Prevalence of Urinary Incontinence and Different Pelvic Ground-Associated Signs in Feminine Skilled Dancers
Winder B, Lindegren Okay, Blackmon A. Journal of Dance Medication & Science. 2023 March; 27(1): 50-55.
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Take-Residence 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 similar to urinary incontinence (urge or stress-related) are widespread diagnoses. No less than 1 in 4 feminine athletes expertise urinary incontinence. Nevertheless, we all know little about how widespread it’s amongst dancers or its impression.
Examine Objective
The authors carried out a web based survey examine 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 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 through electronic mail and social media postings. The survey assessed urinary incontinence with the Worldwide Session on Incontinence Questionnaire-Urinary Incontinence Brief Type. Their audience was skilled feminine dancers at the least 18 years previous that educated or carried out for at the 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 members and 33% of people with out a historical past of being pregnant reported urinary incontinence. Amongst these members, 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 similar to cycle irregularity, heavy bleeding, amenorrhea, and irregularity related to modifications in train depth.
Viewpoints
No less than one in three skilled dancers expertise urinary incontinence. Therefore, healthcare professionals working with skilled dancers ought to display for pelvic ground dysfunction. These findings are primarily based on individuals who accomplished a web based survey. Due to this fact, 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 pay attention to 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 impression their efficiency.
Medical Implications
The prevalence of urinary incontinence amongst skilled dancers is just 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 needed.
Questions for Dialogue
How typically do you display athletes for pelvic ground dysfunction in your setting, and the way do you go about this screening course of?
How snug do you are feeling concerning the referral course of or prescribing a pelvic ground train program for people who might report pelvic ground dysfunction?
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Written by Alexandra Bossi
Reviewed by Jeffrey Driban