Evidence map›Paper›PMID 33117595›Full record

ArticleArchives of physiotherapy2020

Common musculoskeletal impairments in postpartum runners: an international Delphi study.

Shefali M Christopher, Alessandra N Garcia, Suzanne J Snodgrass, Chad Cook

Abstract read
In one paragraph

Article in Archives of physiotherapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Clinical Measures of Pelvic Tilt in Physical Therapy.International journal of sports physical therapy · 2021
    Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Shefali M ChristopherDepartment of Physical Therapy Education, Elon University, Campus box 2085, Elon, NC 27244 Australia.ORCID https://orcid.org/0000-0003-0869-8856
Alessandra N GarciaCollege of Pharmacy & Health Sciences, Doctor of Physical Therapy Program, Campbell University, Lillington, NC 27506 USA.
Suzanne J SnodgrassDepartment of Physical Therapy Education, Elon University, Campus box 2085, Elon, NC 27244 Australia.
Chad CookDivision of Physical Therapy, Department of Orthopaedic Surgery, Duke University, 2200 W.Main St, Durham, NC 27705 USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostpartum runners report musculoskeletal pain with running. Because of inadequate research, little is known about the origin and pain-related classification. Through expert consensus, this study is the first attempt to understand the musculoskeletal impairments that these runners present with. The objective of this survey was to gather expert consensus on characteristics of reported impairments in postpartum runners that have musculoskeletal pain.

methodsA web-based Delphi survey was conducted and was composed of five categories: strength, range of motion, alignment and flexibility impairments, as well as risk factors for pain in postpartum runners.

resultsA total of 117 experts were invited. Forty-five experts completed round I and forty-one completed rounds II and III. The strength impairments that reached consensus were abdominal, hip and pelvic floor muscle weakness. The range of motion impairments that reached consensus were hip extension restriction, anterior pelvic tilt and general hypermobility. The alignment impairments that reached consensus were a Trendelenburg sign, dynamic knee valgus, lumbar lordosis, over-pronation and thoracic kyphosis. The flexibility impairments that reached consensus were abdominal wall laxity, and tightness in hip flexors, lumbar extensors, iliotibial band and hamstrings. The risk factors for pain in postpartum runners were muscular imbalance, poor lumbopelvic control, too much too soon, life stressors, pain during pregnancy and pelvic floor trauma.

conclusionThis study presents a framework for clinicians to understand pain in postpartum runners and that can be investigated in future cohort studies. LEVEL OF EVIDENCE: 5.

Indexed as

InjurypainPostpartumRunning

Identifiers

PMID33117595
PMCPMC7586674

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.