SLE Track
VALOR Maternal
Duration
3 phases · Pre-Conception (≥6 mo), Pregnancy, Postpartum
Structure
Trimester-specific, companion to VALOR+
Delivery
Virtual
About this protocol
VALOR Maternal is the reproductive-continuum companion to VALOR+, for SLE patients planning conception, currently pregnant, or in the postpartum window — including anti-Ro/SSA-positive patients, antiphospholipid syndrome, and lupus nephritis history. It integrates EULAR antirheumatic-drug guidelines, BSR/BHPR prescribing guidance, PROMISSE study data, and the 2019 Canadian Physical Activity in Pregnancy Guidelines. The pre-conception phase targets SLEDAI-2K ≤4 for at least six months before attempting conception.
Clinical authors
- Angelo Papachristos, PT, ACPAC
- Dr. Teresa Semalulu, MD
- Dr. Dharini Mahendira, MD
Evidence base
VALOR Maternal is derived from systematic review and randomized controlled trial evidence in SLE — Pre-Conception, Pregnancy & Postpartum. Protocol parameters — phase structure, load progression, and outcome measures — align with EULAR, ACR, and ASAS exercise-therapy recommendations. Outcome tracking favours open-access PROMIS instruments where validated equivalents exist.
View the evidence library →Outcome measures
- All VALOR+ core measures (PROMIS Fatigue applied)PROMIS
- SLEDAI-2K (pre-conception target ≤4 for ≥6 months)
- Pelvic floor strength assessment
- Pelvic Girdle Pain screen (postpartum)
- Fetal echo schedule awareness (anti-Ro/SSA)
PROMIS short forms are free, NIH-developed measures used in place of paid legacy instruments.
What's included
- Virtual assessment with a certified exercise therapist
- Personalised programme plan
- Live-virtual group or individual sessions
- Asynchronous guided home programme
- Regular ePRO check-ins with adaptive progression
- Care coordinator support
- Programme completion report
Interested in this protocol?
Speak to us about adding VALOR Maternal to your PSP or benefits plan.
Request a pilotFor patients