在分娩后的女性中,直肠间距离和腹部核心功能受损之间的关联与腹部直肠腹部扩散
L Bixo1, G Sandblom2,3, J Österberg1,4
1Department of Surgery, Mora Hospital, Mora, Sweden.
Journal of abdominal wall surgery : JAWS
|February 5, 2024
概括
在多变量分析中,腹部直径 (DRA) 间直径距离 (IRD) 与产后功能障碍没有相关性. 核心的不稳定性是复杂的,需要不仅仅是IRD测量治疗决策.
科学领域:
- 生殖医学 生殖医学
- 肌肉骨健康 肌肉骨健康
- 物理疗法物理治疗
背景情况:
- 腹部直 (DRA) 的定义和管理仍在争论中.
- 产后核心不稳定是影响女性功能能力的常见问题.
- 在DRA评估中,经常考虑直径间距离 (IRD).
研究的目的:
- 调查产后直肠间距离 (IRD) 和功能障碍之间的相关性.
- 确定IRD是否可以作为Diastasis Recti Abdominis中核心不稳定症状的代理.
- 评估IRD在指导DRA治疗决策中的实用性.
主要方法:
- 研究了一组224名产后妇女的核心不稳定性和DRA症状.
- 使用超声波测量测量了直肠间距离 (IRD).
- 使用残疾评级指数 (DRI) 自报告问卷来评估功能障碍.
主要成果:
- 无变量分析显示,IRD与跑步,重工和运动/体育方面的损害有关.
- 在多变量分析中,在调整了BMI和平价后,没有发现IRD和功能障碍之间的显著相关性.
- 该研究发现,IRD测量和自我报告的功能限制之间没有显著的联系.
结论:
- 仅仅直肠间距离 (IRD) 不是产后功能障碍的充分代表.
- 产后核心不稳定性是一种多因素状况,需要全面评估.
- 需要一个更完整的评估工具来评估产后腹部核心功能,以进行最佳的治疗计划.
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