横腹部和直腹部激活练习不会改变孕妇的直腹部间距离:一项随机试验
Alana Leandro Cabral1, Angélica Lemos Debs Diniz2, Elder Henrique de Oliveira3
1Postgraduate Program in Health Sciences, Federal University of Uberlândia, Uberlândia, Brazil.
Journal of physiotherapy
|September 26, 2025
概括
与一般炼相比,针对孕妇的腹部炼,重点是腹部横向 (TrA) 或直腹部 (RA),并没有显著改变直肠间距离 (IRD) 或盆地功能障碍. 孕妇可以安全地执行这些特定的腹部激活练习.
科学领域:
- 产科和妇科 产科和妇科
- 物理疗法物理治疗
- 康复医学 康复医学 康复医学
背景情况:
- 直径扩张,以增加直径间距离 (IRD) 为特征,在孕妇中很常见.
- 盆地功能障碍在怀孕期间和之后也很普遍,影响生活质量.
研究的目的:
- 为了比较横腹部 (TrA) 或直腹部 (RA) 激活炼与一般炼对孕妇的直腹间距离 (IRD) 的影响.
- 评估TRA和RA激活炼对盆地功能障碍症状的影响,与一般炼相比.
主要方法:
- 一个三臂随机对照试验,涉及63名初怀孕孕妇 (18-21周怀孕).
- 干预包括一般运动 (控制),TrA激活 (拉进) 和RA激活 (腹部),每次为12周 (24次).
- 主要结局:IRD的变化;次要结局:盆地地板烦问卷得分.
主要成果:
- 针对腹部运动的目标组和一般运动对照组之间没有观察到IRD变化的显著差异.
- 与一般练习相比,TRA和RA激活练习对IRD产生了类似的效果,并且在组之间没有实质性的差异.
- 在这三个组的骨盆底功能障碍症状中没有发现实质性的差异.
结论:
- 针对性TRA或RA激活炼的12周计划与孕妇的一般炼相比,并没有显著改变IRD或盆地功能障碍症状.
- 这些发现表明,孕妇不需要避免特定的横腹部或直腹部激活炼.
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