Implementation of Examining Inter Rectus Distance of Post- Partum Women with Diastasis Recti Abdominalis

Amalia, Rizki and Masita, Elly Dwi and Windarti, Yunik and Rizki, Lailatul Khusnul and Rahayu, Esty Puji (2021) Implementation of Examining Inter Rectus Distance of Post- Partum Women with Diastasis Recti Abdominalis. Malaysian Journal of Medicine and Health Sciences, 17 (12). pp. 37-42. ISSN 2636-9346

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Abstract

ntroduction: To determine the value of shear wave elastography (SWE) in assessing abdominal wall muscles, including rectus abdominis (RA), external oblique muscle (EO), internal oblique muscle, and transversus abdominis (TrA) in patients with diastasis recti abdominis (DRA) and healthy controls. Methods: From October 2018 to December 2019, 36 postpartum DRA patients and 24 nulliparous healthy women were identifed. Inter-rectus distance (IRD) measurements were taken by B-mode ultrasound. Shear wave speed (SWS) values were acquired by one operator at ten specifc locations. Clinical and ultrasound variables, including demographics, IRD, muscle thickness, and muscle SWS, were compared between the two groups using Student’s t test or Fisher’s exact test. Pearson correlation analyses were conducted for the variables of IRD, muscle thickness, and SWS in the 36 DRA patients. Results: The maximum diameter of recti abdominus separation was located at the umbilicus in DRA patients (4.59±1.14 cm). The SWS value was signifcantly lower in the RA (p=0.003) and higher in the TrA muscle (p < 0,001) in DRA patients compared with the age-matched controls. However, SWS in both muscles (RA and TrA) showed a statistically positive correlation with IRD (p<0,05) In addition, the SWS value in EO statistically decreased in DRA patients compared with the healthy controls (1.65±0.15 vs. 1.79±0.14, p=0.001). Conclusion: The application of SWE to abdominal wall muscles in DRA patients is feasible. The correlation between SWS value and IRD in RA should be interpreted with caution.

Item Type:	Article
Uncontrolled Keywords:	Postnatal period, Diastasis recti abdominis, Linea alba, Abdominal wall muscle
Subjects:	R Medicine > RG Gynecology and obstetrics > RG1-991 Gynecology and obstetrics
Divisions:	Faculty of Nursing and Midwifery > Program Study of Diploma III Midwifery
Depositing User:	Mr. . Aji
Date Deposited:	05 Jul 2023 08:42
Last Modified:	26 Jan 2024 07:41
URI:	http://repository.unusa.ac.id/id/eprint/9563

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