Trải nghiệm của các nữ vận động viên đỉnh cao về triệu chứng rối loạn chức năng sàn chậu: Một cuộc tổng quan hệ thống

International Urogynecology Journal - Tập 33 - Trang 2681-2711 - 2022
Elizabeth Culleton-Quinn1,2, Kari Bø3,4, Neil Fleming1, David Mockler5, Cinny Cusack6, Déirdre Daly7
1School of Medicine, Trinity College, Dublin, Ireland
2Discipline of Physiotherapy and Discipline of Occupational Therapy, Trinity College, Dublin, Dublin, Ireland
3Department of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway
4Department of Obstetrics and Gynaecology, Akershus University Hospital, Lørenskog, Norway
5Medical Library, Trinity College, Dublin, Ireland
6Physiotherapy Department, Rotunda Hospital, Dublin, Ireland
7School of Nursing and Midwifery, Trinity College, Dublin, Ireland

Tóm tắt

Rối loạn chức năng sàn chậu (RLSC) là một tập hợp các dấu hiệu, triệu chứng và tình trạng ảnh hưởng đến sàn chậu, trong đó, không kiểm soát nước tiểu (NKT) là loại RLSC phổ biến nhất. Các cuộc tổng quan hệ thống gần đây đã chỉ ra sự gia tăng tỷ lệ không kiểm soát nước tiểu ở các nữ vận động viên so với những người không phải vận động viên. Đến nay, chưa có bất kỳ cuộc tổng quan nào khảo sát về trải nghiệm của các nữ vận động viên với RLSC. Mục tiêu của cuộc tổng quan này là cung cấp cái nhìn và sự hiểu biết, thông qua việc tổng hợp, tóm tắt, tổng hợp và diễn giải các phát hiện từ các nghiên cứu báo cáo về trải nghiệm triệu chứng của rối loạn chức năng sàn chậu từ các nữ vận động viên đỉnh cao. Giao thức tổng quan được đăng ký tại PROSPERO vào tháng 8 năm 2020. Một tìm kiếm hệ thống được thực hiện trong các cơ sở dữ liệu Embase, MEDLINE (OVID), Thư viện Cochrane, CINAHL, PsycINFO và Web of Science cho các nghiên cứu được công bố bằng tiếng Anh báo cáo về trải nghiệm triệu chứng RLSC của các nữ vận động viên đỉnh cao. Cuộc tổng quan này bao gồm các nghiên cứu nghiên cứu chính liên quan đến các nữ vận động viên đỉnh cao ở bất kỳ độ tuổi hoặc dân tộc nào. Trong số 1922 trích dẫn thu thập được trong tìm kiếm, 32 nghiên cứu đáp ứng tiêu chí phương pháp học cho việc trích xuất và phân tích dữ liệu. Năm chủ đề chính đã nổi lên: (1) các yếu tố kích thích triệu chứng RLSC; (2) các chiến lược được các vận động viên áp dụng để quản lý/giảm nhẹ triệu chứng RLSC; (3) tác động đến chất lượng cuộc sống/cuộc sống hàng ngày; (4) tác động đến hiệu suất; (5) tác động đến cảm xúc. Các phát hiện của cuộc tổng quan này cho thấy cần tiếp tục khám phá trải nghiệm về RLSC trong số các nữ vận động viên đỉnh cao và đề xuất rằng các nghiên cứu trong tương lai nên áp dụng các phương pháp định tính hoặc kết hợp một thành phần định tính.

Từ khóa

#Rối loạn chức năng sàn chậu #không kiểm soát nước tiểu #nữ vận động viên #nghiên cứu hệ thống #triệu chứng.

Tài liệu tham khảo

Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J. 2010;21(1):5–26. https://doi.org/10.1007/s00192-009-0976-9. Bo K, Frawley HC, Haylen BT, Abramov Y, Almeida FG, Berghmans B, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for the conservative and nonpharmacological management of female pelvic floor dysfunction. Neurourol Urodyn. 2017;36(2):221–44. https://doi.org/10.1002/nau.23107. Amaral MO, Coutinho EC, Nelas PA, Chaves CM, Duarte JC. Risk factors associated with urinary incontinence in Portugal and the quality of life of affected women. Int J Gynaecol Obstet. 2015;131(1):82–6. https://doi.org/10.1016/j.ijgo.2015.03.041. Pizzol D, Demurtas J, Celotto S, Maggi S, Smith L, Angiolelli G, et al. Urinary incontinence and quality of life: a systematic review and meta-analysis. Aging Clin Exp Res. 2021;33(1):25–35. https://doi.org/10.1007/s40520-020-01712-y. Mallah F, Montazeri A, Ghanbari Z, Tavoli A, Haghollahi F, Aziminekoo E. Effect of Urinary Incontinence on Quality of Life among Iranian Women. J Family Reprod Health. 2014;8(1):13–9. Mendes A, Hoga L, Gonçalves B, Silva P, Pereira P. Adult women's experiences of urinary incontinence: a systematic review of qualitative evidence. JBI Database System Rev Implement Rep. 2017;15(5):1350–408. https://doi.org/10.11124/JBISRIR-2017-003389. Nygaard IE, Shaw JM. Physical activity and the pelvic floor. Am J Obstet Gynecol. 2016;214(2):164–71. https://doi.org/10.1016/j.ajog.2015.08.067. Rodríguez-López ES, Calvo-Moreno SO, Basas-García Á, Gutierrez-Ortega F, Guodemar-Pérez J, Acevedo-Gómez MB. Prevalence of urinary incontinence among elite athletes of both sexes. J Sci Med Sport. 2021;24(4):338–44. https://doi.org/10.1016/j.jsams.2020.09.017. Almousa S, Bandin Van Loon A. The prevalence of urinary incontinence in nulliparous female sportswomen: A systematic review. J Sports Sci. 2019;37(14):1663–72. https://doi.org/10.1080/02640414.2019.1585312. de Mattos Lourenco TR, Matsuoka PK, Baracat EC, Haddad JM. Urinary incontinence in female athletes: a systematic review. Int Urogynecol J. 2018;29(12):1757-63. https://doi.org/10.1007/s00192-018-3629-z. Lourenco T, Matsuoka P, Baracat E, Doumouchtsis S, Haddad JM. Female athletes and urinary incontinence according to different intensities of impact: an updated systematic review with meta-analysis. ICS 2021 Melbourne Online; 2021; October 17th. Melbourne. https://www.ics.org/2021/abstract/98. Pires T, Pires P, Moreira H, Viana R. Prevalence of Urinary Incontinence in High-Impact Sport Athletes: A Systematic Review and Meta-Analysis. J Hum Kinet. 2020;73:279–88. https://doi.org/10.2478/hukin-2020-0008. Teixeira RV, Colla C, Sbruzzi G, Mallmann A, Paiva LL. Prevalence of urinary incontinence in female athletes: a systematic review with meta-analysis. Int Urogynecol J. 2018;29(12):1717–25. https://doi.org/10.1007/s00192-018-3651-1. Rebullido TR, Gómez-Tomás C, Faigenbaum AD, Chulvi-Medrano I. The Prevalence of Urinary Incontinence among Adolescent Female Athletes: A Systematic Review. J Functional Morphol Kinesiol. 2021;6(1):12 10..3390/jfmk6010012. Bø K, Sundgot-Borgen J. Are former female elite athletes more likely to experience urinary incontinence later in life than non-athletes? Scand J Med Sci Sports. 2010;20(1):100–4. https://doi.org/10.1111/j.1600-0838.2008.00871.x. Bø K, Nygaard IE. Is Physical Activity Good or Bad for the Female Pelvic Floor? A Narrative Review. Sports Med. 2020;50(3):471–84. https://doi.org/10.1007/s40279-019-01243-1. Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med. 2009;6(7):e1000097. https://doi.org/10.1371/journal.pmed.1000097. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. https://doi.org/10.1136/bmj.n71. Culleton-Quinn E, Fleming N, Mockler D, Cusack C, Bø K, Daly D. Female athletes’/sportswomen’s experiences of incontinence and pelvic floor symptoms: A systematic review. PROSPERO. 2020. Available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020197330. Thomas J, Sutcliffe K, Harden A, Oakley A, Oliver S, Rees R, Brunton G, Kavanagh J. Children and Healthy Eating: A systematic review of barriers and facilitators. London: EPPI-Centre, Social Science Research Unit, Institute of Education, University of London; 2003. Panda S, Begley C, Daly D. Clinicians' views of factors influencing decision-making for caesarean section: A systematic review and metasynthesis of qualitative, quantitative and mixed methods studies. PLoS One. 2018;13(7):e0200941. https://doi.org/10.1371/journal.pone.0200941. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101. https://doi.org/10.1191/1478088706qp063oa. Carls C. The prevalence of stress urinary incontinence in high school and college-age female athletes in the midwest: implications for education and prevention. Urologic Nurs: Off J Am Urol Assoc Allied. 2007;27(1):21–4. Poswiata A, Socha T, Opara J. Prevalence of stress urinary incontinence in elite female endurance athletes. J Human Kinet. 2014;44:91–6. https://doi.org/10.2478/hukin-2014-0114. Thyssen HH, Clevin L, Olesen S, Lose G. Urinary incontinence in elite female athletes and dancers. Int Urogynecol J. 2002;13(1):15–7. https://doi.org/10.1007/s001920200003. Almeida MB, Barra AA, Saltiel F, Silva-Filho AL, Fonseca AM, Figueiredo EM. Urinary incontinence and other pelvic floor dysfunctions in female athletes in Brazil: A cross-sectional study. Scand J Med Sci Sports. 2016;26(9):1109–16. https://doi.org/10.1111/sms.12546. Cardoso AMB, Lima CROP, Ferreira CWS. Prevalence of urinary incontinence in high-impact sports athletes and their association with knowledge, attitude and practice about this dysfunction. Eur J Sport Sci. 2018;18(10):1405–12. https://doi.org/10.1080/17461391.2018.1496146. Carvalhais A, Natal Jorge R, Bø K. Performing high-level sport is strongly associated with urinary incontinence in elite athletes: a comparative study of 372 elite female athletes and 372 controls. Br J Sports Med. 2018;52(24):1586–90. https://doi.org/10.1136/bjsports-2017-097587. Carvalho C, da Silva Serrão PRM, Beleza ACS, Driusso P. Pelvic floor dysfunctions in female cheerleaders: a cross-sectional study. Int Urogynecol J. 2020;31(5):999–1006. https://doi.org/10.1007/s00192-019-04074-w. Caylet N, Fabbro-Peray P, Marès P, Dauzat M, Prat-Pradal D, Corcos J. Prevalence and occurrence of stress urinary incontinence in elite women athletes. Can J Urol. 2006;13(4):3174–9. Da Roza T, Brandão S, Mascarenhas T, Jorge RN, Duarte JA. Volume of training and the ranking level are associated with the leakage of urine in young female trampolinists. Clin J Sport Med. 2015;25(3):270–5. https://doi.org/10.1097/JSM.0000000000000129. Dobrowolski SL, Pudwell J, Harvey MA. Urinary incontinence among competitive rope-skipping athletes: a cross-sectional study. Int Urogynecol J. 2020;31(5):881–6. https://doi.org/10.1007/s00192-019-04048-y. Dockter M, Kolstad AM, Martin KA, Schiwal LJ. Prevalence of urinary incontinence: a comparative study of collegiate female athletes and non-athletic controls. J Women's Health Phys Ther. 2007;31(1):12–7. Eliasson K, Edner A, Mattsson E. Urinary incontinence in very young and mostly nulliparous women with a history of regular organised high-impact trampoline training: Occurrence and risk factors. Int Urogynecol J. 2008;19(5):687–96. https://doi.org/10.1007/s00192-007-0508-4. Eliasson K, Larsson T, Mattsson E. Prevalence of stress incontinence in nulliparous elite trampolinists. Scand J Med Sci Sports. 2002;12(2):106–10. https://doi.org/10.1034/j.1600-0838.2002.120207.x. Faulks K, Catto T. The prevalence of stress urinary incontinence among elite female rugby union players in Australia. Australian & New Zealand Continence J. 2021;27(2):47–52. https://doi.org/10.33235/anzcj.27.2. Ferreira S, Ferreira M, Carvalhais A, Santos PC, Rocha P, Brochado G. Reeducation of pelvic floor muscles in volleyball athletes. Rev Assoc Med Bras. 2014;60(5):428–33. Gram MCD, Bo K. High level rhythmic gymnasts and urinary incontinence: Prevalence, risk factors, and influence on performance. Scand J Med Sci Sports. 2020;30(1):159–65. https://doi.org/10.1111/sms.13548. Hagovska M, Svihra J, Bukova A, Horbacz A, Svihrova V. The impact of physical activity measured by the International Physical Activity questionnaire on the prevalence of stress urinary incontinence in young women. Eur J Obstet Gynecol Reprod Biol. 2018;228:308–12. https://doi.org/10.1016/j.ejogrb.2018.07.011. Jácome C, Oliveira D, Marques A, Sá-Couto P. Prevalence and impact of urinary incontinence among female athletes. Int J Gynecol Obstet. 2011;114(1):60–3. https://doi.org/10.1016/j.ijgo.2011.02.004. Larsen WI, Yavorek TA. Pelvic organ prolapse and urinary incontinence in nulliparous women at the United States Military Academy. Int Urogynecol J. 2006;17(3):208–10. https://doi.org/10.1007/s00192-005-1366-6. Ludviksdottir I, Hardardottir H, Sigurdardottir T, Ulfarsson GF. Comparison of pelvic floor muscle strength in competition-level athletes and untrained women. Laeknabladid. 2018;104(3):133–8. https://doi.org/10.17992/lbl.2018.03.177. Nygaard IE. Does prolonged high-impact activity contribute to later urinary incontinence? A retrospective cohort study of female olympians. Obstet Gynecol. 1997;90(5):718–22. https://doi.org/10.1016/S0029-7844(97)00436-5. Nygaard IE, Thompson FL, Svengalis SL, Albright JP. Urinary-incontinence in elite nulliparous athletes. Obstet Gynecol. 1994;84(2):183–7. Sandwith E, Robert M. Rug-pee study: the prevalence of urinary incontinence among female university rugby players. Int Urogynecol J. 2021;32(2):281–5. https://doi.org/10.1007/s00192-020-04510-2. Skaug KL, Engh ME, Frawley H, Bø K. Prevalence of Pelvic Floor Dysfunction, Bother and Risk Factors and Knowledge of the Pelvic Floor Muscles in Norwegian Male and Female Powerlifters and Olympic Weightlifters. J Strength Cond Res. 2020. https://doi.org/10.1519/JSC.0000000000003919. Skaug KL, Engh ME, Frawley H, Bø K. Urinary and anal incontinence among female gymnasts and cheerleaders—bother and associated factors. A Cross-Sectional Stud Int Urogynecol J. 2022;33(4):955–64. https://doi.org/10.1007/s00192-021-04696-z. Velázquez-Saornil J, Méndez-Sánchez E, Gómez-Sánchez S, Sánchez-Milá Z, Cortés-Llorente E, Martín-Jiménez A, et al. Observational study on the prevalence of urinary incontinence in female athletes. Int J Environ Res Public Health. 2021;18(11). https://doi.org/10.3390/ijerph18115591. Wikander L, Cross D, Gahreman DE. Prevalence of urinary incontinence in women powerlifters: a pilot study. Int Urogynecol J. 2019;30(12):2031–9. https://doi.org/10.1007/s00192-019-03870-8. Wikander L, Kirshbaum MN, Gahreman DE. Urinary incontinence and women crossfit competitors. Int J Women's Health. 2020;12:1189–95. https://doi.org/10.2147/IJWH.S278222. Wikander L, Kirshbaum MN, Waheed N, Gahreman DE. Urinary Incontinence in Competitive Women Powerlifters: A Cross-Sectional Survey. Sports Med - Open. 2021;7. https://doi.org/10.1186/s40798-021-00387-7. Wikander L, Kirshbaum MN, Waheed N, Gahreman DE. Urinary Incontinence in Competitive Women Weightlifters. J Strength Cond Res. 2021. https://doi.org/10.1519/JSC.0000000000004052. Pires TF, Pires PM, Moreira MH, Gabriel RECD, João PV, Viana SA, et al. Pelvic Floor Muscle Training in Female Athletes: A Randomized Controlled Pilot Study. Int J Sports Med. 2020;41(4):264–70. https://doi.org/10.1055/a-1073-7977. Nygaard I, Barber MD, Burgio KL, Kenton K, Meikle S, Schaffer J, et al. Prevalence of symptomatic pelvic floor disorders in US women. Jama. 2008;300(11):1311–6. https://doi.org/10.1001/jama.300.11.1311. Swann C, Moran A, Piggott D. Defining elite athletes: Issues in the study of expert performance in sport psychology. Psychol Sport Exerc. 2015;16:3–14. https://doi.org/10.1016/j.psychsport.2014.07.004. Williams A, Day S, Stebbings G, Erskine R. What does 'elite' mean in sport and why does it matter? The Sport and Exercise Scientist. 2017;51:6. Thomaz RP, Colla C, Darski C, Paiva LL. Influence of pelvic floor muscle fatigue on stress urinary incontinence: a systematic review. Int Urogynecol J. 2018;29(2):197–204. https://doi.org/10.1007/s00192-017-3538-6. Ree ML, Nygaard I, Bø K. Muscular fatigue in the pelvic floor muscles after strenuous physical activity. Acta Obstet Gynecol Scand. 2007;86(7):870–6. https://doi.org/10.1080/00016340701417281. Middlekauff ML, Egger MJ, Nygaard IE, Shaw JM. The impact of acute and chronic strenuous exercise on pelvic floor muscle strength and support in nulliparous healthy women. Am J Obstet Gynecol. 2016;215(3):316.e1–7. https://doi.org/10.1016/j.ajog.2016.02.031. Pereira-Baldon VS, Avila MA, Dalarmi CB, de Oliveira AB, Driusso P. Effects of different regimens for pelvic floor muscle training in young continent women: Randomized controlled clinical trial. J Electromyography Kinesiol: Off J Int Soc Electrophysiol Kinesiol. 2019;44:31–5. https://doi.org/10.1016/j.jelekin.2018.11.008. Dumoulin C, Cacciari LP, Hay-Smith EJC. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev. 2018;10. https://doi.org/10.1002/14651858.