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Can’t Maintain It – Assessing Pelvic Flooring Dysfunction in Feminine Skilled Dancers


Prevalence of Urinary Incontinence and Different Pelvic Flooring-Associated Signs in Feminine Skilled Dancers

Winder B, Lindegren Ok, Blackmon A. Journal of Dance Drugs & Science. 2023 March; 27(1): 50-55.

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Take-Dwelling Message

Three in 10 skilled dancers report pelvic floor-related signs. Healthcare professionals working with these people ought to display for urinary incontinence, educate their sufferers about urinary incontinence, and have a plan to refer sufferers as wanted.

Background

Within the normal inhabitants, pelvic floor-related signs akin to urinary incontinence (urge or stress-related) are frequent diagnoses. A minimum of 1 in 4 feminine athletes expertise urinary incontinence. Nonetheless, we all know little about how frequent it’s amongst dancers or its impression.

Examine Purpose

The authors carried out a web based survey research to evaluate the prevalence of pelvic floor-related signs inside the skilled dance neighborhood.

Strategies

The authors developed an nameless on-line questionnaire about varied subjects, together with demographics, again and hip ache, dance coaching and cross-training, menstruation, pelvic well being, oral contraceptive use, and bowel actions. The authors shared the survey by way of electronic mail and social media postings. The survey assessed urinary incontinence with the Worldwide Session on Incontinence Questionnaire-Urinary Incontinence Brief Type. Their target market was skilled feminine dancers no less than 18 years outdated that skilled or carried out for no less than 25 hours/week.

Outcomes

A complete of 208 feminine skilled dancers between the ages of 18 and 41 accomplished the survey. Nearly 35% of all contributors and 33% of people with no historical past of being pregnant reported urinary incontinence. Amongst these contributors, 32% reported urge-related signs, 53% reported incontinence with coughing or sneezing, and 54% reported incontinence with bodily exercise or train. The authors additionally discovered that 8% of people reported signs doubtlessly indicative of pelvic organ prolapse, and 45% reported ache with sexual exercise. The authors additionally assessed menstrual dysfunction evident inside the inhabitants with signs akin to cycle irregularity, heavy bleeding, amenorrhea, and irregularity related to adjustments in train depth.

Viewpoints

A minimum of one in three skilled dancers expertise urinary incontinence. Therefore, healthcare professionals working with skilled dancers ought to display for pelvic flooring dysfunction. These findings are based mostly on individuals who accomplished a web based survey. Subsequently, it may be arduous to inform if these numbers over or underestimate the true prevalence of urinary incontinence. Investigators may monitor skilled dancers over time to get a greater reflection of how frequent urinary incontinence is amongst dancers. Regardless of this limitation, it’s compelling information as a result of these numbers match the estimates from different feminine athletes and spotlight a necessity for clinicians to concentrate on urinary incontinence on this inhabitants. It will be attention-grabbing to know if this was their first time reporting signs if they’re actively managing these points, their notion of the situation, and if these signs impression their efficiency.

Scientific Implications

The prevalence of urinary incontinence amongst skilled dancers is much like different high-level feminine athletes. Healthcare professionals working with skilled dancers ought to educate their sufferers about urinary incontinence and display sufferers to make sure immediate referral to a bodily therapist, occupational therapist, gynecologist, or urogynecologist if vital.

Questions for Dialogue

How typically do you display athletes for pelvic flooring dysfunction in your setting, and the way do you go about this screening course of?

How snug do you’re feeling concerning the referral course of or prescribing a pelvic flooring train program for people who could report pelvic flooring dysfunction?

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