Altered patterns of abdominal muscle activation during forced exhalation following elective laparotomy: An experimental research

Shah, Shraddha; Vaishali, K; Prasad, Shiva S.; Babu, Abraham Samuel

doi:10.1016/j.amsu.2020.11.080

Cited by 7 publications

(5 citation statements)

References 25 publications

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“…Jourdan[18,28]found that the lateral muscles of the abdomen were signi cantly deformed and displaced during the exercise. Although their study was not consistent with our goals of concern and did not explore TrA deformations with abdominal drawing-in maneuver, deep exhalation also activates TrA [37][38] as does abdominal drawing-in maneuver, which actually represents the expiratory phase of abdominal breathing. TrA belongs to the deep muscle group of the lateral wall of the abdomen, and its deformation is also in uenced by the displacement of the muscle group.…”

Section: The Morphology Of Transversal Abdominis (Tra) Force Generati...mentioning

confidence: 94%

The study of the relationships between diastasis recti abdominis and transversus abdominal: a scoping review

Luo,

Leng,

et al. 2023

Preprint

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Background The main treatment for diastasis recti abdominis (DRA) is physical therapy. Most existing research focuses on the types of intervention to take, the effects of exercise, and the evaluation methods of these effects. So far, there are no recognized exercise programs. Perhaps researchers have overlooked the changes in trunk mechanics caused by pregnancy, as well as the relationship between biomechanics and exercises for DRA. This study aims to explore the mechanisms of rehabilitation exercise for DRA from a biomechanical perspective. Methods PubMed, EMBASE, CNKI, and Web of Science databases were consulted using the terms 'Diastasis rectus abdominis, Abdominis Muscle,' 'Biomechanics,' 'Linea alba,' 'Physical therapy,' 'transversus abdominis,' and 'trunk stabilization.' All English and Chinese-written published articles were included until Oct, 2023. Results The transverse abdominis muscle (TrA) is located deep within the abdominal wall and is attached to the fascia (aponeurosis) at both the front and back ends. During the Abdominal Drawing-In Maneuver, the muscles contract centrally. They shorten and thicken, resulting in reduced abdominal volume, increased abdominal pressure, and improved trunk stability. It also causes the displacement of the aponeurosis on both sides, resulting in centripetal force. The transverse fiber constitutes the main structure of the dorsal rectus sheath and the posterior layer of the linea alba. According to measurements obtained through shear wave elastic ultrasonic imaging and other equipment, the transverse stress is high and the compliance is low. Its biomechanical characteristics facilitate the transverse transfer of force generated by the TrA to the linea alba, and the force on both sides ends in the linae alba, which increases the tension. In patients with DRA, the linea alba undergoes significant deformation, and its stiffness decreases. Conclusions The deformation of the linea alba is the main feature of DRA. TrA is the only muscle in the abdominal region that can increase the tension of the linea alba and improve the stability of the trunk by increasing internal abdominal pressure. Therefore, exercising TrA is the best treatment for the rehabilitation of DRA from mechanisms.

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Section: The Morphology Of Transversal Abdominis (Tra) Force Generati...mentioning

confidence: 94%

The study of the relationships between diastasis recti abdominis and transversus abdominal: a scoping review

Luo,

Leng,

et al. 2023

Preprint

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“…En una respiración a volumen corriente la espiración es un proceso pasivo. Sin embargo, para realizar una espiración forzada, profunda o conseguir una tos productiva se necesita activar los músculos intercostales y la musculatura abdominal que tendrá, junto al suelo pélvico, un papel fundamental en el reparto de las presiones intraabdominales y en el buen funcionamiento del diafragma 83 , 84 , 85 .…”

Section: Decálogo De Recomendacionesunclassified

Recommendations for outpatient respiratory rehabilitation of long COVID patients

García-Saugar

Jaén-Jover²,

Hernández-Sánchez³

et al. 2022

An Sist Sanit Navar

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Resumen La aparición de la COVID-19 ha supuesto un problema de salud pública mundial, provocando una elevada presión en los sistemas sanitarios. Las secuelas de esta enfermedad han puesto de manifiesto la importancia de la rehabilitación en pacientes COVID persistente, implicando en el proceso a diferentes profesionales. El tratamiento de las secuelas respiratorias en fase ambulatoria de esta reciente enfermedad es un campo especializado y parece oportuno ofrecer una serie de recomendaciones prácticas de rehabilitación cardio-respiratoria que ayuden a todos los profesionales implicados en la tarea de tratar este tipo de secuelas una vez superada la fase hospitalaria. Esta revisión de la literatura ofrece diez aspectos clave de fisioterapia respiratoria que incluyen la valoración, los parámetros que se deben monitorizar y los signos de alerta, así como las técnicas respiratorias específicas y otros ejercicios prácticos que se deben realizar en esta población.

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“…Strategi untuk mengurangi risiko komplikasi pulmonal pasca pembedahan antara lain dengan mengoptimalkan pengkajian fungsi kardio-respiratori serta penyapihan kebiasaan merokok dan penerapan program prehabilitasi (Davies et al, 2017). Latihan pernapasan dapat meningkatkan kemampuan pengembangan rongga dada, meningkatkan kekuatan otot pernapasan terutama diafragma, dapat membuka sumbatan pada alveolus, meringankan beban jantung untuk mendapatkan asupan oksigen dan memberikan dampak relaksasi pada tubuh (Shah et al, 2021).…”

Section: Pembahasanunclassified

“…Kegagalan otot respirasi pasca pembedahan terjadi pada 20-40% kasus pembedahan abdomen atas dan bawah. Penurunan kontraksi otot perut mengurangi tekanan intra abdomen sehingga pergerakan diafragma berkurang mengakibatkan penurunan mekanisme pernapasan (Shah et al, 2021).…”

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Breathing Exercise untuk Meningkatkan Fungsi Respirasi pada Pasien Pasca Pembedahan Abdomen

Sakti

Maria

2022

JKS

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This study aims to determine the effective breathing exercise technique on respiratory function in post-abdominal surgery patients. This research design is a literature study using the search engines Science Direct, EBSCO, Wiley Online, and Clinical Key. The results showed similarities in the interventions applied, namely breathing exercises with various techniques such as deep breathing exercise, coughing activity, balloon blowing exercise, pursed lip exercise, diaphragm breathing exercise, inspiratory muscle exercise, and incentive spirometer volume and flow control exercise. The intervention was performed with a duration of 10 minutes within five days preoperatively and postoperatively. In conclusion, preoperative breathing exercises can improve lung function performance and reduce the risk of postoperative pulmonary complications. Keywords: Breathing Exercise, Respiratory Function, Post Abdominal Surgery

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Altered patterns of abdominal muscle activation during forced exhalation following elective laparotomy: An experimental research

Cited by 7 publications

References 25 publications

The study of the relationships between diastasis recti abdominis and transversus abdominal: a scoping review

The study of the relationships between diastasis recti abdominis and transversus abdominal: a scoping review

Recommendations for outpatient respiratory rehabilitation of long COVID patients

Breathing Exercise untuk Meningkatkan Fungsi Respirasi pada Pasien Pasca Pembedahan Abdomen

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