Prevalence, potential risk factors and sequelae of diastasis recti abdominis

被引:37
作者
Gitta, Stefania [1 ]
Magyar, Zoltan [2 ]
Tardi, Peter [3 ]
Fuge, Istvanne [4 ]
Jaromi, Melinda [1 ]
Acs, Pongrac [1 ]
Garai, Janos [5 ]
Bodis, Jozsef [4 ]
Hock, Marta [1 ]
机构
[1] Pecsi Tud Egyet, Egeszsegtud Kar, Fizioterapias & Sporttud Int, Pecs, Hungary
[2] Peterfy Sandor Utcai Korhaz Rendelointezet & Bale, Szuleszeti & Nogyogyaszati Osztaly, Budapest, Hungary
[3] Vasutegeszsegugyi Nonprofit Kozhasznu Kft, Egeszsegugyi Kozpont, Mozgasszervi Rehabil Int, Harkany, Hungary
[4] Pecsi Tud Egyet, Altalanos Orvostud Kar, Klin Kozpont, Szuleszeti & Nogyogyaszati Klin, Pecs, Hungary
[5] Pecsi Tud Egyet, Altalanos Orvostud Kar, Transzlacios Med Int, Pecs, Hungary
关键词
diastasis recti abdominis; risk factor; low back pain; urinary incontinence; quality of life; POSTPARTUM;
D O I
10.1556/650.2017.30703
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction: There is scant knowledge on diastasis recti which occurs mostly in 3(rd) trimester of pregnancy. Aim: Our aim was to assign the prevalence of diastasis recti and the possible risk factors and to investigate its association with some chronical diseases, like low back pain and urinary incontinence. Method: 200 women's interrectus distance was measured who filled out a self-made diastasis recti questionnaire, the SF-36, Oswestry Disability Index and the International Consultation on Incontinence Modular Questionnaire - Urinary Incontinence Short Form questionnaires. Results: Prevalence of the condition was 46.5%. In case of risk factors, relationship between number of deliveries and interrectus distance was significant. We found a significant difference in quality of life, in presence of low back pain and urinary incontinence between the normal and the abnormal group. Conclusions: In line with the literature we found, that diastasis recti can predispose on serious sequelae, hence on decreased quality of life.
引用
收藏
页码:454 / 460
页数:7
相关论文
共 24 条
[1]   Diastasis of rectus abdominis in the immediate puerperium: correlation between imaging diagnosis and clinical examination [J].
Barbosa, S. ;
Moreira de Sa, R. A. ;
Coca Velarde, L. G. .
ARCHIVES OF GYNECOLOGY AND OBSTETRICS, 2013, 288 (02) :299-303
[2]   Effects of exercise on diastasis of the rectus abdominis muscle in the antenatal and postnatal periods: a systematic review [J].
Benjamin, D. R. ;
van de Water, A. T. M. ;
Peiris, C. L. .
PHYSIOTHERAPY, 2014, 100 (01) :1-8
[3]   INCIDENCE OF DIASTASIS RECTI ABDOMINIS DURING THE CHILDBEARING YEAR [J].
BOISSONNAULT, JS ;
BLASCHAK, MJ .
PHYSICAL THERAPY, 1988, 68 (07) :1082-1086
[4]   INTERRATER RELIABILITY OF DIASTASIS RECTI ABDOMINIS MEASUREMENT [J].
BURSCH, SG .
PHYSICAL THERAPY, 1987, 67 (07) :1077-1079
[5]  
Candido G., 2005, Journal - association of chartered physiotherapists in womens health, V97:49
[6]  
Czimbalmos A, 1999, NEPEGESZSEGUGY, V80, P4
[7]   Early complications, pain, and quality of life after reconstructive surgery for abdominal rectus muscle diastasis: A 3-month follow-up [J].
Emanuelsson, P. ;
Gunnarsson, U. ;
Strigard, K. ;
Stark, B. .
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2014, 67 (08) :1082-1088
[8]   The Oswestry Disability Index [J].
Fairbank, JCT ;
Pynsent, PB .
SPINE, 2000, 25 (22) :2940-2952
[9]   Prevalence and risk factors of diastasis recti abdominis from late pregnancy to 6 months postpartum, and relationship with lumbo-pelvic pain [J].
Fernandes da Mota, Patricia Goncalves ;
Brites Andrade Pascoal, Augusto Gil ;
Andrade Dinis Carita, Ana Isabel ;
Bo, Kari .
MANUAL THERAPY, 2015, 20 (01) :200-205
[10]   Natural resolution of rectus abdominis diastasis. Two single case studies [J].
Hsia, M ;
Jones, S .
AUSTRALIAN JOURNAL OF PHYSIOTHERAPY, 2000, 46 (04) :301-307