Maximizing Recovery in the Postpartum Period: A Timeline for Rehabilitation from Pregnancy through Return to Sport

Author:

Selman Rachel1,Early Kate2,Battles Brianna3,Seidenburg Misty4,Wendel Elizabeth5,Westerlund Susan5

Affiliation:

1. Benchmark Physical Therapy

2. Columbus State University

3. Pregnancy and Postpartum Athleticism

4. Upstream Rehabilitation Institute

5. Piedmont Healthcare

Abstract

Increased participation and duration in sport has become commonplace for women with their involvement often including the transition to motherhood in the peak of their athletic careers. No rehabilitation models that assess the full spectrum of pregnancy to postpartum have been developed for women to assist in safe exercise progressions that reduce postpartum symptoms and optimize performance during the return to full activity. Referral to physical therapy both in the prenatal and postnatal period is currently not considered standard of care to reduce prevalence of symptoms such as musculoskeletal pain, diastasis recti, and pelvic floor dysfunction which may ultimately interfere with physical activity and performance. This commentary presents a timeline and suggested progression for exercise participation to improve awareness of the musculoskeletal changes that occur after labor and delivery. The concepts covered may increase the understanding of how to manage pregnant and postpartum athletes from a musculoskeletal perspective and serve as a starting point for establishing appropriate and guided rehabilitation for safe return to sport after childbirth.

Publisher

International Journal of Sports Physical Therapy

Subject

Rehabilitation,Orthopedics and Sports Medicine,Physical Therapy, Sports Therapy and Rehabilitation

Reference49 articles.

1. What are the biopsychosocial risk factors associated with pain in postpartum runners? Development of a clinical decision tool;Shefali Mathur Christopher;PLoS One,2021

2. Exercise behaviors and health conditions of runners after childbirth;Liga Blyholder;Sports Health: A Multidisciplinary Approach,2016

3. Urinary incontinence in female athletes: a systematic review;Thais Regina de Mattos Lourenco;International Urogynecology Journal,2018

4. Is urinary incontinence a barrier to exercise in women?;Ingrid Nygaard;Obstetrics & Gynecology,2005

5. Physical therapy is an important component of popartum care in the fourth trimester;Claire J C Critchley;Phys Ther,2022

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