孕妇可在怀孕期间锻炼腹部和骨盆底肌肉,而不会增加腹肌直肠膨出:随机试验。

IF 9.7 1区 医学 Q1 ORTHOPEDICS Journal of Physiotherapy Pub Date : 2024-04-01 DOI:10.1016/j.jphys.2024.02.002
Nina-Margrethe Theodorsen , Kari Bø , Kjartan Vibe Fersum , Inger Haukenes , Rolf Moe-Nilssen
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引用次数: 0

摘要

问题为期 12 周的孕期腹部和骨盆底肌肉锻炼计划在 12 周干预期结束后立即和产后 6 周随访时对腹部直肠间距(IRD)的影响如何?探索性、平行组、随机对照试验,采用隐藏分配、评估者盲法和意向治疗分析法:96名年龄≥18岁的孕妇,初产妇或多产妇,妊娠第24周,静息时测得IRD≥28毫米和/或初次评估时测得IRD突出:实验组参加为期 12 周的孕期腹部和骨盆底肌肉锻炼计划。结果测量:结果:从干预前到干预后和随访 6 周期间,超声波检查测量了静止时脐部上方和下方 2 厘米处 IRD 的变化(毫米):从基线到干预后,两组的 IRD 均有所增加,而从干预后到产后 6 周的随访,两组的 IRD 均有所减少。随访时,两组的 IRD 都最小。在脐上 2 厘米处,干预后的干预效果为 2 毫米(95% CI -2-7),随访时为-1 毫米(95% CI -4-3)。在脐下 2 厘米处,干预后的即时干预效果为-5 毫米(95% CI -10-0),随访时为 0 毫米(95% CI -4-4):结论:孕期腹部和骨盆底肌肉训练对 12 周干预后即刻和产后 6 周的 IRD 影响微乎其微:NCT04960800。
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Pregnant women may exercise both abdominal and pelvic floor muscles during pregnancy without increasing the diastasis recti abdominis: a randomised trial

Question

What is the effect of a 12-week abdominal and pelvic floor muscle exercise program during pregnancy on the inter-recti distance (IRD) in women with diastasis recti abdominis immediately after the 12-week intervention period and at follow-up 6 weeks postpartum?

Design

An exploratory, parallel-group, randomised controlled trial with concealed allocation, assessor blinding and intention-to-treat analysis.

Participants

Ninety-six pregnant women aged ≥ 18 years, either primigravida or multigravida, in gestation week 24 with an IRD of ≥ 28 mm measured at rest and/or a protrusion on initial assessment.

Intervention

The experimental group participated in a 12-week abdominal and pelvic floor muscle exercise program during pregnancy. The control group received no intervention.

Outcome measures

Change (mm) in IRD 2 cm above and below the umbilicus at rest from pre-intervention to immediately post-intervention and to 6 weeks follow-up measured with ultrasonography.

Results

The IRD increased for both groups from baseline to immediately after the intervention and decreased from after the intervention to the follow-up at 6 weeks postpartum. The IRD was smallest for both groups at the follow-up. At 2 cm above the umbilicus, the intervention effect was 2 mm (95% CI –2 to 7) immediately after the intervention and –1 mm (95% CI –4 to 3) at follow-up. At 2 cm below the umbilicus, the intervention effect was –5 mm (95% CI –10 to 0) immediately after the intervention and 0 mm (95% CI –4 to 4) at follow-up.

Conclusion

Abdominal and pelvic floor muscle training during pregnancy have a negligible effect on the IRD immediately after 12 weeks of intervention and at 6 weeks post-partum.

Registration

NCT04960800.

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来源期刊
Journal of Physiotherapy
Journal of Physiotherapy ORTHOPEDICS-REHABILITATION
CiteScore
11.40
自引率
7.40%
发文量
69
审稿时长
72 days
期刊介绍: The Journal of Physiotherapy is the official journal of the Australian Physiotherapy Association. It aims to publish high-quality research with a significant impact on global physiotherapy practice. The journal's vision is to lead the field in supporting clinicians to access, understand, and implement research evidence that will enhance person-centred care. In January 2008, the Journal of Physiotherapy became the first physiotherapy journal to adhere to the ICMJE requirement of registering randomized trials with a recognized Trial Registry. The journal prioritizes systematic reviews, clinical trials, economic analyses, experimental studies, qualitative studies, epidemiological studies, and observational studies. In January 2014, it also became the first core physiotherapy/physical therapy journal to provide free access to editorials and peer-reviewed original research. The Australian Physiotherapy Association extended their support for excellence in physiotherapy practice by sponsoring open access publication of all Journal of Physiotherapy content in 2016. As a result, all past, present, and future journal articles are freely accessible, and there are no author fees for publication.
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