运动康复训练对产后腹直肌分离的干预效果
Intervention Effect of Exercise Rehabilitation on Diastasis Recti Abdominis
摘要: 腹直肌分离，即腹白线两侧原本紧密相连的腹直肌发生了分离，多见于妊娠女性和产后人群。其分离较为严重的可引发产妇出现腰背部疼痛、腰肌劳损、消化系统异常、姿势异常等问题。需结合具体情况及时给予干预以恢复正常功能。运动康复因其简便、有效、无创伤、不受时空限制、对腹直肌分离的康复疗效也有独特优势等特点，逐渐被大部分产后女性所接受。
Abstract: Diastasis recti abdominis (DRA) is the separation of the rectus abdominis muscle that was originally closely connected on both sides of the abdominal white line, which is more common in pregnant women and postpartum people. Its more serious separation can cause women to have low back pain, lumbar muscle strain, digestive system abnormalities, posture abnormalities and other problems. Timely intervention is required to restore normal function, taking into account the specific situation. Exercise rehabilitation is gradually accepted by most postpartum women because of its simple, effective, non-traumatic, free from time and space restrictions, and unique advantages in the rehabilitation effect of DRA.
文章引用：孙月通, 朱嘉卉, 栾长龙, 程轶, 丁明梅, 陈顺芬. 运动康复训练对产后腹直肌分离的干预效果[J]. 临床医学进展, 2023, 13(4): 6156-6159. https://doi.org/10.12677/ACM.2023.134867

参考文献

[1] Järvinen Tero, A.H., Järvinen, T.L.N., et al. (2007) Muscle Injuries: Optimising Recovery. Best Practice & Research, Clinical Rheumatology, 21, 317-331. [Google Scholar] [CrossRef] [PubMed]
[2] 荆潮, 白雪桦, 荆燕中. 运动康复训练对膝骨关节炎患者预后的影响[J]. 中华医学杂志, 2019, 99(41): 3255-3259.
[3] 赵松岩. 仿生物电刺激治疗产后腹直肌分离疗效分析[J]. 齐齐哈尔医学院学报, 2018, 39(16): 1880-1882.
[4] Boissonnault, J.S. and Blaschak, M.J. (1988) Incidence of Diastasis Recti Abdominis during the Childbearing Year. Physical Therapy, 68, 1082-1086. [Google Scholar] [CrossRef] [PubMed]
[5] Benjamin, D.R., van de Water, A.T. and Peiris, C.L. (2014) Effects of Exercise on Diastasis of the Rectus Abdominis Muscle in the Antenatal and Postnatal Periods: A Systematic Review. Physiotherapy, 100, 1-8. [Google Scholar] [CrossRef] [PubMed]
[6] Thabet, A.A. and Alshehri, M.A. (2019) Efficacy of Deep Core Stability Exercise Program in Postpartum Women with Diastasis Recti Abdominis: A Randomised Controlled Trial. Journal of Musculoskeletal & Neuronal Interactions, 19, 62-68.
[7] 朱丹倩, 张红芸, 谢臻蔚. 产后腹直肌分离对盆底肌功能的影响[J]. 预防医学, 2020, 32(10): 1072-1074.
[8] 刘雅莉, 赵琼蕊, 李娟, 等. 中国育龄期妇女产后腹直肌分离发生率meta分析[J]. 中国公共卫生, 2020, 36(10): 1507-1509.
[9] Lee, D., et al. (2016) Abdominal Muscle Activity during Upper Extremity Exercise on a Stable and Unstable Surface in Women with Diastasis Recti Abdominis: A Cross-Sectional Study. Physical Therapy in Sport, 17, 66-71.
[10] 孙秀丽, 李环, 苏园园, 等. 产后腹直肌分离诊断与治疗的专家共识[J]. 中国妇产科临床杂志, 2021, 22(2): 220-221.
[11] Benjamin, D., Frawley, H., Shields, N., et al. (2019) Relationship between Diastasis of the Rectus Abdominis Muscle (DRAM) and Musculoskeletal Dysfunctions, Pain and Quality of Life: A Systematic Review. Physiotherapy, 105, 24-34. [Google Scholar] [CrossRef] [PubMed]
[12] Kamel, D.M. and Yousif, A.M. (2017) Neuromuscular Electrical Stimulation and Strength Recovery of Postnatal Diastasis Recti Abdominis Muscles. Annals of Rehabilitation Medicine, 41, 465-474. [Google Scholar] [CrossRef] [PubMed]
[13] Lee, D. and Hodges, P.W. (2016) Behavior of the Linea Alba during a Curl-Up Task in Diastasis Rectus Abdominis: An Observational Study. Journal of Orthopaedic & Sports Physical Therapy, 46, 580-589. [Google Scholar] [CrossRef] [PubMed]
[14] Tuttle, L.J., Fasching, J., Keller, A., et al. (2018) Noninvasive Treatment of Postpartum Diastasis Recti Abdominis: A Pilot Study. Journal of Women’s & Pelvic Health Physical Therapy, 42, 1. [Google Scholar] [CrossRef] 
[15] Kirk, B. and Elliott-Burke, T. (2021) The Effect of Visceral Manipulation on Diastasis Recti Abdominis (DRA): A Case Series. Journal of Bodywork and Movement Therapies, 26, 471-480. [Google Scholar] [CrossRef] [PubMed]
[16] 李培蓉, 李山. 体医融合指导下瑜伽练习对产妇产后腹直肌康复训练的质性研究[C]//陕西省体育科学学会. 第一届陕西省体育科学论文报告会优秀论文集. 出版者不详, 2021: 7.
[17] 沈丽韫, 丁飚, 伍爱群, 等. 探讨呼吸功能训练减少胸部手术后肺部感染的效果[J]. 上海护理, 2008, 8(6): 40-41.
[18] 王苗, 刘化侠, 万学英, 等. 呼吸训练在非呼吸系统疾病中的应用现状及启示[J]. 中华护理杂志, 2013, 48(11): 1030-1032.
[19] 赵祥虎, 马明, 徐亮, 等. 呼吸训练在产后压力性尿失禁中的应用[J]. 中国康复理论与实践, 2018, 24(6): 720-725.
[20] 李舜, 宋成宪, 李太良, 等. 腹式呼吸训练联合耻骨调整技术对产后耻骨联合功能障碍的治疗效果[J]. 实用医学杂志, 2019, 35(9): 1442-1444, 1449.
[21] Laframboise, F.C., Schlaff, R.A. and Baruth, M. (2021) Postpartum Exercise Intervention Targeting Diastasis Recti Abdominis. In-ternational Journal of Exercise Science, 14, 400-409.
[22] 陈超, 沈磊, 王惠, 等. 产后腹直肌分离患者强化核心肌群的呼吸康复训练研究进展[J]. 上海护理, 2022, 22(1): 53-56.
[23] 潘群, 明益玲. 探究电刺激联合腹式呼吸治疗产后腹直肌分离的临床疗效探述[J]. 母婴世界, 2021(25): 52.
[24] 古佳. 电刺激联合腹式呼吸治疗产后腹直肌分离的临床疗效[J]. 中国保健营养, 2018, 28(36): 108. [Google Scholar] [CrossRef] 
[25] 汤秀芳, 邹晓怡, 李玲玲, 等. 腹式呼吸训练联合凯格尔运动在促进产褥期腹直肌修复的疗效分析[J]. 养生保健指南, 2022(8): 89-92.

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