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Table 2 Final impairments in Delphi round III for reaching consensus as common musculoskeletal impairments in postpartum runners

From: Common musculoskeletal impairments in postpartum runners: an international Delphi study

Musculoskeletal Impairments Consensus (%)
Round II 		Composite Score
Round III 		Consensus (%)
Round III
Strength
 Abdominal weakness 100 160 100
 Hip abductor weakness 100 154 100
 Hip extensor weakness 95.12 142 100
 Pelvic floor weakness 95.12 156 97.56
 Hip rotator weakness 90.24 136 97.56
Range of Motion
 Hip extension restriction 82.93 131 95.12
 Excessive counter nutation (anterior pelvic tilt) 90.24 123 92.68
 Generally hypermobile, no restriction 68.29 129 90.24
 Thoracic extension restriction 75.61 115 78.05
 Hip internal rotation restriction 68.29 116 75.61
Flexibility
 Tight hip flexors 85.37 150 100
 Laxity in abdominal wall 87.80 144 95.12
 Tight lumbar extensors 68.29 118 80.49
 Tight hamstrings 65.85 115 75.61
 Tight iliotibial band 70.73 113 75.61
Alignment
 Trendelenburg sign 85.37 129 95.12
 Dynamic knee valgus 80.49 124 92.68
 Increased lumbar lordosis 87.80 124 92.68
 Over pronation 70.73 114 80.49
 Thoracic kyphosis 70.73 114 75.61
Risk Factors
 Muscular imbalance 100 156 100
 Poor lumbopelvic control 100 154 100
 Hip weakness 100 152 100
 Too much, too soon 95.12 139 100
 Trauma to pelvic floor 90.24 138 100
 Hip pain 87.80 133 100
 Increased life stressors 90.24 133 100
 Decreased exercise tolerance 78.05 131 100
 Pain during pregnancy 85.37 131 100
 Lumbopelvic muscle weakness 97.56 153 97.56
 Altered running mechanics 100 143 97.56
 Chronic pain history 87.80 140 97.56
 Global laxity 78.05 139 97.56
 Pelvic floor pain 92.68 137 97.56
 Lumbopelvic instability 92.68 137 97.56
 Chronic fatigue 80.49 131 97.56
 Hip extensor muscle activation 75.61 131 97.56
 History of running injury 85.37 141 95.12
 Poor sleep quality 82.93 131 95.12
 Caretaking posture 73.17 130 92.68
 Labor duration 73.17 122 92.68
 Increased body mass index (BMI) 78.05 124 90.24
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Archives of Physiotherapy

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