一种新的渐进式基于运动控制的运动方法用于女性腹直肌转移:Denizoglu方法。

IF 2.4 2区 医学 Q1 SURGERY
Hernia Pub Date : 2025-09-23 DOI:10.1007/s10029-025-03470-0
Hilal Denizoglu Kulli, Merve Bilgic, Melike Ozcelik
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引用次数: 0

摘要

目的:本随机对照研究探讨了一种新型渐进式运动控制运动方案(Denizoglu方法)对腹直肌(DRA)女性的IRD、腹部耐力、盆底功能障碍和身体形象满意度的有效性。方法:这是一项随机对照研究,50名产后1-3年内诊断为DRA的妇女。以运动控制为基础的渐进式运动计划和传统运动计划在家庭和远程康复环境中每周进行5次,持续8周。测量的主要结果是直肌间距离(IRD),而次要结果包括静态腹屈耐力测试、骨盆底痛苦量表-20 (PFDI-20-20)和多维身体自我关系问卷(MBSRQ)。所有评估均在干预前和干预后进行。结果:Denizoglu方法组在IRD、静态腹屈耐力、PFDI-20-20和MBSRQ评分方面均有显著改善。同样,常规运动训练组在IRD和PFDI-20-20评分上表现出统计学上显著的增强。然而,发现Denizoglu方法在改善产后1至3年DRA妇女的IRD和腹部耐力方面更胜一筹。结论:Denizoglu法在临床实践中是一种很有前途的治疗DRA的方法。它可以作为一项有监督的家庭锻炼计划有效地实施,或在产后1至3年期间纳入妇女保健中心。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A New Progressive Motor-Control-Based Exercise Approach for Women with Diastasis Recti Abdominis: The Denizoglu Method.

Purpose: This randomized controlled study investigated the effectiveness of a novel progressive motor control-based exercise program (The Denizoglu Method) on IRD, abdominal endurance, pelvic floor dysfunctions, and body image satisfaction in women with diastasis recti abdominis (DRA).

Methods: This was a randomized controlled study of 50 women diagnosed with DRA within 1-3 years of the postpartum period. The progressive motor control-based exercise program and the conventional exercise program were performed 5 times a week for 8 weeks in a home-based and telerehabilitation setting. The primary outcome measured was inter-recti distance (IRD), while secondary outcomes included the static abdominal flexion endurance test, the Pelvic Floor Distress Inventory-20 (PFDI-20-20), and the Multidimensional Body-Self Relations Questionnaire (MBSRQ). All assessments were conducted both pre- and post-intervention.

Results: The Denizoglu Method group demonstrated significant improvements in IRD, static abdominal flexion endurance, PFDI-20-20, and MBSRQ scores. Similarly, the conventional exercise training group exhibited statistically significant enhancements in IRD and PFDI-20-20 scores. However, the Denizoglu Method was found to be superior in improving IRD and abdominal endurance in women with DRA 1 to 3 years postpartum.

Conclusions: The Denizoglu Method emerges as a promising approach for managing DRA in clinical practice. It can be effectively implemented as a supervised home-based exercise program or integrated in women's health care centers during the 1 to 3 years postpartum period.

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来源期刊
Hernia
Hernia SURGERY-
CiteScore
4.90
自引率
26.10%
发文量
171
审稿时长
4-8 weeks
期刊介绍: Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery. Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.
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