Neuromuscular Electrical Stimulation and Strength Recovery of Postnatal Diastasis Recti Abdominis Muscles
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Objective To assess the effect of neuromuscular electrical stimulation (NMES) on the recovery of abdominal muscle strength in postnatal women with diastasis of recti abdominis muscles (DRAM). Methods Sixty women, 2 months postnatal, participated in this study. They were divided randomly into two equal groups. Group A received NMES in addition to abdominal exercises; group B received only abdominal exercises. The intervention in both groups was for three times per week for 8 weeks. The outcome measures were body mass index (BMI), waist/hip ratio, inter recti distance (IRD), and abdominal muscle strength in terms of peak torque, maximum repetition total work, and average power. Results Both groups showed highly significant (p<0.05) improvement in all outcomes. Further, intergroup comparisons showed significant improvement (p<0.05) in all parameters in favor of group A, except for the BMI.Conclusion NMES helps reduce DRAM in postnatal women; if combined with abdominal exercises, it can augment the effects.
Abstract
Objective To assess the effect of neuromuscular electrical stimulation (NMES) on the recovery of abdominal muscle strength in postnatal women with diastasis of recti abdominis muscles (DRAM). Methods Sixty women, 2 months postnatal, participated in this study. They were divided randomly into two equal groups. Group A received NMES in addition to abdominal exercises; group B received only abdominal exercises. The intervention in both groups was for three times per week for 8 weeks. The outcome measures were body mass index (BMI), waist/hip ratio, inter recti distance (IRD), and abdominal muscle strength in terms of peak torque, maximum repetition total work, and average power. Results Both groups showed highly significant (p<0.05) improvement in all outcomes. Further, intergroup comparisons showed significant improvement (p<0.05) in all parameters in favor of group A, except for the BMI.Conclusion NMES helps reduce DRAM in postnatal women; if combined with abdominal exercises, it can augment the effects.
참고문헌 (40)
- Venes D, "Taber’s cyclopedic medical dictionary" (2005), F. A. Davis
- Spitznagle TM, "Prevalence of diastasis recti abdominis in a urogynecological patient population", Int Urogynecol J Pelvic Floor Dysfunct, 18, pp.321~328 (2007)
- Gilleard WL, "Structure and function of the abdominal muscles in primigravid subjects during pregnancy and the immediate postbirth period", Phys Ther, 76, pp.750~762 (1996)
- Artal R, "Guidelines of the American College of Obstetricians and Gynecologists for exercise during pregnancy and the postpartum period", Br J Sports Med, 37, pp.6~12 (2003)
- Fernandes da Mota PG, "Prevalence and risk factors of diastasis recti abdominis from late pregnancy to 6 months postpartum, and relationship with lumbo-pelvic pain", Man Ther, 20, pp.200~205 (2015)
- Sperstad JB, "Diastasis recti abdominis during pregnancy and 12 months after childbirth: prevalence, risk factors and report of lumbopelvic pain", Br J Sports Med, 50, pp.1092~1096 (2016)
- Candido G, "Risk factors for diastasis of the recti abdominis", J Assoc Chart Physiother Womens Health, (97), pp.49~54 (2005)
- Turan V, "Prevalence of diastasis recti abdominis in the population of young multiparous adults in Turkey", Ginekol Pol, 82, pp.817~821 (2011)
- Mesquita LA, "Physiotherapy for reduction of diastasis of the recti abdominis muscles in the postpartum period", Rev Brasil Ginecol Obstet, 21, pp.267~272 (1999)
- Rett MT, "Prevalence of diastasis of the rectus abdominis muscles immediately postpartum: comparison between primiparae and multiparae", Braz J Phys Ther, 13, pp.275~280 (2009)
- Lee DG, "Stability, continence and breathing: the role of fascia following pregnancy and delivery", J Bodyw Mov Ther, 12, pp.333~348 (2008)
- Parker MA, "Diastasis rectus abdominis and Lumbo-pelvic pain and dysfunction:are they related?", J Womens Health Phys Therap, 33, pp.15~22 (2009)
- Mottola MF, "Exercise in the postpartum period: practical applications", Curr Sports Med Rep, 1, pp.362~368 (2002)
- Ostgaard HC, "Reduction of back and posterior pelvic pain in pregnancy", Spine (Phila Pa 1976), 19, pp.894~900 (1994)
- Benjamin DR, "Effects of exercise on diastasis of the rectus abdominis muscle in the antenatal and postnatal periods: a systematic review", Physiotherapy, 100, pp.1~8 (2014)
- Stevens-Lapsley JE, "Early neuromuscular electrical stimulation to improve quadriceps muscle strength after total knee arthroplasty: a randomized controlled trial", Phys Ther, 92, pp.210~226 (2012)
- Walls RJ, "Effects of preoperative neuromuscular electrical stimulation on quadriceps strength and functional recovery in total knee arthroplasty. A pilot study", BMC Musculoskelet Disord, 11, pp.119~ (2010)
- Gi Jeong Yun, "The Synergic Effects of Mirror Th erapy and Neuromuscular Electrical Stimulation for Hand Function in Stroke Patients", Annals of Rehabilitation Medicine, 35(3), pp.316~321 (2011), 대한재활의학회
- Guan Y, "Spinal cord stimulation-induced analgesia:electrical stimulation of dorsal column and dorsal roots attenuates dorsal horn neuronal excitability in neuropathic rats", Anesthesiology, 113, pp.1392~1405 (2010)
- Alon G, "Comparison of the effects of electrical stimulation and exercise on abdominal musculature", J Orthop Sports Phys Ther, 8, pp.567~573 (1987)
- Alon G, "Electrical stimulation of the abdominals: the effects of three versus five weekly treatments", J Clin Electrophysiol, 4, pp.5~11 (1992)
- Alon G, "Electrically elicited minimal visible titanic contraction and its effect on abdominal muscles strength and endurance", Eur J Phys Med Rehab, 7, pp.2~6 (1997)
- Coldron Y, "Postpartum characteristics of rectus abdominis on ultrasound imaging", Man Ther, 13, pp.112~121 (2008)
- Hakkinen K, "Changes in muscle morphology, electromyographic activity, and force production characteristics during progressive strength training in young and older men", J Gerontol A Biol Sci Med Sci, 53, pp.B415~423 (1998)
- Chiarello CM, "The effect of an exercise program on diastasis recti abdominis in pregnant women", J Womens Health Phys Ther, 29, pp.11~16 (2005)
- Lee DG, "The pelvic girdle: an approach to the examination and treatment of the lumbopelvic-hip region" (2004), Churchill Livinstone
- Sheppard S, "The role of transversus abdominus in post partum correction of gross divarication recti", Man Ther, 1, pp.214~216 (1996)
- Thornton SL, "Management of gross divarication of the recti abdominis in pregnancy and labour", Physiotheraphy, 79, pp.457~458 (1993)
- Steib S, "Dose-response relationship of resistance training in older adults: a metaanalysis", Med Sci Sports Exerc, 42, pp.902~914 (2010)
- McDonough S, "Electrotherapy:evidence-based practice", pp.233~247 (2008), Churchill Livingstone
- Selkowitz DM, "Improvement in isometric strength of the quadriceps femoris muscle after training with electrical stimulation", Phys Ther, 65, pp.186~196 (1985)
- Paternostro-Sluga T, "Neuromuscular electrical stimulation after anterior cruciate ligament surgery", Clin Orthop Relat Res, (368), pp.166~175 (1999)
- Canning A, "Does neuromuscular electrical stimulation improve muscular strength gains of the vastus medialis muscle?", Int J Phys Med Rehabil, 2, pp.207~ (2014)
- Porcari JP, "The effects of neuromuscular electrical stimulation training on abdominal strength, endurance, and selected anthropometric measures", J Sports Sci Med, 4, pp.66~75 (2005)
- Gregory CM, "Recruitment patterns in human skeletal muscle during electrical stimulation", Phys Ther, 85, pp.358~364 (2005)
- Tinazzi M, "Long-lasting modulation of human motor cortex following prolonged transcutaneous electrical nerve stimulation (TENS) of forearm muscles:evidence of reciprocal inhibition and facilitation", Exp Brain Res, 161, pp.457~464 (2005)
- Sinacore DR, "Type II fiber activation with electrical stimulation: a preliminary report", Phys Ther, 70, pp.416~422 (1990)
- Henneman E, "Functional significance of cell size in spinal motoneurons", J Neurophysiol, 28, pp.560~580 (1965)
- Paillard T, "Effects of two types of neuromuscular electrical stimulation training on vertical jump performance", J Strength Cond Res, 22, pp.1273~1278 (2008)
- Maffiuletti NA, "Physiological and methodological considerations for the use of neuromuscular electrical stimulation", Eur J Appl Physiol, 110, pp.223~234 (2010)
