产后跑步者常见的肌肉骨骼损伤:一项国际德尔菲研究。

IF 2.1 Q1 REHABILITATION
Archives of physiotherapy Pub Date : 2020-10-26 eCollection Date: 2020-01-01 DOI:10.1186/s40945-020-00090-y
Shefali M Christopher, Alessandra N Garcia, Suzanne J Snodgrass, Chad Cook
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引用次数: 9

摘要

背景:产后跑步者报告跑步时肌肉骨骼疼痛。由于研究不充分,对其起源和疼痛相关分类知之甚少。通过专家共识,这项研究是第一次尝试了解这些跑步者所呈现的肌肉骨骼损伤。这项调查的目的是收集专家共识的特点,报告损伤的产后跑步者有肌肉骨骼疼痛。方法:采用基于网络的德尔菲调查方法,对产后跑步者的力量、活动范围、对齐和柔韧性障碍以及疼痛的危险因素进行调查。结果:共邀请专家117人。45名专家完成了第一轮,41名专家完成了第二和第三轮。达成共识的力量损伤是腹部、臀部和骨盆底肌肉无力。达成共识的运动障碍范围为髋关节伸展受限、骨盆前倾和全身活动过度。达成共识的对齐障碍是Trendelenburg征,动态膝外翻,腰椎前凸,过度内旋和胸后凸。达成共识的柔韧性损伤是腹壁松弛,以及髋屈肌、腰伸肌、髂胫束和腘绳肌的紧绷。产后跑步者疼痛的危险因素是肌肉不平衡、腰骨盆控制不佳、太多太快、生活压力、孕期疼痛和盆底创伤。结论:这项研究为临床医生了解产后跑步者的疼痛提供了一个框架,可以在未来的队列研究中进行调查。证据等级:5。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Common musculoskeletal impairments in postpartum runners: an international Delphi study.

Common musculoskeletal impairments in postpartum runners: an international Delphi study.

Common musculoskeletal impairments in postpartum runners: an international Delphi study.

Common musculoskeletal impairments in postpartum runners: an international Delphi study.

Background: Postpartum runners report musculoskeletal pain with running. Because of inadequate research, little is known about the origin and pain-related classification. Through expert consensus, this study is the first attempt to understand the musculoskeletal impairments that these runners present with. The objective of this survey was to gather expert consensus on characteristics of reported impairments in postpartum runners that have musculoskeletal pain.

Methods: A web-based Delphi survey was conducted and was composed of five categories: strength, range of motion, alignment and flexibility impairments, as well as risk factors for pain in postpartum runners.

Results: A total of 117 experts were invited. Forty-five experts completed round I and forty-one completed rounds II and III. The strength impairments that reached consensus were abdominal, hip and pelvic floor muscle weakness. The range of motion impairments that reached consensus were hip extension restriction, anterior pelvic tilt and general hypermobility. The alignment impairments that reached consensus were a Trendelenburg sign, dynamic knee valgus, lumbar lordosis, over-pronation and thoracic kyphosis. The flexibility impairments that reached consensus were abdominal wall laxity, and tightness in hip flexors, lumbar extensors, iliotibial band and hamstrings. The risk factors for pain in postpartum runners were muscular imbalance, poor lumbopelvic control, too much too soon, life stressors, pain during pregnancy and pelvic floor trauma.

Conclusion: This study presents a framework for clinicians to understand pain in postpartum runners and that can be investigated in future cohort studies.

Level of evidence: 5.

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来源期刊
CiteScore
3.60
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