优先考虑安全,优化成功!产后重返橄榄球赛场。

G M Donnelly, C E Coltman, K Dane, K J Elliott-Sale, M Hayman, M F McCarthy-Ryan, J Perkins, S Rollins, I S Moore
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引用次数: 0

摘要

怀孕和分娩涉及到大量的身体、生理和心理变化。因此,产后的橄榄球运动员应该得到支持,并做好适当的准备,以便在满足橄榄球运动要求的同时,满足母亲的额外要求。本综述旨在讨论围产期的具体注意事项,为橄榄球运动员产后重返运动场做好准备,并介绍一种康复方法。在进行全面的橄榄球训练和比赛之前,产后球员应完成最初阶段的康复训练和分级运动专项训练,以便为他们将要承受的负荷做好准备。其他康复注意事项包括:尽量减少怀孕期间的体能下降;医疗问题;腹壁;盆底;围产期乳房变化、母乳喂养和接触性乳房损伤风险;体重;营养要求;荷尔蒙注意事项;运动员身份和心理注意事项;参加团队训练;恢复接触和擒抱训练;评估球员的负荷耐受性以及未来的研究、政策和监控需求。在对产后橄榄球运动员进行康复训练时,建议采用全系统的生物心理社会方法,并遵循循证回归运动框架。我们鼓励健康和运动专业人员使用本综述中针对围产期的建议来指导产后康复方案和资源的开发。
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Prioritise safety, optimise success! Return to rugby postpartum.

Pregnancy and childbirth involve substantial physical, physiological and psychological changes. As such, postpartum rugby players should be supported and appropriately prepared to return to the demands of rugby alongside the additional demands of motherhood. This review aims to discuss specific perinatal considerations that inform a rugby player's readiness to return-to-sport postpartum and present an approach to rehabilitation. Before engaging in full rugby training and matchplay, postpartum players should have progressed through the initial phases of rehabilitation and graded sports-specific training to prepare them for the loads they will be exposed to. Additional rehabilitation considerations include minimising deconditioning during pregnancy; medical concerns; the abdominal wall; the pelvic floor; perinatal breast changes, breastfeeding and risk of contact breast injury; body mass; nutritional requirements; hormonal considerations; athlete identity and psychological considerations; joining team training; return to contact and tackle training; evaluating player load tolerance and future research, policy and surveillance needs. A whole-systems, biopsychosocial approach following an evidence informed return-to-sport framework is recommended when rehabilitating postpartum rugby players. Health and exercise professionals are encouraged to use the perinatal-specific recommendations in this review to guide the development of postpartum rehabilitation protocols and resources.

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