筛查大学生运动员盆底功能障碍的发生率和影响。

IF 1.6 Q3 SPORT SCIENCES
International Journal of Sports Physical Therapy Pub Date : 2024-07-01 eCollection Date: 2024-01-01 DOI:10.26603/001c.120211
Charles J Salvo, Ashlie Crewe, Dillon Estes, Jessica Kroboth, Celia Yost
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引用次数: 0

摘要

背景:盆底功能障碍(PFD)是指盆底肌肉变弱、受损或紧张,从而导致各种并发症。假设/目的:本研究的目的是探讨骨盆底功能障碍在大学年龄运动员中的患病率,评估骨盆底功能障碍对运动成绩的影响,并确定导致运动员骨盆底功能障碍患病率增加的因素:研究设计:横断面研究:采用 Cozean 骨盆功能障碍筛查方案对所有完全活跃的 LVC NCAA 第 3 组运动员进行 PFD 筛查,并调查他们对 PFD 的自我认识。在这一工具上得分≥3分的运动员完成了由调查人员制作的附加调查,以确定PFD对其运动表现和个人生活的影响,然后被随机分配给三名调查人员中的一人进行无创尾骨评估,以确定盆底肌肉(PFM)活动不足、过度活跃或正常:53 名年龄在 18-25 岁之间的第三组男女运动员参加了这项研究。Cozean评分与年龄等人口统计学因素之间存在统计学意义上的显著差异(p \p \p \p):研究结果表明,年龄较大的 NCAA 第三分部大学女运动员参加游泳运动,并且对 PFD 有自知之明,她们更有可能经历 PFD。此外,这些运动员的运动表现和生活质量可能会受到严重影响。这些结果提供了初步证据,说明大学运动员需要对 PFD 有所认识和评估:证据等级:3b 级。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Screening for Incidence and Effect of Pelvic Floor Dysfunction in College-Aged Athletes.

Background: Pelvic floor dysfunction (PFD) occurs when muscles of the pelvic floor become weakened, impaired, or experience tension leading to a variety of complications. Due to the reactive nature and high demands of many sports, athletes are at increased susceptibility and of particular interest concerning PFD.

Hypothesis/purpose: The purpose of this study was to explore the prevalence of PFD among college-aged athletes, assess how PFD impacted athletic performance, and identify contributing factors for increased likelihood of PFD in athletes.

Study design: Cross-Sectional Study.

Methods: All fully active LVC NCAA Division 3 athletes were recruited for screening for PFD using the Cozean Pelvic Dysfunction Screening Protocol and were surveyed on their self-knowledge of PFD. Athletes who scored ≥ 3 on this tool completed an additional survey, created by the investigators, to identify the impact PFD had on their athletic performance and personal life and were then randomly assigned to one of three investigators to undergo a noninvasive coccygeal assessment to determine underactive, overactive, or normal pelvic floor muscle (PFM) activity.

Results: Fifty-three Division III male and female athletes between the ages of 18-25 years old participated in the study. Statistically significant differences were found between Cozean scores and demographic factors of age (p \<0.001), gender (p \<0.05), self-knowledge of PFD (p \<0.001), and sport (p \<0.001) among all participants that contributed to the increased likelihood of PFD. Thirteen athletes scored ≥ 3 on the Cozean with the 92.3% experiencing under/over active PFM activity and the majority indicating that PFD significantly impacted their athletic performance and quality of life.

Conclusion: The results indicate that older female NCAA Division III college athletes who participate in swimming and who possess self-knowledge of PFD are more likely to experience PFD. Additionally, these athletes are likely to encounter a significant impact on their athletic performance and quality of life. These results provide preliminary evidence on the need of PFD awareness and assessment among college athletes.

Level of evidence: Level 3b.

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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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