Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Ankara Yildirim Beyazit University, Ankara, Turkey.
Department of Radiology, Faculty of Medicine, Ankara Yildirim Beyazit University, Ankara, Turkey.
J Bodyw Mov Ther. 2024 Oct;40:1610-1614. doi: 10.1016/j.jbmt.2024.08.011. Epub 2024 Aug 15.
BACKGROUND/AIM: It is still unclear what types of exercise, beneficial to prevent and/or decrease diastasis recti abdominis (DRA). This study purposed to examine immediate effects of corrective exercise versus curl-up exercise on interrecti distance (IRD) and linea alba (LA) distortion in women with DRA.
Twenty-three women with DRA were included. The IRD and the LA distortion (with distortion index formula) were measured with ultrasound imaging at rest, during curl-up and corrective exercise.
The IRD, measured at above and below umbilicus, and the distortion index were different between the measurements at rest, during curl up and correction exercise (p < 0.05). In corrective exercise, the change in the IRD at above umbilicus decreased more than rest (p = 0.009) and curl-up (p = 0.004). The change in the IRD at below umbilicus decreased more in corrective exercise than rest (p = 0.033) and curl-up (p = 0.028). The distortion index increased more in corrective exercise than rest (p = 0.006). The index increased more in curl-up than rest (p = 0.029).
The corrective exercise may be helpful in the treatment of DRA. Moreover, different muscle contractions that will provide the LA distortion should be taken into account in the treatment of DRA.
背景/目的：目前仍不清楚哪种运动有益于预防和/或减少腹直肌分离（DRA）。本研究旨在探讨矫正运动与卷腹运动对 DRA 女性的腹直肌间距离（IRD）和白线变形的即刻影响。
纳入 23 名 DRA 女性。在休息、卷腹和矫正运动时，通过超声成像测量 IRD 和白线变形（采用变形指数公式）。
在脐上和脐下测量的 IRD 和变形指数在休息、卷腹和矫正运动时均存在差异（p<0.05）。在矫正运动时，脐上 IRD 的变化小于休息时（p=0.009）和卷腹时（p=0.004）。脐下 IRD 的变化在矫正运动时小于休息时（p=0.033）和卷腹时（p=0.028）。矫正运动时的变形指数增加大于休息时（p=0.006）。卷腹时的指数增加大于休息时（p=0.029）。
矫正运动可能有助于 DRA 的治疗。此外，在 DRA 的治疗中，应考虑到不同的肌肉收缩，这将导致白线变形。
