Restoring Core Strength After Rectus Diastasis Repair: A Prospective Controlled Study of Abdominal Muscle Function Following Abdominoplasty.
Abstract
[BACKGROUND] Diastasis recti abdominis (DRA) is characterized by a pathological widening of the linea alba, leading to impaired core stability, reduced trunk function, and compromised quality of life. Despite the widespread use of abdominoplasty with rectus sheath plication for the correction of diastasis, objective functional outcomes remain underreported.
[OBJECTIVE] This study aims to evaluate the impact of abdominoplasty with rectus sheath plication on abdominal muscle strength, anatomical restoration and patient-reported outcomes in patients with DRA.
[METHODS] A prospective single-center study was conducted on 50 female patients (mean age 42.6 ± 7.8 years) with moderate-to-severe DRA (inter-rectus distance [IRD] ≥ 2.0 cm). Objective core strength was assessed using isokinetic dynamometry (Biodex System 4), and anatomical restoration was evaluated via high-resolution ultrasonography. Patient-reported functional capacity was measured with a validated outcome instrument. Assessments were performed at baseline, 1 month, and 6 months postoperatively.
[RESULTS] At 6 months, mean core strength increased from 182 ± 25 N to 256 ± 28 N. IRD significantly decreased from 3.4 ± 0.6 cm to 0.8 ± 0.3 cm (p < 0.001). Patient-reported outcome measure (PROM) scores improved from 56.2 ± 8.4 to 82.7 ± 6.9 (p < 0.001). Therer was an ultrasound-confirmed complete midline continuity in all patients, with no recurrences >1 cm. Complications were minimal (seroma 6%, no major events).
[CONCLUSIONS] Abdominoplasty with rectus sheath plication improves core strength, restores linea alba integrity, and enhances the quality of life. Beyond aesthetic outcomes, it constitutes a biomechanically restorative procedure with reconstructive value.
[LEVEL OF EVIDENCE IV] This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
[OBJECTIVE] This study aims to evaluate the impact of abdominoplasty with rectus sheath plication on abdominal muscle strength, anatomical restoration and patient-reported outcomes in patients with DRA.
[METHODS] A prospective single-center study was conducted on 50 female patients (mean age 42.6 ± 7.8 years) with moderate-to-severe DRA (inter-rectus distance [IRD] ≥ 2.0 cm). Objective core strength was assessed using isokinetic dynamometry (Biodex System 4), and anatomical restoration was evaluated via high-resolution ultrasonography. Patient-reported functional capacity was measured with a validated outcome instrument. Assessments were performed at baseline, 1 month, and 6 months postoperatively.
[RESULTS] At 6 months, mean core strength increased from 182 ± 25 N to 256 ± 28 N. IRD significantly decreased from 3.4 ± 0.6 cm to 0.8 ± 0.3 cm (p < 0.001). Patient-reported outcome measure (PROM) scores improved from 56.2 ± 8.4 to 82.7 ± 6.9 (p < 0.001). Therer was an ultrasound-confirmed complete midline continuity in all patients, with no recurrences >1 cm. Complications were minimal (seroma 6%, no major events).
[CONCLUSIONS] Abdominoplasty with rectus sheath plication improves core strength, restores linea alba integrity, and enhances the quality of life. Beyond aesthetic outcomes, it constitutes a biomechanically restorative procedure with reconstructive value.
[LEVEL OF EVIDENCE IV] This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | abdominoplasty
|
복부성형술 | dict | 4 | |
| 해부 | Muscle
|
scispacy | 1 | ||
| 해부 | trunk
|
scispacy | 1 | ||
| 해부 | midline
|
scispacy | 1 | ||
| 합병증 | Rectus Diastasis
|
scispacy | 1 | ||
| 합병증 | rectus sheath
|
scispacy | 1 | ||
| 합병증 | seroma
|
장액종 | dict | 1 | |
| 약물 | IRD
|
C0282527
Infantile Refsum Disease (disorder)
|
scispacy | 1 | |
| 약물 | [BACKGROUND] Diastasis recti abdominis
|
scispacy | 1 | ||
| 약물 | [CONCLUSIONS] Abdominoplasty
|
scispacy | 1 | ||
| 질환 | reduced trunk function
|
scispacy | 1 | ||
| 질환 | IRD
|
C0282527
Infantile Refsum Disease (disorder)
|
scispacy | 1 | |
| 질환 | PROM
→ Patient-reported outcome measure
|
C4277735
Patient Reported Outcome Measures
|
scispacy | 1 | |
| 질환 | ultrasound-confirmed
|
scispacy | 1 | ||
| 질환 | DRA
→ Diastasis recti abdominis
|
scispacy | 1 | ||
| 기타 | linea alba
|
scispacy | 1 | ||
| 기타 | DRA
→ Diastasis recti abdominis
|
scispacy | 1 |
MeSH Terms
Humans; Female; Abdominoplasty; Prospective Studies; Adult; Muscle Strength; Middle Aged; Rectus Abdominis; Diastasis, Muscle; Treatment Outcome; Recovery of Function; Abdominal Muscles; Quality of Life; Follow-Up Studies; Esthetics; Risk Assessment; Cohort Studies; Patient Reported Outcome Measures
📑 인용 관계
이 논문이 참조한 문헌 30
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- Abdominoplasty: classic principles and technique.
- Diastasis recti: clinical anatomy.
- Ultrasonography for measuring rectus abdominis muscles diastasis.
- Long-term follow-up of correction of rectus diastasis.
- The long-term durability of plication of the anterior rectus sheath assessed by ultrasonography.
외부 PMID 20건 (DB 미수집)
- PMID 11181006 ↗
- PMID 17208034 ↗
- PMID 19637295 ↗
- PMID 27475817 ↗
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- PMID 31832581 ↗
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- PMID 34363190 ↗
- PMID 34886530 ↗
- PMID 36894002 ↗
- PMID 38109793 ↗
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- PMID 39346000 ↗
- PMID 40569471 ↗
- PMID 40576747 ↗
- PMID 40622579 ↗
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