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PFD-SENTINEL: Development of a screening tool for pelvic floor dysfunction in female athletes through an international Delphi consensus.
Giagio, Silvia; Salvioli, Stefano; Innocenti, Tiziano; Gava, Giulia; Vecchiato, Marco; Pillastrini, Paolo; Turolla, Andrea.
Affiliation
  • Giagio S; Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum University of Bologna, Bologna, Italy silvia.giagio2@unibo.it.
  • Salvioli S; Division of Occupational Medicine, IRCCS University Hospital of Bologna S Orsola-Malpighi Polyclinic, Bologna, Italy.
  • Innocenti T; Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Genova, Italy.
  • Gava G; GIMBE Foundation, Bologna, Italy.
  • Vecchiato M; GIMBE Foundation, Bologna, Italy.
  • Pillastrini P; Department of Health Science, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
  • Turolla A; Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum University of Bologna, Bologna, Italy.
Br J Sports Med ; 57(14): 899-905, 2023 Jul.
Article de En | MEDLINE | ID: mdl-36517214
ABSTRACT
To develop a screening tool for pelvic floor dysfunction (PFD) in female athletes for use by sports medicine clinicians (eg, musculoskeletal/sports physiotherapists, sports and exercise medicine physicians), which guides referral to a PFD specialist (eg, pelvic floor/women's health physiotherapist, gynaecologist, urogynaecologist, urologist).Between February and April 2022, an international two-round modified Delphi study was conducted to assess expert opinion on which symptoms, risk factors and clinical and sports-related characteristics (items) should be included in a screening tool. We defined consensus a priori as >67% response agreement to pass each round.41 and 34 experts participated in rounds 1 and 2, respectively. Overall, seven general statements were endorsed as relevant by most participants highlighting the importance of screening for PFD in female athletes. Through consensus, the panel developed the Pelvic Floor Dysfunction-ScrEeNing Tool IN fEmale athLetes (PFD-SENTINEL) and agreed to a cluster of PFD symptoms (n=5) and items (risk factors, clinical and sports-related characteristics; n=28) that should prompt specialist care. A clinical algorithm was also created a direct referral is recommended when at least one symptom or 14 items are reported. If these thresholds are not reached, continuous monitoring of the athlete's health is indicated.Despite increasing awareness and clinical relevance, barriers to identify PFD in female athletes are still present. The PFD-SENTINEL is a new resource for sports medicine clinicians who regularly assess female athletes and represents the first step towards early PFD identification and management. Further studies to validate the tool are needed.
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Texte intégral: 1 Collection: 01-internacional Base de données: MEDLINE Sujet principal: Troubles du plancher pelvien Type d'étude: Diagnostic_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Limites: Female / Humans Langue: En Journal: Br J Sports Med Année: 2023 Type de document: Article Pays d'affiliation: Italie

Texte intégral: 1 Collection: 01-internacional Base de données: MEDLINE Sujet principal: Troubles du plancher pelvien Type d'étude: Diagnostic_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Limites: Female / Humans Langue: En Journal: Br J Sports Med Année: 2023 Type de document: Article Pays d'affiliation: Italie
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