剖宫产后产后妇女腹直肌舒张与盆底功能障碍、骶髂关节功能障碍和生活质量的关系

IF 0.5 4区 医学 Q4 REHABILITATION Physikalische Medizin Rehabilitationsmedizin Kurortmedizin Pub Date : 2022-05-31 DOI:10.1055/a-1962-4221
Enas Abu Saleh, L. Walton, S. Said, Veena Raigangar, M. Kim
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引用次数: 0

摘要

摘要目的本研究的目的是了解腹直肌分离与盆底功能障碍、骶髂关节功能障碍和产后妇女健康相关的生活质量之间是否存在预测关系。方法采用横断面相关研究方法,对32名18~45岁的产后母亲进行调查。采用真实超声声像图成像(RUSI)测定DRA。盆底功能障碍指数用于评估盆底功能障碍(PFDI)。还研究了主动直腿抬高试验(ASLR)、长背骶韧带试验(LDL)和后骨盆刺激试验(P4)。采用简式12(SF-12)调查来评估健康相关的生活质量(HRQoL)。结果DRA与产后时间呈负相关(ρ=0.0001)。以下类别的DRA与盆底功能障碍呈显著正相关:盆腔器官脱垂障碍量表-6(POPDI-6)与DRA呈正相关(ρ=0.01);直肠肛门疼痛量表-8(CRAD-8)(ρ=0.02);尿窘迫量表-6(UDI-6)(ρ=0.00)。DRA与骶髂关节功能障碍(ρ=0.8)之间无相关性。结论DRA是盆底功能障碍(如脱垂、结直肠肛门功能障碍和尿窘迫)的有力预测因子。没有证据表明DRA与骶髂关节功能障碍或HRQoL之间存在联系。
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The association between Diastasis recti abdominis and pelvic floor dysfunction, sacroiliac joint dysfunction, and quality of life among postpartum women after Cesarean delivery
Abstract Purpose The goal of this study is to see if there's a predictive relationship between diastasis rectus abdominis and pelvic floor dysfunction, sacroiliac joint dysfunction, and postpartum women's health-related quality of life. Method This cross-sectional, correlative study focused on 32 postpartum mothers aged 18 to 45 years old. Real Ultrasound Sonographic Imaging (RUSI) was used to determine DRA. The Pelvic Floor Disability Index was used to assess pelvic floor dysfunction (PFDI). The Active Straight Leg Raise Test (ASLR), the Long Dorsal Sacral Ligament Test (LDL), and the Posterior Pelvic Provocation Test (P4) were also investigated. The Short Form-12 (SF-12) Survey was used to assess health-related quality of life (HRQoL). Results A negative correlation between DRA and postpartum period was recorded (ρ=0.0001). The following categories showed a significant positive correlation between DRA and Pelvic floor dysfunction: Pelvic Organ Prolapse Distress Inventory-6 (POPDI-6) corelated positively with DRA (ρ =0.01); Colorectal-Anal Distress Inventory-8 (CRAD-8) (ρ =0.02); Urinary Distress Inventory-6 (UDI-6) (ρ =0.00). There was no correlation between DRA and sacroiliac joint dysfunction (ρ =0.8). Conclusion DRA was discovered to be a strong predictor of pelvic floor dysfunction, such as prolapse, colorectal-anal dysfunction, and urine distress. There was no evidence of a link between DRA and sacroiliac joint dysfunction or HRQoL.
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来源期刊
CiteScore
1.10
自引率
25.00%
发文量
70
审稿时长
3 months
期刊介绍: The Journal of Physical and Rehabilitation Medicine offers you the most up-to-date information about physical medicine in clinic and practice, as well as interdisciplinary information about rehabilitation medicine and spa medicine. Publishing 6 issues a year, the journal includes selected original research articles and reviews as well as guidelines and summaries of the latest research findings. The journal also publishes society news and editorial material. “Online first” publication ensures rapid dissemination of knowledge.
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