Katawazai Asmatullah, Wallin Göran, Ärlebäck Anna, Sandblom Gabriel
Departments of Surgery, Faculty of Medicine and Health, University Hospital Örebro, School of Medical Sciences, Örebro University, Örebro, Sweden.
Olaus Petri Healthcare Centre, Örebro, Sweden.
J Abdom Wall Surg. 2025 Feb 4;3:13830. doi: 10.3389/jaws.2024.13830. eCollection 2024.
This study evaluates the impact of the minimal incision repair of rectus abdominis diastasis (MIRRAD) procedure on physical activity, muscle strength, quality of life, and overall satisfaction in women with postpartum rectus abdominis diastasis (PP-RAD).
A cohort of 31 female patients, aged 20-50 years, diagnosed with PP-RAD unresponsive to conservative treatment, underwent the MIRRAD procedure. Assessments were conducted preoperatively and 1 year postoperatively, these included the Modified Abdominal Trunk Function Protocol (MATFP), Disability Rating Index (DRI), and Urinary Disability Index (UDI) questionnaires. Physical activity intensity was monitored using accelerometers.
Significant improvements were observed in vigorous physical activities (Z = -2.352, = 0.019), vector magnitude counts per minute (Z = -2.163, = 0.031), and steps per minute (Z = -3.131, = 0.002). DRI showed significant improvements in physical tasks like dressing, walking, and strenuous work (Z ranging from -2.705 to -4.603, < 0.001). UDI indicated significant improvements in urinary symptoms, including reduced frequency (Z = -2.984, = 0.003) and less urinary leakage (Z = -2.357, = 0.018). MATFP demonstrated gains in back and abdominal muscle strength (Z = -4.321, < 0.001) and trunk stability (Z = -3.991, < 0.001).
The MIRRAD procedure significantly improves physical strength, trunk stability, and urinary function, enhancing daily activities and overall physical health in women with PP-RAD. Further research is recommended to evaluate long-term outcomes.
本研究评估腹直肌分离最小切口修复术（MIRRAD）对产后腹直肌分离（PP-RAD）女性的身体活动、肌肉力量、生活质量和总体满意度的影响。
对31例年龄在20至50岁之间、被诊断为PP-RAD且对保守治疗无反应的女性患者进行了MIRRAD手术。在术前和术后1年进行评估，这些评估包括改良腹部躯干功能方案（MATFP）、残疾评定指数（DRI）和尿失禁指数（UDI）问卷。使用加速度计监测身体活动强度。
在剧烈身体活动（Z = -2.352，P = 0.019）、每分钟向量大小计数（Z = -2.163，P = 0.031）和每分钟步数（Z = -3.131，P = 0.002）方面观察到显著改善。DRI显示在诸如穿衣、行走和繁重工作等身体任务方面有显著改善（Z范围为-2.705至-4.603，P < 0.001）。UDI表明在泌尿症状方面有显著改善，包括排尿频率降低（Z = -2.984，P = 0.003）和尿失禁减少（Z = -2.357，P = 0.018）。MATFP显示背部和腹部肌肉力量增强（Z = -4.321，P < 0.001）以及躯干稳定性提高（Z = -3.991，P < 0.001）。
MIRRAD手术显著改善了PP-RAD女性的体力、躯干稳定性和泌尿功能，增强了日常活动和整体身体健康。建议进一步研究以评估长期结果。
