Navodila, priporočila in smernice

Navodila, priporočila in smernice s področja fizioterapije za zdravje žensk (posodobljeno 2020/21)

 

1          RCOG - Royal College of Obstetricians & Gynaecologists

Splošna povezava:

https://www.rcog.org.uk/guidelines

Coronavirus (COVID-19) infection and pregnancy

https://www.rcog.org.uk/globalassets/documents/guidelines/2021-02-19-coronavirus-covid-19-infection-in-pregnancy-v13.pdf

  • KLJUČNI IZSLEDKI:
    • Okužba s COVID-19 vpliva na 2-3x večjo možnost za prezgodni porod (sploh, če poteka simptomatsko)
    • COVID-19 pomembno vpiva tudi na večji delež rojstev s carskim rezom (59% nosečnic s COVID-19 rodi s carskim rezom)

 

2          SMA - Sports Medicine Australia

Splošna povezava:

https://sma.org.au/resources-advice/policies-and-guidelines/active-women-in-sport/

ZGIBANKE:

Pregnancy and exercise

https://sma.org.au/sma-site-content/uploads/2017/08/SMA_AWiS_Pregnancy_-_Exercise.pdf

Exercise and breast support

https://sma.org.au/sma-site-content/uploads/2017/08/1082-SMA-BRABrochure_FA_Web.pdf

Risks and benefits of exercise in pregnancy

https://sma.org.au/sma-site-content/uploads/2017/08/pregnancystatement.pdf

Participation of pregnant athlete in contact and collision sport

https://sma.org.au/sma-site-content/uploads/2017/08/torode.pdf

 

3          POGP - Pelvic, Obstetric and Gynaecological Physiotherapy

Splošna povezava:

https://thepogp.co.uk/

 

Post COVID pelvic floor rehabilitation

https://thepogp.co.uk/_userfiles/pages/files/POGP-COVID-19-poster2.pdf

RCM/CSP Joint statement on Pelvic Floor Muscle Exercises

Improving health outcomes for women following pregnancy and birth

https://pogp.csp.org.uk/system/files/documents/2020-05/001616%20RCM%20Position%20statement%20update%20v3.pdf

Aquanatal Guidelines Guidance on antenatal and postnatal exercises in water (2017)

https://pogp.csp.org.uk/system/files/publication_files/POGP-Aquanatal%20%28UL%29.pdf

The Pelvic Floor Muscles - a Guide for Women (2018)

https://pogp.csp.org.uk/system/files/publication_files/POGP-PelvicFloor%20%28UL%29.pdf

 

ZGIBANKE:

https://pogp.csp.org.uk/booklets

 

4          ACSM - American College of Sports Medicine

Splošna povezava:

https://www.acsm.org/

 

ZGIBANKA:

Pregnancy Physical Activity

https://www.acsm.org/docs/default-source/files-for-resource-library/pregnancy-physical-activity.pdf?sfvrsn=12a73853_4

 

5          ACOG - The American College of Obstetricians and Gynecologists

Splošna povezava:

https://www.acog.org/

 

Physical Activity and Exercise During Pregnancy and the Postpartum Period, Committee Opinion, April 2020.

https://www.acog.org/-/media/project/acog/acogorg/clinical/files/committee-opinion/articles/2020/04/physical-activity-and-exercise-during-pregnancy-and-the-postpartum-period.pdf

  • KLJUČNI IZSLEDKI:
    • Priporočila (ACOG) za telesno dejavnost v nosečnosti se bistveno ne razlikjejo od predhodnjih priporočil;
    • Svetujejo uporabo “5A pristop” (angl. 5’s approach – ask, advice, asses, assist, arrange), s čimer na podlagi anamneze/vprašanj dobimo dobro oceno/stanje zdrave nosečnice, ki ji na podlagi tega svetjemo, pomagamo in naredimo skupni plan telesne dejavnosti med nosečnostjo (str. 181)

 

6          CSEP - Canadian Society for Exercise Physiology

Splošna povezava:

https://csep.ca/

 

7          SOGC - Society of Obstetricians and Gynaecologists of Canada

Splošna povezava:

https://www.sogc.org/

 

Conservative Care of Urinary Incontinence in Women.

https://www.jogc.com/article/S1701-2163(19)30463-3/fulltext

 

  • KLJUČNI IZSLEDKI:
    • Priporočila (SOGC) za konzervativno obravnavo urinske inkontinence poudrarjajo pomen znižanja telesne teže za vse pacientke, ki imajo prekomerno težo, ne glede na vrsto inkontinence (SUI in UUI) in pomen pomoči pri vzpostavitvi in vzdrževanju ukrepov za zdrav življenjski slog;
    • Poudrajajo tudi pomembnost tega, da se pacienti pred izvajanjem vadbe za mišice medeničnega dna (VMMD), le te naučijo pravilno izvajati pri ustreznem strokovnjaku (fizioterapevt, ginekolog, medicinska sestra). Pisna/ustna navodila niso zagotovilo, da posameznik pravilno stisne mišice medeničnega dna, kar je pogoj za uspešno izvajanje VMMD.

 

8          NICE - The National Institute for Health and Care Excellence

Splošne povezave:

https://www.nice.org.uk/guidance/NG59

https://pathways.nice.org.uk/

Chronic pain: assessment and management

https://www.nice.org.uk/guidance/GID-NG10069/documents/evidence-review-7

Urinary incontinence and pelvic organ prolapse in women: management

https://www.nice.org.uk/guidance/ng123/resources/urinary-incontinence-and-pelvic-organ-prolapse-in-women-management-pdf-66141657205189

 

Urinary incontinence and pelvic organ prolapse in women overview

file:///C:/Users/Uporabnik/Downloads/urinary-incontinence-and-pelvic-organ-prolapse-in-women-urinary-incontinence-and-pelvic-organ-prolapse-in-women-overview.pdf

 

Urinary incontinence in neurological disease overview

file:///C:/Users/Uporabnik/Downloads/urinary-incontinence-in-neurological-disease-urinary-incontinence-in-neurological-disease-overview.pdf

Hypertension in pregnancy: diagnosis and management

https://www.nice.org.uk/guidance/ng133/resources/hypertension-in-pregnancy-diagnosis-and-management-pdf-66141717671365

Constipation in children and young people: diagnosis and management

https://www.nice.org.uk/guidance/cg99/resources/constipation-in-children-and-young-people-diagnosis-and-management-pdf-975757753285

Menopause: diagnosis and management

https://www.nice.org.uk/guidance/ng23/resources/menopause-diagnosis-and-management-pdf-1837330217413

Low back pain and sciatica overview

file:///C:/Users/Uporabnik/Downloads/low-back-pain-and-sciatica-low-back-pain-and-sciatica-overview.pdf

Managing low back pain and sciatica

file:///C:/Users/Uporabnik/Downloads/low-back-pain-and-sciatica-managing-low-back-pain-and-sciatica.pdf

 

9          IUJ - International Urogynecology Journal

Splošna povezava:

https://www.iuga.org/publications/iuj

 

Dutch guidelines for physiotherapy in patients with stress urinary incontinence: an update 2014

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3906549/pdf/192_2013_Article_2219.pdf

 

 

10     EAU - European Association of Urology 

Splošna povezava:

https://uroweb.org/guidelines/

EAU Guidlines on Sexual and Reproductive Health

https://uroweb.org/wp-content/uploads/EAU-Pocket-Guidelines-on-Sexual-and-Reproductive-Health-2020.pdf

 

11     ICS - International Continence Society 

Splošna povezava:

https://www.ics.org

 

12     BJSM - British Journal of Sports Medicine

Splošna povezava:

https://bjsm.bmj.com/

 

Canadian guideline for physical activity throughout pregnancy

https://bjsm.bmj.com/content/52/21/1339

 

13     Physiopedia 

Splošna povezava:

https://www.physio-pedia.com/Category:Clinical_Guidelines

 

14     SIGN - Scottish Intercollegiate Guidelines Network

Splošna povezava:

https://www.sign.ac.uk/

Management of osteoporosis and the prevention of fragility fractures

https://www.sign.ac.uk/media/1812/sign-142-osteoporosis-v3.pdf

 

15     NASS - North American Spine Society

Splošna povezava:

https://www.spine.org/

Diagnosis and Treatment of Low Back Pain - Clinical Guideline

https://www.spine.org/Portals/0/assets/downloads/ResearchClinicalCare/Guidelines/LowBackPain.pdf

 

16     AUA - American Urological Association

Splošna povezava:

https://www.auanet.org/

Diagnosis and Treatment of Non-Neurogenic Overactive Bladder (OAB) in Adults: an AUA/SUFU Guideline

https://www.auanet.org/guidelines/overactive-bladder-(oab)-guideline