Muscle elasticity is different in individuals with diastasis recti abdominis than healthy volunteers
Abstract Objective 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 control...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2021-06-01
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| Series: | Insights into Imaging |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13244-021-01021-6 |
| _version_ | 1818655369313910784 |
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| author | Kai He Xiuling Zhou Yulan Zhu Bo Wang Xiaojian Fu Qiyuan Yao Hao Chen Xiaohong Wang |
| author_facet | Kai He Xiuling Zhou Yulan Zhu Bo Wang Xiaojian Fu Qiyuan Yao Hao Chen Xiaohong Wang |
| author_sort | Kai He |
| collection | DOAJ |
| description | Abstract Objective 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 identified. Inter-rectus distance (IRD) measurements were taken by B-mode ultrasound. Shear wave speed (SWS) values were acquired by one operator at ten specific 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 significantly 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). Conclusions 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. |
| first_indexed | 2024-12-17T03:08:36Z |
| format | Article |
| id | doaj.art-31e67b8b61b0403c915a8e8e667892be |
| institution | Directory Open Access Journal |
| issn | 1869-4101 |
| language | English |
| last_indexed | 2024-12-17T03:08:36Z |
| publishDate | 2021-06-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Insights into Imaging |
| spelling | doaj.art-31e67b8b61b0403c915a8e8e667892be2022-12-21T22:05:54ZengSpringerOpenInsights into Imaging1869-41012021-06-0112111110.1186/s13244-021-01021-6Muscle elasticity is different in individuals with diastasis recti abdominis than healthy volunteersKai He0Xiuling Zhou1Yulan Zhu2Bo Wang3Xiaojian Fu4Qiyuan Yao5Hao Chen6Xiaohong Wang7Department of General Surgery, Huashan Hospital, Fudan UniversityDepartment of Ultrasound, Huashan Hospital, Fudan UniversityDepartment of Rehabilitation, Huashan Hospital, Fudan UniversityDepartment of Ultrasound, Huashan Hospital, Fudan UniversityDepartment of General Surgery, Huashan Hospital, Fudan UniversityDepartment of General Surgery, Huashan Hospital, Fudan UniversityDepartment of General Surgery, Huashan Hospital, Fudan UniversityDepartment of Ultrasound, Huashan Hospital, Fudan UniversityAbstract Objective 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 identified. Inter-rectus distance (IRD) measurements were taken by B-mode ultrasound. Shear wave speed (SWS) values were acquired by one operator at ten specific 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 significantly 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). Conclusions 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.https://doi.org/10.1186/s13244-021-01021-6SonoelastographyShear wave speedDiastasis recti abdominisLinea albaAbdominal wall muscle |
| spellingShingle | Kai He Xiuling Zhou Yulan Zhu Bo Wang Xiaojian Fu Qiyuan Yao Hao Chen Xiaohong Wang Muscle elasticity is different in individuals with diastasis recti abdominis than healthy volunteers Insights into Imaging Sonoelastography Shear wave speed Diastasis recti abdominis Linea alba Abdominal wall muscle |
| title | Muscle elasticity is different in individuals with diastasis recti abdominis than healthy volunteers |
| title_full | Muscle elasticity is different in individuals with diastasis recti abdominis than healthy volunteers |
| title_fullStr | Muscle elasticity is different in individuals with diastasis recti abdominis than healthy volunteers |
| title_full_unstemmed | Muscle elasticity is different in individuals with diastasis recti abdominis than healthy volunteers |
| title_short | Muscle elasticity is different in individuals with diastasis recti abdominis than healthy volunteers |
| title_sort | muscle elasticity is different in individuals with diastasis recti abdominis than healthy volunteers |
| topic | Sonoelastography Shear wave speed Diastasis recti abdominis Linea alba Abdominal wall muscle |
| url | https://doi.org/10.1186/s13244-021-01021-6 |
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