The Impact of Hypopressive Abdominal Exercise on Linea Alba Morphology in Women Who Are Postpartum : A Short-Term Cross-Sectional Study
© The Author(s) 2022. Published by Oxford University Press on behalf of the American Physical Therapy Association. All rights reserved. For permissions, please e-mail: journals.permissionsoup.com..
OBJECTIVE: The purpose of this study was to determine the acute effect of an abdominal hypopressive exercise (AHE) on linea alba morphology among women who are primiparous and to compare this effect with that of other common abdominal exercise modalities.
METHODS: A cross-sectional study of 46 women 3 months after first delivery was conducted. B-mode ultrasound imaging of the interrectus distance (IRD) and linea alba distortion was performed 2 cm below (I-point) and above (S-point) the umbilicus and at the mid-point between the umbilicus and xiphoid process (X-point). Images were recorded at rest and during an AHE performed in a supine position, a semi curl-up (SCU), an abdominal drawing-in maneuver (ADIM), and a SCU performed after an initial ADIM (ADIM+SCU).
RESULTS: The SCU exercise narrowed the IRD at the X- and S-points. Compared with SCU, AHE and ADIM widened the IRD at the S- and X-points. No significant differences were found when comparing the IRD at rest, during AHE and during ADIM, but AHE tended to narrow I-point IRD more than ADIM but to widen S-point IRD more than ADIM+SCU. No participant showed linea alba distortion during the AHE or ADIM. When compared, SCU increased the occurrence of distortion with respect to AHE and ADIM. The isolated hypopressive posture did not change the IRD or linea alba distortion.
CONCLUSION: Among women who were postpartum, AHE seemed to narrow IRD below the umbilicus compared with ADIM without either of these 2 modalities generating linea alba distortion, as SCU or ADIM+SCU does. Thus, although no significant differences were found when comparing the IRD at rest and during AHE, the AHE could improve the tensile response of the linea alba without increasing the IRD.
IMPACT: This is believed to be the first study to describe linea alba changes during AHE in women who are postpartum. AHE and ADIM seem to show different effects on infraumbilical IRD. The lack of distortion suggests that linea alba may undergo tensile loading at all levels.
| Errataetall: | |
|---|---|
| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2022 |
|---|---|
| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:102 |
|---|---|
| Enthalten in: |
Physical therapy - 102(2022), 8 vom: 04. Aug. |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Arranz-Martín, Beatriz [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Diastasis Recti |
|---|
| Anmerkungen: |
Date Completed 02.09.2022 Date Revised 02.05.2023 published: Print CommentIn: Phys Ther. 2023 Apr 4;103(4):. - PMID 37116461 Citation Status MEDLINE |
|---|
| doi: |
10.1093/ptj/pzac086 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM344279790 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM344279790 | ||
| 003 | DE-627 | ||
| 005 | 20231226022411.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2022 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1093/ptj/pzac086 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1147.xml |
| 035 | |a (DE-627)NLM344279790 | ||
| 035 | |a (NLM)35908286 | ||
| 035 | |a (PII)pzac086 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Arranz-Martín, Beatriz |e verfasserin |4 aut | |
| 245 | 1 | 4 | |a The Impact of Hypopressive Abdominal Exercise on Linea Alba Morphology in Women Who Are Postpartum |b A Short-Term Cross-Sectional Study |
| 264 | 1 | |c 2022 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 02.09.2022 | ||
| 500 | |a Date Revised 02.05.2023 | ||
| 500 | |a published: Print | ||
| 500 | |a CommentIn: Phys Ther. 2023 Apr 4;103(4):. - PMID 37116461 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © The Author(s) 2022. Published by Oxford University Press on behalf of the American Physical Therapy Association. All rights reserved. For permissions, please e-mail: journals.permissionsoup.com. | ||
| 520 | |a OBJECTIVE: The purpose of this study was to determine the acute effect of an abdominal hypopressive exercise (AHE) on linea alba morphology among women who are primiparous and to compare this effect with that of other common abdominal exercise modalities | ||
| 520 | |a METHODS: A cross-sectional study of 46 women 3 months after first delivery was conducted. B-mode ultrasound imaging of the interrectus distance (IRD) and linea alba distortion was performed 2 cm below (I-point) and above (S-point) the umbilicus and at the mid-point between the umbilicus and xiphoid process (X-point). Images were recorded at rest and during an AHE performed in a supine position, a semi curl-up (SCU), an abdominal drawing-in maneuver (ADIM), and a SCU performed after an initial ADIM (ADIM+SCU) | ||
| 520 | |a RESULTS: The SCU exercise narrowed the IRD at the X- and S-points. Compared with SCU, AHE and ADIM widened the IRD at the S- and X-points. No significant differences were found when comparing the IRD at rest, during AHE and during ADIM, but AHE tended to narrow I-point IRD more than ADIM but to widen S-point IRD more than ADIM+SCU. No participant showed linea alba distortion during the AHE or ADIM. When compared, SCU increased the occurrence of distortion with respect to AHE and ADIM. The isolated hypopressive posture did not change the IRD or linea alba distortion | ||
| 520 | |a CONCLUSION: Among women who were postpartum, AHE seemed to narrow IRD below the umbilicus compared with ADIM without either of these 2 modalities generating linea alba distortion, as SCU or ADIM+SCU does. Thus, although no significant differences were found when comparing the IRD at rest and during AHE, the AHE could improve the tensile response of the linea alba without increasing the IRD | ||
| 520 | |a IMPACT: This is believed to be the first study to describe linea alba changes during AHE in women who are postpartum. AHE and ADIM seem to show different effects on infraumbilical IRD. The lack of distortion suggests that linea alba may undergo tensile loading at all levels | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a Diastasis Recti | |
| 650 | 4 | |a Exercise Therapy | |
| 650 | 4 | |a Postpartum Period | |
| 650 | 4 | |a Ultrasonography | |
| 700 | 1 | |a Navarro-Brazález, Beatriz |e verfasserin |4 aut | |
| 700 | 1 | |a Sánchez-Sánchez, Beatriz |e verfasserin |4 aut | |
| 700 | 1 | |a McLean, Linda |e verfasserin |4 aut | |
| 700 | 1 | |a Carazo-Díaz, Carmen |e verfasserin |4 aut | |
| 700 | 1 | |a Torres-Lacomba, María |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Physical therapy |d 1964 |g 102(2022), 8 vom: 04. Aug. |w (DE-627)NLM000353205 |x 1538-6724 |7 nnns |
| 773 | 1 | 8 | |g volume:102 |g year:2022 |g number:8 |g day:04 |g month:08 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1093/ptj/pzac086 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 102 |j 2022 |e 8 |b 04 |c 08 | ||