实时超声反馈腹横肌激活对产后腹直肌分离的影响  

Real-time ultrasound feedback of transversus abdominis muscle activation on postpartum diastasis recti abdminis

作　　者：林君 宋成宪[2] 阙可欣[2] 岑婉仪 王润妹 张嘉泳[2] 刘刚 LIN Jun;SONG Chengxian;QUE Kexin;CEN Wanyi;WANG Runmei;ZHANG Jiayong;LIU Gang(Department of Rehabilitation Medicine,Nanfang Hospital of Southern Medical University,Guangzhou,Guangdong 510515,China;不详)

机构地区：[1]南方医科大学南方医院康复医学科,广东广州510515 [2]广州医科大学附属第三医院康复医学科,广东广州510150

出　　处：《中国临床研究》2023年第5期698-703,共6页Chinese Journal of Clinical Research

基　　金：广州市卫生健康科技项目(20181A011086)。

摘　　要：目的观察实时超声反馈腹部中空训练对腹横肌激活和产后腹直肌分离(DRA)患者的疗效。方法选取2021年12月至2022年7月于广州医科大学附属第三医院康复医学科就诊的产后DRA>20 mm患者62例,随机分为两组,分别接受实时超声反馈治疗(试验组)和常规反馈治疗(对照组),共4周。治疗前、治疗2周后、治疗4周后,分别测量腹围和利用高频超声测量腹肌厚度、腹直肌分离间距(IRD),计算腹围差值、腹横肌激活程度。结果与对照组比较,治疗2周后,试验组腹横肌激活程度更好,腹围缩小更多(P<0.05);治疗4周后,试验组IRD小于对照组[(18.02±4.82)mm vs(20.36±4.13)mm],静态腹横肌厚度[(3.21±0.59)mm vs(2.91±0.51)mm]、动态腹横肌厚度[(5.16±0.86)mm vs(4.54±0.70)mm]高于对照组(P<0.05)。结论基于实时超声反馈的腹部中空训练可促进腹横肌的激活和增加肌肉厚度,可有助于产后DRA患者IRD的恢复。Objective To observe the effect of abdominal hollowing exercise(AHE)through real-time ultrasound imaging feedback on transverse abdominis(TrA)muscle activation and diastasis recti abdominis(DRA)after postpartum.Methods From December 2021 to July 2022,62 patients with DRA more than 20 mm treated in the Third Affiliated Hospital of Guangzhou Medical University were selected and randomly divided into experimental group and control group.The real-time ultrasound imaging feedback for AHE was performed in experimental group,and conventional feedback for AHE was given in control group.The treatment lasted for four weeks in both groups.Before treatment and after 2 weeks and 4 weeks of treatment,the abdominal circumference(AC)was measured,and the abdominal muscle thickness and inter-recti distance(IRD)were measured by high-frequency ultrasound to calculate AC difference and the activation degree of TrA muscle.Results Compared with those in control group,the activation degree of TrA muscle significantly increased,and AC reduced in experimental group after 2 weeks of treatment(P<0.05).Compared with those in control group,in experimental group,IRD became smaller[(18.02±4.82)mm vs(20.36±4.13)mm,P<0.05],and the static TrA muscle thickness[(3.21±0.59)mm vs(2.91±0.51)mm,P<0.05]and the dynamic TrA muscle thickness[(5.16±0.86)mm vs(4.54±0.70)mm,P<0.05]significantly increased after 4 weeks of treatment.Conclusions AHE based on real-time ultrasound feedback can promote the activation of TrA muscle and an increase in thickness of TrA muscle,which may be conducive to the recovery of the postpartum patients with diastasis recti abdominis.

关 键 词：产后康复 腹直肌分离 腹横肌 实时超声反馈 腹部中空训练 腹直肌分离间距 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.6[医药卫生—诊断学]