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

# 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 fr...

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Main Authors: Rachel Selman, Kate S. Early
Format: Article
Language:English
Published: North American Sports Medicine Institute 2024-08-01
Series:International Journal of Sports Physical Therapy
Online Access:https://doi.org/10.26603/001c.121421
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author Rachel Selman
Kate S. Early
author_facet Rachel Selman
Kate S. Early
author_sort Rachel Selman
collection DOAJ
description # 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
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spelling doaj-art-d09561d86d614da3ba5a1efb1404d2fc2025-02-11T20:27:42ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962024-08-01198A Pre and Postnatal Physical Therapy Protocol for Recreational Athletes: A Case SeriesRachel SelmanKate S. Early# 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 4https://doi.org/10.26603/001c.121421
spellingShingle Rachel Selman
Kate S. Early
A Pre and Postnatal Physical Therapy Protocol for Recreational Athletes: A Case Series
International Journal of Sports Physical Therapy
title A Pre and Postnatal Physical Therapy Protocol for Recreational Athletes: A Case Series
title_full A Pre and Postnatal Physical Therapy Protocol for Recreational Athletes: A Case Series
title_fullStr A Pre and Postnatal Physical Therapy Protocol for Recreational Athletes: A Case Series
title_full_unstemmed A Pre and Postnatal Physical Therapy Protocol for Recreational Athletes: A Case Series
title_short A Pre and Postnatal Physical Therapy Protocol for Recreational Athletes: A Case Series
title_sort pre and postnatal physical therapy protocol for recreational athletes a case series
url https://doi.org/10.26603/001c.121421
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