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<p>Women experience musculoskeletal changes following pregnancy that may increase musculoskeletal injury risk. This trial explored 18-weeks combined rehabilitation and endurance and resistance training (Intervention, <i>n</i> = 17) compared with standard-of-care (Control, <i>n</i> = 14) on areal bone mineral density (aBMD), tibial bone, and patella tendon properties in postpartum UK Servicewomen. Intervention received standard care plus pelvic floor and core strength exercises from week 1 to 18 (week 6 to 24 postpartum), and combined high-intensity interval and resistance training from week 6 to 18 (week 12 to 24 postpartum). Control received standard care. Whole-body DXA and tibial HRpQCT scans (4% and 30% sites) were taken at week 1 and 18. Patella tendon properties at rest and during isometric contractions were measured by ultrasound at weeks 1, 6, and 18. There was no effect of training on aBMD (<i>p</i> ≥ 0.100) but trunk (–1.6%) and spine (–2.3%) aBMD decreased from week 1 to 18, irrespective of group (<i>p</i> ≤ 0.021). There was no effect of training on tibial bone (<i>p</i> ≥ 0.151) or patella tendon properties (<i>p</i> ≥ 0.185). An 18-week rehabilitation and endurance and resistance training programme had no effect on bone or tendon properties in postpartum Servicewomen.</p>

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Bone and tendon adaptations to 18-weeks rehabilitation and endurance and resistance training in postpartum British Servicewomen: a non-randomised controlled trial

  • 期刊论文

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  • 发表日期：

    2026年5月2日

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  • Thomas J. O’Leary,
  • Emma L. Bostock,
  • Thea Jackson,
  • Sophie L. Wardle,
  • Kirsty J. Elliott-Sale,
  • Craig Sale,
  • Julie P. Greeves

摘要

Women experience musculoskeletal changes following pregnancy that may increase musculoskeletal injury risk. This trial explored 18-weeks combined rehabilitation and endurance and resistance training (Intervention, n = 17) compared with standard-of-care (Control, n = 14) on areal bone mineral density (aBMD), tibial bone, and patella tendon properties in postpartum UK Servicewomen. Intervention received standard care plus pelvic floor and core strength exercises from week 1 to 18 (week 6 to 24 postpartum), and combined high-intensity interval and resistance training from week 6 to 18 (week 12 to 24 postpartum). Control received standard care. Whole-body DXA and tibial HRpQCT scans (4% and 30% sites) were taken at week 1 and 18. Patella tendon properties at rest and during isometric contractions were measured by ultrasound at weeks 1, 6, and 18. There was no effect of training on aBMD (p ≥ 0.100) but trunk (–1.6%) and spine (–2.3%) aBMD decreased from week 1 to 18, irrespective of group (p ≤ 0.021). There was no effect of training on tibial bone (p ≥ 0.151) or patella tendon properties (p ≥ 0.185). An 18-week rehabilitation and endurance and resistance training programme had no effect on bone or tendon properties in postpartum Servicewomen.