Donnelly et al used a framework to evaluate a woman for return to sport after delivery. The authors are from multiple institutions in Northern Ireland and England.
Patient selection: postpartum
6 R's framework:
(1) ready (prehabilitation)
(2) review
(3) restore
(4) recondition
(5) return
(6) refine
Concerns:
(1) abdominal wall dysfunction
(2) pelvic floor dysfunction and continence
(3) other physical trauma
(4) mental health (depression, post-traumatic stress, fear of movement)
(5) menstruation
(6) breast health and breastfeeding
(7) energy balance
(8) sleep
(9) other complications (deep vein thrombosis, infection, other)
(10) about infant health
(11) rehabilitation needs
(12) family issues
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