■最近对怀孕和产后运动的医学建议的更改已扩展到包括休闲运动员。当女性在运动生涯的高峰期过渡到母亲的时候,从怀孕到安全恢复活动,对肌肉骨骼训练的指导有限。该人群缺乏教育和支持可能导致症状患病率增加和治疗延误,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休闲运动的妇女中实施新的产前和产后运动训练范式来评估盆底症状。
■案例系列。
■六名25-35岁之间的娱乐性运动妇女在怀孕期间接受物理治疗以参加该方案。除了特定的力量和活动能力训练外,这些妇女还完成了标准化的妊娠和产后康复计划,重点是核心和盆底控制。
■疼痛,泌尿功能障碍,在产后6周和出院时评估盆底肌力。在疼痛中注意到有意义的改善,泌尿功能障碍,和出院时的肌肉力量。
症状的减轻和肌肉骨骼健康措施的改善表明,物理治疗师指导的康复方案可能是有效的护理标准的一部分,以减少疼痛和功能障碍的患病率,特别是在休闲运动员群体中。提高对该人群运动训练的了解可以最大程度地减少肌肉骨骼症状,并鼓励进行更多研究以提高该组患者的护理标准。
■4级。
UNASSIGNED: 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.
UNASSIGNED: Case series.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: Level 4.