Sex-specific care of musculoskeletal impairments is an increasingly important topic in women's health. This is clinically relevant and of paramount importance as it pertains to diagnosis and treatment of musculoskeletal and peripheral neurologic disorders of pregnancy and the puerperium. It is estimated that virtually all women experience some degree of musculoskeletal discomfort during pregnancy, and 25% have at least temporarily disabling symptoms. This review provides information on common pregnancy-related musculoskeletal conditions, including a discussion of anatomy and physiology, diagnosis, prognosis, and treatment of these disorders.
A cross-sectional study was performed on 62 female precision ice skaters to determine whether a modified Marshall Test is a reliable measure of constitutional flexibility in young female athletes. These skaters were from the Colonial Precision Skating Club of Acton, Massachusetts. Chronologic age ranged from 7 to 18 years with an average of 12.5 years (SD, 2.6 years). All skaters were assigned a modified Marshall Test score (Micheli's 5-point score) for both left and right thumbs. This score was then compared with their hamstring-flexibility measure (left and right) and the external and internal rotation (ER and IR, respectively) of their shoulders. Positive linear relationships were found between Micheli's 5-point score (MS) on the right side and both left and right hamstring and shoulder flexibility. However, the left-side MS was positively correlated only with the left hamstring and left shoulder flexibility. We conclude that the modified Marshall test is a reliable predictor of upper and lower extremity flexibility in female adolescent athletes.
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