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Physical Activity for Women
Published in Michelle Tollefson, Nancy Eriksen, Neha Pathak, Improving Women's Health Across the Lifespan, 2021
Ginger Garner, Wendy Farnen Price
Currently, the return to PA is largely left up to personal preference, with no guidelines being given for rehabilitation after childbirth. The American College of Obstetrics and Gynecology (ACOG) recommends that PA should resume as early as medically possible, depending on the mode of delivery and the presence of medical complications;47 however, there are no guidelines that specify different recommendations for women with vaginal delivery that require sutures.53 Australia, UK, and Norway provide similar nonspecific recommendations,53 which include initiating: Pelvic floor exercises in the immediate postpartum period.Abdominal strengthening exercises for addressing diastasis rectus abdominis and improving pelvic floor function.54,55Regular aerobic exercise.PA in lactating women, which can improve maternal cardiovascular fitness without compromise of milk production, composition, or infant growth.56
Questions 1–20
Published in Anna Kowalewski, SBAs and EMQs in Surgery for Medical Students, 2021
Normally the two sides of the rectus abdominis muscle are joined at the linea alba. In pregnant or post- partum women the growing uterus stretches the rectus abdominis. Risk factors include pregnancy over the age of 35, high birthweight of the child and multiple- birth pregnancies. Treatment is primarily conservative and involves physiotherapy. Surgery is required in serious cases.
The Musculoskeletal System and Its Disorders
Published in Walter F. Stanaszek, Mary J. Stanaszek, Robert J. Holt, Steven Strauss, Understanding Medical Terms, 2020
Walter F. Stanaszek, Mary J. Stanaszek, Robert J. Holt, Steven Strauss
Names of the specific muscles are not encountered as frequently as are those of the bones; however, several listed in Figures 7.3 and 7.4 may be familiar. Derivation of the muscle names varies, with some reflecting proximity to specific areas or body parts: occiput—back of the head; frontalis—in front; pectoralis major—from pectus, breast bone; rectus abdominis—abdominal area; gluteus, from the Greek gloutos, buttock; or peroneals—fibula. Others have more unique associations, such as sartorius (Latin sartor, "tailor"), named for its use in crossing the legs in the tailor's position, or deltoid, named after the Greek letter shaped like a triangle.
Association of gross motor function and activities of daily living with muscle mass of the trunk and lower extremity muscles, range of motion, and spasticity in children and adults with cerebral palsy
Published in Developmental Neurorehabilitation, 2023
Mitsuhiro Masaki, Honoka Isobe, Yuki Uchikawa, Mami Okamoto, Yoshie Chiyoda, Yuki Katsuhara, Kunio Mino, Kaori Aoyama, Tatsuya Nishi, Yasushi Ando
In the present study, the self-care domain of the PEDI declined with decreased rectus abdominis muscle thickness, likely because the rectus abdominis muscle contributes to trunk flexion movement and postural control of the trunk on the sagittal or coronal planes during backward or lateral reaching motions of the upper extremities. Previous studies32,33 demonstrated that the rectus abdominis muscle, which starts to be active together with the onset of the upper or lower extremity lifting motion in the standing position, contributes to the postural control of the trunk. Thus, decreased thickness of the rectus abdominis muscle, which contributes to difficulty in postural control during upper extremity lifting motion such as eating or grooming and lower extremity lifting motion such as dressing in the sitting or standing positions, is assumed to lead to reduced scores in the self-care domain of PEDI in children and adults with CP. Although a previous study demonstrated the association between declined ADL, as assessed using the self-care domain of the PEDI, and decreased thickness of the quadriceps femoris muscle in children with CP,11 our findings clarified the association between declined self-care in ADL and decreased muscle thickness of the trunk flexor muscles in children and adults with CP.
Transversus abdominis plane block versus paravertebral block for post-operative pain following open renal surgeries: A randomized clinical trial
Published in Egyptian Journal of Anaesthesia, 2022
Khaled Abdel-Baky Abdelrahman, Essam Ezzat Abdelhakeem, Abdel-Rahman Hussein Ali, Eman Ahmed Ismail
This block was done by using SonoSite M Turbo (USA) with linear multi-frequency 6–13 MHz transducer (L25x6–13 MHz linear array) scanning probe and 21 G Toughy needle which used to inject the local anesthetic agent into the TAP space. The block was done for the patients in the supine position and before performing the supposed surgery for them. The ultrasound probe was placed just below the costal margin and parallel to it. The rectus abdominis muscle appeared and the transversus abdominis muscle posterior to it. The transversus abdominis plane (TAP) appeared as hyperechoic line just posterior to the skin and the subcutaneous tissue. The needle then placed in-plane of the probe and advanced from medial to lateral until reached the TAP space. Then, 20 ml of 0.5% plain bupivacaine (Sunnypivacaine®, Sunny pharmaceuticals, Egypt) was injected in the TAP space. The muscle layers appeared separating from each other which indicated the correct injection of the local anesthetic in the TAP space. After this nerve block had been performed in every patient in this group, the patient then was turned to lateral decubitus position and the site of surgery was cleaned and sterilized with povidone iodine and the patient was draped with sterile drapes and the supposed surgery was performed [8]. Before the end of the surgery, 1 gm IV paracetamol was given for all patients. Upon completion of surgery and reversal of the muscle relaxants, patients were extubated and sent to the recovery room and later to the ward.
Comparison of 30-degree and 0-degree laparoscopes in the visualisation of the inferior epigastric vessel, rectus abdominis muscle and bladder dome in gynaecologic laparoscopy
Published in Journal of Obstetrics and Gynaecology, 2022
Satit Klangsin, Nantaka Ngaojaruwong, Hatern Tintara
In the operating room, after the primary trocar penetrated at the infra-umbilical level, CO2 was insufflated at 15 mmHg. Before the ancillary trocar penetration, video recordings were made using 0-degree (26046AA Laparoscope Hopkins II, 0-degree Telescope 5 mm × 29 cm, KARL STORZ, Tuttlingen, Germany) and 30-degree (26046BA Laparoscope Hopkins II, 30-degree Telescope 5 mm × 29 cm, KARL STORZ, Tuttlingen, Germany) laparoscopes by an expert surgeon who did not assess the recordings at a later time. For each patient, the recordings were continuously taken from the insertion at the left round ligament of the abdominal wall (5–8 cm above the pubic symphysis) (Perrone et al. 2005; Deffieux et al. 2011) to the insertion at the right side in order to obtain direct visualisation of the three landmarks: (i) the inferior epigastric vessel, (ii) the edge of the rectus abdominis muscle and (iii) the upper border of the bladder dome. After completion of the video recordings, ancillary port insertion was performed, and the patient underwent surgery as planned.