摘要
腹直肌分离(diastasis recti abdominis,DRA)是产后并发症之一,常采用腹肌训练的方法促进其康复,但至今没有普遍可接受的训练模式及其相应理论支撑。本文从腹壁生物力学角度对DRA机制和康复效果进行综述,同时也分析了其争议的原因。主要原因包括腹直肌间距(inter⁃rectus distance,IRD)和腹肌厚度测量方法和测量部位的不统一,以及未能用生物力学方法探讨DRA发生机制等。因此,今后应规范DRA训练方法,研究DRA状态下的腹肌及其腱膜力学特征,为腹肌训练模式提供依据。
Diastasis recti abdominis(DRA)is one of postpartum complications,and abdominis muscles training is often used for the rehabilitation of DRA,but universally acceptable training modes and support of corresponding theories are not available now.In this paper,the mechanism of DRA and rehabilitation effects were reviewed from biomechanical view of the abdominal wall.Meanwhile,the main reasons for the controversy were also analyzed.The measurement method and measurement sites of inter⁃rectus distance(IRD)and rectus abdominis muscle thickness are inconsistent;the mechanism of DRA was not studied by biomechanical method.Therefore,in the future,the prediction for training effect of DRA should be standardized,the mechanical characteristics of abdominal muscles and their aponeurosis in the status of DRA should be studied,so as to provide references for abdominal muscle training.
作者
罗香
王扬
李月峰
马瑞
LUO Xiang;WANG Yang;LI Yuefeng;MA Rui(Department of Imaging,Zhenjiang Fourth Hospital,Jiangsu University,Zhenjiang 212003,Jiangsu,China;Department of Imaging,Gaoyou People’s Hospital,Gaoyou 225600,Jiangsu,China;Department of Imaging Application,School of Medicine,Jiangsu University,Zhenjiang 212013,Jiangsu,China)
出处
《医用生物力学》
CAS
CSCD
北大核心
2022年第5期967-971,共5页
Journal of Medical Biomechanics
基金
江苏省重点研发计划项目(BK2017698)。
关键词
腹直肌分离
腹肌训练
生物力学
diastasis recti abdominis(DRA)
abdominal muscle training
biomechanics