From: Common musculoskeletal impairments in postpartum runners: an international Delphi study
Musculoskeletal Impairments | Consensus (%) Round II | Composite Score Round III | Consensus (%) Round III |
---|---|---|---|
Strength | |||
 Abdominal weakness | 100 | 160 | 100 |
 Hip abductor weakness | 100 | 154 | 100 |
 Hip extensor weakness | 95.12 | 142 | 100 |
 Pelvic floor weakness | 95.12 | 156 | 97.56 |
 Hip rotator weakness | 90.24 | 136 | 97.56 |
Range of Motion | |||
 Hip extension restriction | 82.93 | 131 | 95.12 |
 Excessive counter nutation (anterior pelvic tilt) | 90.24 | 123 | 92.68 |
 Generally hypermobile, no restriction | 68.29 | 129 | 90.24 |
 Thoracic extension restriction | 75.61 | 115 | 78.05 |
 Hip internal rotation restriction | 68.29 | 116 | 75.61 |
Flexibility | |||
 Tight hip flexors | 85.37 | 150 | 100 |
 Laxity in abdominal wall | 87.80 | 144 | 95.12 |
 Tight lumbar extensors | 68.29 | 118 | 80.49 |
 Tight hamstrings | 65.85 | 115 | 75.61 |
 Tight iliotibial band | 70.73 | 113 | 75.61 |
Alignment | |||
 Trendelenburg sign | 85.37 | 129 | 95.12 |
 Dynamic knee valgus | 80.49 | 124 | 92.68 |
 Increased lumbar lordosis | 87.80 | 124 | 92.68 |
 Over pronation | 70.73 | 114 | 80.49 |
 Thoracic kyphosis | 70.73 | 114 | 75.61 |
Risk Factors | |||
 Muscular imbalance | 100 | 156 | 100 |
 Poor lumbopelvic control | 100 | 154 | 100 |
 Hip weakness | 100 | 152 | 100 |
 Too much, too soon | 95.12 | 139 | 100 |
 Trauma to pelvic floor | 90.24 | 138 | 100 |
 Hip pain | 87.80 | 133 | 100 |
 Increased life stressors | 90.24 | 133 | 100 |
 Decreased exercise tolerance | 78.05 | 131 | 100 |
 Pain during pregnancy | 85.37 | 131 | 100 |
 Lumbopelvic muscle weakness | 97.56 | 153 | 97.56 |
 Altered running mechanics | 100 | 143 | 97.56 |
 Chronic pain history | 87.80 | 140 | 97.56 |
 Global laxity | 78.05 | 139 | 97.56 |
 Pelvic floor pain | 92.68 | 137 | 97.56 |
 Lumbopelvic instability | 92.68 | 137 | 97.56 |
 Chronic fatigue | 80.49 | 131 | 97.56 |
 Hip extensor muscle activation | 75.61 | 131 | 97.56 |
 History of running injury | 85.37 | 141 | 95.12 |
 Poor sleep quality | 82.93 | 131 | 95.12 |
 Caretaking posture | 73.17 | 130 | 92.68 |
 Labor duration | 73.17 | 122 | 92.68 |
 Increased body mass index (BMI) | 78.05 | 124 | 90.24 |