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Semin Neurol 2011; 31(4): 413-422
DOI: 10.1055/s-0031-1293541
© Thieme Medical Publishers

Exercise, Sports Participation, and Musculoskeletal Disorders of Pregnancy and Postpartum

Joanne P. Borg-Stein1 , 2 , 3 , David J. Fogelman1 , 4 , Kathryn E. Ackerman5 , 6 , 7
  • 1Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston
  • 2The Spine Center, Newton-Wellesley Hospital, Newton
  • 3Spaulding Rehabilitation Hospital Wellesley, Boston
  • 4Spaulding Rehabilitation Hospital, Boston
  • 5Department of Medicine, Harvard Medical School, Boston
  • 6Division of Sports Medicine, Children's Hospital Boston, Boston
  • 7Neuroendocrine Unit, Massachusetts General Hospital, Boston, Massachusetts
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Publikationsdatum:
23. November 2011 (online)

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ABSTRACT

The benefits of rigorous physical activity have long been proclaimed by the medical community. However, consensus regarding exercise duration and intensity in pregnancy has been more difficult to achieve. Conservative exercise guidelines for pregnant women were issued broadly in the 1980s due to limited evidence regarding safety. More recent evidence has failed to demonstrate ill effects of physical activity during pregnancy, as any effects on the mother and the fetus have thus far shown to be positive. The physical discomfort experienced by virtually all women during pregnancy, nearly 25% of whom experience at least temporarily disabling symptoms, is often a barrier to participation in an exercise program. An approach to developing an exercise program during pregnancy will be discussed in this article, as well as the potential benefits of such a program for the maternal–fetal unit, and common pregnancy-related musculoskeletal conditions, including a discussion of the anatomy, physiology, diagnosis, and treatment of such disorders.

KEYWORDS

Pregnancy - orthopedic - musculoskeletal - exercise - sports

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Joanne P Borg-SteinM.D. 

Spaulding Rehabilitation Hospital Wellesley

125 Nashua Street, Boston, MA 02114

eMail: jborgstein@partners.org