بررسی اثربخشی تمرینات تقویتی شکم در درمان دیاستازیس رکتی در دوره پس از زایمان

نوع مقاله : مقاله مروری

نویسندگان

1 دکتری توانبخشی ورزشی، گروه آسیب شناسی ورزشی و حرکات اصلاحی، دانشکده تربیت بدنی، دانشگاه بوعلی سینا، همدان، ایران

2 دانشجوی کارشناسی ارشد، گروه آسیب شناسی ورزشی و حرکات اصلاحی، دانشکده تربیت بدنی، دانشگاه بوعلی سینا، همدان، ایران

چکیده

مقدمه و اهداف
در طی و پس از بارداری، بسیاری از زنان افزایش در فاصله­ی بینابینی عضلات راست شکمی را به دلیل افزایش حجم رحم در این دوره، کشش و نازک شدن لینه آلبا تجربه می­کنند. این بیماری به طور متوسط 66 درصد زنان را تحت تاثیر قرار می­دهد و با درد و بی­ثباتی ستون فقرات، ضعف عضلات کف لگن، ضعف عضلات شکمی و در نهایت فتق شکمی ارتباط دارد. هدف از مقاله حاضر، بررسی اثربخشی تمرینات تقویتی شکمی در درمان دیاستازیس رکتی در دوران پس از زایمان بر اساس نتایج مطالعات اخیر است.
مواد و روش ­ها
در مطالعه حاضر، پایگاه­های دادهGoogle Scholar ، EM Base، Medline، PubMed و جستجوی گوگل با ترکیب واژه­های کلیدی "بارداری"، "دیاستازیس رکتوس"، "دیاستاز رکتی"، "لینه آلبا"، "عضله راست شکمی"، "تمرینات تقویتی"، جستجو شد. این مطالعه شامل تحقیقات مختلف در زمینه تمرینات تقویت عضلات شکمی در درمان دیاستازیس رکتی می­باشد.
یافته­ ها
به طور کلی، 800 مقاله در زمینه مطالعات موردی، مطالعات پایلوت (آزمایشی) و کارآزمایی­های بالینی به دست آمد. از این مطالعات، بر اساس معیارهای ورود به مطالعه، تنها 11 مورد در خصوص تأثیر تمرینات تقویتی در درمان دیاستازیس رکتی انتخاب شدند. نتایج مطالعات موجود در تعدادی از مقالات نشان داد که تمرینات تقویتی شکم در کاهش کمردرد، کاهش عملکرد، بی­ثباتی پاسچرال و ضعف عضلانی موثر است.
نتیجه­ گیری
با توجه به نتایج و کیفیت مطالعات، تمرینات تقویتی عضلات شکم می­تواند روش موثری در درمان دیاستازیس رکتی در دوره پس از زایمان باشد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Effectiveness of Abdominal Strengthening Exercises in the Treatment of Diastasis Recti in Postpartum Period

نویسندگان [English]

  • Ali Yalfani 1
  • Nahid Bigdeli 2
  • Mohammad Reza Ahmadi 2
1 Associate Professor in Sport Rehabilitation, Department of Sport Injuries and Corrective Exercises, Bu Ali Sina University, Hamedan, Iran
2 Master of Sport Injuries and Corrective Exercises, Department of Sport Injuries and Corrective Exercises, Bu Ali Sina University, Hamedan, Iran
چکیده [English]

Background and Aims: During and after pregnancy, many women experience an increase in the inter-recti abdominal muscle due to increased uterine volume as well as stretching and thinning of the linea alba. This disease, on average, affects 66% of women and is associated with spinal pain and instability, pelvic floor muscle weakness, abdominal muscle weakness, and abdominal hernia. The aim of the present review article was to study the effectiveness of abdominal strengthening exercises in the treatment of diastasis recti in postpartum period, based on the results of the recent studies.
Materials and Methods: Google scholar, EM base, Medline, and PubMed databases as well as Google search were searched using the following keywords: pregnancy, diastasis rectus, diastasis recti, linea alba, rectus abdominal muscles, and strengthening exercises. Our study includes different researches on abdominal muscle strengthening exercises in the treatment of diastasis recti.
Results: Generally, 800 articles were found in the field of case studies, pilot studies, and clinical trials. From among these studies, only 11 studies were selected according to the inclusion criteria. The results of these studies showed that abdominal strengthening exercises have been effective in minimizing low back pain and decreasing functional, postural instability as well as muscle weakness.
Conclusion: According to the results and quality of the studies, abdominal muscles strengthening exercises can be an effective method in the treatment of diastasis recti in postpartum period.
 

کلیدواژه‌ها [English]

  • Pregnancy
  • Diastasis Recti
  • Linea Alba
  • Rectus Abdominal Muscles
  • Strengthening Exercises

مراجع

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دوماهنامه علمی - پژوهشی طب توانبخشی
دوره 8، شماره 4
دی 1398
صفحه 280-290

فایل ها

سابقه مقاله

  • تاریخ دریافت: 10 بهمن 1397
  • تاریخ بازنگری: 25 فروردین 1398
  • تاریخ پذیرش: 14 اردیبهشت 1398
  • تاریخ اولین انتشار: 01 دی 1398

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