Diastasis recti in the Beninese population: Cross-sectional study from normal values to diagnosis.

IF 1 Q4 REHABILITATION
Yollande S Djivoh, Toussaint Kpadonou, Thierry Puttemans, Dominique De Jaeger
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Abstract

Background: Diastasis recti is diagnosed when the interrecti distance (IRD) is larger than a threshold value. Published thresholds were measured at rest with ultrasound while in Benin physiotherapists use calipers during abdominal contraction.

Objectives: The aim was to define IRD threshold values measured with calipers in Beninese participants in order to diagnose diastasis recti in a clinical environment and identify women needing abdominal rehabilitation.

Method: Interrecti distance was measured using ultrasound and calipers. Linea alba stiffness was assessed by palpation, abdominal strength and endurance by manual testing. In men and nulliparous women, IRD threshold values were defined as IRD P90. In postpartum women, IRD P80 and a threshold defined with a receiver operating characteristics (ROC) curve based on linea alba stiffness were used. In these women, abdominal strength and endurance were compared depending on IRD threshold and linea alba stiffness with a Mann Whitney test.

Results: In 391 Beninese participants, the IRD threshold measured with calipers was 17 mm in men, 15 mm in nulliparous and 18 mm (15 mm with ROC curve) in postpartum women. Postpartum women with an IRD above 18 mm had significantly lower abdominal strength. Those with a slack linea alba had significantly lower abdominal strength and endurance.

Conclusion: The defined IRD threshold values can be used in a Beninese clinical environment. Future studies should confirm whether they can be applied to other African populations.

Clinical implications: Abdominal rehabilitation should be recommended to postpartum women whose IRD is above the threshold values but also in cases of slack linea alba and poor abdominal function.

Abstract Image

Abstract Image

Abstract Image

贝宁人群的直肠转移:从正常值到诊断的横断面研究。
背景:当直肠间距(IRD)大于某一阈值时诊断为直肠转移。公布的阈值是在休息时用超声波测量的,而在贝宁,物理治疗师在腹部收缩时使用卡尺。目的:目的是在贝宁参与者中定义用卡尺测量的IRD阈值,以便在临床环境中诊断直肠转移并确定需要腹部康复的妇女。方法:采用超声和卡尺测量间隙距离。用触诊法评估白纹僵硬度,用手测腹部力量和耐力。在男性和未生育女性中,IRD阈值定义为IRD P90。在产后妇女中,使用IRD P80和基于白线刚度的受试者工作特征(ROC)曲线定义的阈值。在这些女性中,根据IRD阈值和Mann Whitney试验的白线硬度比较腹部力量和耐力。结果:在391名贝宁参与者中,用卡尺测量的IRD阈值男性为17 mm,产妇为15 mm,产后妇女为18 mm (ROC曲线为15 mm)。IRD大于18 mm的产后妇女腹部力量明显较低。白线松弛的人腹部力量和耐力明显较低。结论:所定义的IRD阈值可用于贝宁临床环境。未来的研究应该证实它们是否可以适用于其他非洲人口。临床意义:对于IRD高于阈值的产后妇女,以及白线松弛、腹部功能不佳的情况,应建议进行腹部康复治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.70
自引率
9.10%
发文量
35
审稿时长
30 weeks
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