护理的一部分,有助于减少疼痛和功能障碍的发生,尤其是在休闲运动员群体中。加深对这一人群运动训练的了解可最大限度地减少肌肉骨骼症状,并鼓励开展更多研究,以改进对这一群体患者的标准护理:证据等级:4 级。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.50
自引率
5.90%
发文量
124
审稿时长
16 weeks
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