Turkiye Klinikleri Journal of Sports Sciences

.: ORIGINAL RESEARCH
High-impacts Sport Athletes' Pelvic Floor Knowledge, Awareness, and Lower Urinary Tract Symptoms: A Cross-Sectional Pilot Study
Yüksek-Etkili Spor Atletlerinin Pelvik Taban Bilgisi, Farkındalığı ve Alt Üriner Sistem Semptomları: Kesitsel Bir Pilot Çalışma
Şeyda TOPRAK ÇELENAYa, Elif Sena DÜŞGÜNb, Ahmet Raşit DEĞİRMENDERELİc
aDepartment of Physiotherapy and Rehabilitation, Ankara Yıldırım Beyazıt University Faculty of Health Science, Ankara, TURKEY
bDepartment of Physiotherapy, Fenerbahçe University Vocational School of Health Services, İstanbul, TURKEY
cPhysiotherapy and Rehabilitation Graduate Program, Ankara Yıldırım Beyazıt University Institute of Health Sciences, Ankara, TURKEY
Turkiye Klinikleri J Sports Sci. 2021;13(3):477-84
doi: 10.5336/sportsci.2021-82598
Article Language: EN
Full Text
ABSTRACT
 Objective: Pelvic floor and lower urinary tract symptoms (LUTS) are important issues for athletes. This study aimed to evaluate high-impact sport athletes' knowledge and awareness level regarding pelvic floor and LUTS, and to compare pelvic floor knowledge and awareness levels between genders. Material and Methods: A total of 88 athletes were included. Pelvic floor knowledge and awareness were questioned. LUTS were assessed with the Bristol Female Lower Urinary Tract Symptoms questionnaire and the International Consultation on Incontinence Modular Questionnaire-Male Lower Urinary Tract Symptoms. Pearson chi-square and Fisher's exact tests were used. Results: Fifty (56.8%) athletes were in football, 21 (23.9%) were in basketball and 17 (19.3%) were in volleyball. Most of the athletes had not heard of the pelvic floor muscle (PFM) (73.9%), and did not know any PFM function (84.1%) or any treatment for the pelvic floor dysfunction (86.4%). Most of the athletes reported that they had not heard of pelvic floor muscle exercise (PFME) (84.1%) and had never performed PFME (90.9%). The pelvic floor knowledge level was higher in female athletes than in male athletes (p<0.05). Furthermore, the most common LUTS in female athletes were nocturia (75.9%) and urgency (75.9%) regarding the storage symptoms, and hesitance (62.1%) regarding voiding symptoms, while these symptoms in male athletes were daytime frequency (39.0%) and nocturia (20.4%) regarding the storage symptoms, and incomplete emptying (11.9%) regarding the voiding symptoms. Conclusion: The athletes had limited pelvic floor knowledge and awareness. Female athletes had more LUTS than male athletes.

Keywords: Athletes; lower urinary tract symptoms; pelvic floor
ÖZET
 Amaç: Pelvik taban ve alt üriner sistem semptomları (AÜSS) atletler için önemli konulardır. Bu çalışma, yüksek-etkili spor atletlerinin pelvik taban ile ilgili bilgi ve farkındalık düzeylerini ve AÜSS'lerini değerlendirmeyi ve cinsiyetler arasında pelvik taban bilgi ve farkındalık düzeylerini karşılaştırmayı amaçladı. Gereç ve Yöntemler: Toplam 88 atlet dâhil edildi. Pelvik taban bilgisi ve farkındalığı sorgulandı. AÜSS, Bristol Kadın Alt Üriner Sistem Semptom Anketi ve Uluslararası İnkontinans Konsültasyon Sorgulama Anketi-Erkek Alt Üriner Sistem Semptomları ile değerlendirildi. Pearson ki kare ve Fisher's exact testleri kullanıldı. Bulgular: Elli atlet (%56,8) futbolda, 21'i (%23,9) basketbolda ve 17'si (%19,3) voleybolda yer almaktaydı. Atletlerin çoğu pelvik taban kaslarını (PTK) duymamıştı (%73,9), PTK fonksiyonunu (%84,1) ve pelvik taban disfonksiyonu tedavisini (%86,4) bilmiyordu. Atletlerin çoğu pelvik taban kas egzersizlerini (PTKE) duymadığını (%84,1) ve hiç PTKE yapmadığını (%90,9) bildirdi. Kadın atletlerde pelvik taban bilgi düzeyi erkek atletlere göre daha yüksekti (p<0,05). Ayrıca kadın atletlerde en sık görülen AÜSS, depolama semptomlarına göre noktüri (%75,9) ve aciliyet hissi (%75,9), işeme semptomlarına göre duraksama (%62,1) iken; erkek sporcularda bu semptomlar depolama semptomlarına göre gündüz işeme sıklığı (%39,0) ve noktüri (%20,4), işeme semptomlarına göre tam boşaltamama (%11,9) idi. Sonuç: Atletler sınırlı pelvik taban bilgisi ve farkındalığına sahipti. Kadın atletler, erkek atletlerden daha fazla AÜSS'ye sahipti.

Anahtar Kelimeler: Atletler; alt idrar yolu semptomları; pelvik taban
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