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Return to Running for Postpartum Elite and Subelite Athletes
Lisa Woodroffe1, Tyler Slayman1, Amanda Paulson1
1University of Iowa Institute of Orthopedics Sports Medicine and Rehabilitation, University of Iowa Healthcare, Iowa City, Iowa.
Sports Health
|June 12, 2024
Summary
Returning to elite running after childbirth requires a personalized, multidisciplinary approach. This plan addresses pelvic floor and core strength, nutrition, and gradual exercise progression for postpartum athletes.
Area of Science:
- Sports Medicine
- Women's Health
- Exercise Physiology
Background:
- Limited evidence exists for guiding elite athletes returning to competition post-childbirth.
- This can lead to reduced performance and increased injury risk for postpartum athletes.
- Guidance is needed for safe return-to-running programs for elite and sub-elite athletes after pregnancy.
Purpose of the Study:
- To outline key considerations for developing and monitoring a return-to-running program for postpartum elite athletes.
- To address the multifaceted needs of athletes during their return to high-level competition after childbirth.
Main Methods:
- A clinical review was conducted.
- Literature search of PubMed and CINAHL databases.
- Utilized search terms related to elite athletes, exercise, and postpartum recovery.
Main Results:
- A multimodal, multidisciplinary approach is proposed for safe and successful return to elite competition.
- This approach considers cardiovascular fitness, postpartum nutrition, lactation, and progressive musculoskeletal reloading.
Conclusions:
- Returning to running postpartum is an individualized process requiring multidisciplinary care.
- Essential components include monitoring nutrition, core/pelvic floor function, and bone/muscle/tendon reloading.
- Breastfeeding considerations are also important for applicable athletes.
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