妇科人群中腹壁松弛症的患病率:横断面研究

Asma Ameer, Huma Waqar, Shanza Ayub, Aqsa Ilyas, Bilal Umar, Sara Khan
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摘要

背景:腹直肌分隔是指腹部直肌因中线胶原结构(称为白线)的分裂而分隔。它导致身体生物力学不良和身体重心改变。它主要发生在多产女性和腹部肌肉不发达的女性身上。体育锻炼和孕产妇护理对解决这一问题非常重要。研究目的本研究的目的是在费萨拉巴德联合医院就诊的产后妇女样本中证实直肠松弛症的发病率。目的是在临床环境和普通人群中提高对直肠松弛症的认识。研究设计:这是一项横断面研究,包括 90 个产后女性样本。研究方法:通过手动指宽法进行具体评估,确认是否存在 DRAM。脐部是测量的设定点。结果和结论:脐带分离现象存在,且主要影响多产妇。研究显示其发生率为 63.3%,正常腹直肌为 36.7%。研究还证实,在 63.3% 的女性中,42.2% 的腹直肌分离现象发生在肚脐上方,其余的则发生在脐下。大多数产后女性都患有腹肌下垂症。它更多地出现在脐上区域。关键词妊娠、腹直肌、多产妇、初产妇、物理疗法。
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Prevalence of Diastasis Recti Abdominis in a Gynecological Population: A Cross-Sectional Study
Background: Diastasis recti is the divarication of rectus abdominal muscles due to the splitting of the mid-line collagen structure called the linea alba. It results in poor body biomechanics and alteration in the center of gravity of the body. It occurs mostly in multiparous females and in those who have poorly toned abdominal musculature. Physical activity and maternal care are significant to resolve this condition. Objective: The purpose of the study is to substantiate the prevalence of diastasis recti in a sample of immediate post-partum females attended by the Allied Hospital of Faisalabad. The aim is to create awareness of DRAM in clinical settings and the general population. Study design: This is a cross-sectional study that included 90 samples of females in the immediate postpartum period. Methodology: Specific assessment was done by finger-width method manually and confirmed the presence of DRAM. The umbilical region was the set point from which measurements were taken. Results and Conclusions: The separation was present and mostly affected the multiparous females. The study showed 63.3% prevalence and normal rectus abdominis is 36.7%. It also verified that 42.2% of females suffered from DRAM above the navel out of 63.3% and the rest are below the umbilicus. DRAM was prevalent to be in the majority of post-partum females. It was more present in the supra-umbilical region. Keywords: Pregnancy, rectus abdominis, multiparous, primiparous, physiotherapy.
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