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Prevalence of Urinary Incontinence and Different Pelvic Ground-Associated Signs in Feminine Skilled Dancers
Winder B, Lindegren Okay, Blackmon A. Journal of Dance Drugs & Science. 2023 March; 27(1): 50-55.
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Take-House Message
Three in 10 skilled dancers report pelvic floor-related signs. Healthcare professionals working with these people ought to display screen for urinary incontinence, educate their sufferers about urinary incontinence, and have a plan to refer sufferers as wanted.
Background
Within the basic inhabitants, pelvic floor-related signs equivalent to urinary incontinence (urge or stress-related) are widespread diagnoses. At the very least 1 in 4 feminine athletes expertise urinary incontinence. Nevertheless, we all know little about how widespread it’s amongst dancers or its affect.
Research Objective
The authors carried out an internet survey examine to evaluate the prevalence of pelvic floor-related signs throughout the skilled dance group.
Strategies
The authors developed an nameless on-line questionnaire about numerous matters, 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 e-mail and social media postings. The survey assessed urinary incontinence with the Worldwide Session on Incontinence Questionnaire-Urinary Incontinence Quick Kind. Their audience was skilled feminine dancers at the very least 18 years outdated that skilled or carried out for at the very least 25 hours/week.
Outcomes
A complete of 208 feminine skilled dancers between the ages of 18 and 41 accomplished the survey. Virtually 35% of all contributors and 33% of people and not using a 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 throughout the inhabitants with signs equivalent to cycle irregularity, heavy bleeding, amenorrhea, and irregularity related to adjustments in train depth.
Viewpoints
At the very least one in three skilled dancers expertise urinary incontinence. Therefore, healthcare professionals working with skilled dancers ought to display screen for pelvic ground dysfunction. These findings are primarily based on individuals who accomplished an internet 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 widespread urinary incontinence is amongst dancers. Regardless of this limitation, it’s compelling knowledge 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 might be fascinating 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 affect 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 screen sufferers to make sure immediate referral to a bodily therapist, occupational therapist, gynecologist, or urogynecologist if mandatory.
Questions for Dialogue
How typically do you display screen athletes for pelvic ground dysfunction in your setting, and the way do you go about this screening course of?
How comfy do you’re feeling concerning the referral course of or prescribing a pelvic ground train program for people who could report pelvic ground dysfunction?
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Written by Alexandra Bossi
Reviewed by Jeffrey Driban
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