从生物力学角度探讨腹直肌分离
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江苏省重点研发计划项目(BK2017698)


Diastasis Recti Abdominis from the View of Biomechanics
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    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。

    Abstract:

    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

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罗香,王扬,李月峰,马瑞.从生物力学角度探讨腹直肌分离[J].医用生物力学,2022,37(5):967-971

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  • 收稿日期:2021-09-28
  • 最后修改日期:2021-12-13
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  • 在线发布日期: 2022-10-25
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