Physical Activity for Women
Michelle Tollefson, Nancy Eriksen, Neha Pathak in Improving Women's Health Across the Lifespan, 2021
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
The Musculoskeletal System and Its Disorders
Walter F. Stanaszek, Mary J. Stanaszek, Robert J. Holt, Steven Strauss in Understanding Medical Terms, 2020
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.
Renal Artery Aneurysms
Sachinder Singh Hans, Alexander D Shepard, Mitchell R Weaver, Paul G Bove, Graham W Long in Endovascular and Open Vascular Reconstruction, 2017
The renal arteries are approached through an anterior abdominal incision. A transverse supraumbilical incision is favored at the authors’ institution. When treating unilateral disease, the incision is carried from the contralateral anterior axillary line to the ipsilateral posterior axillary line. The rectus abdominis muscles are transected and the abdominal oblique muscles are divided in the direction of their fibers. A rolled sheet or soft bump placed under the lumbar spine enhances operative exposure. When bilateral renal reconstructive procedures are undertaken, the incision is extended into both flanks. Transverse abdominal incisions facilitate the handling of instruments in a direction perpendicular to the longitudinal axis of the body; this technical advantage has caused this type of incision to be preferred over midline vertical incisions.
Immediate effects of trunk Kinesio Taping® on functional parameters in the acute stage of patients with mild stroke: A randomized controlled trial
Published in Physiotherapy Theory and Practice, 2023
Bilateral rectus abdominis and the external obliques were taped with a muscle facilitation technique using an I-shaped and 5 cm width band in the supine position. For the rectus abdominis muscle, KT was applied from the symphysis pubis to the xiphoid process. The patients were asked to perform deep abdominal respiration to stretch the abdominal wall during the application. Thus, tissue tension was created for the tape. For external oblique muscles, KT was applied from the pubic bone to the lateral of the 10th rib. The ipsilateral hip was positioned for flexion, adduction, and internal rotation by the physiotherapist, and the patients were asked to flex their arms. If movement could not be performed due to upper extremity paresis, it was performed by an assistant. Thus, tissue tension was created for the tape (Kase, 2003) (Figure 2).
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.
Rehabilitation of a patient with bilateral rectus abdominis full thickness tear sustained in recreational strength training: a case report
Published in Physiotherapy Theory and Practice, 2022
Omer B. Gozubuyuk, Ceylan Koksal, Esin N. Tasdemir
The rectus abdominis muscle’s primary function is flexing the spine in the sagittal plane and increasing abdominal-pelvic pressure (Maquirriain, Ghisi, and Kokalj, 2007). The origin and insertion of the muscle are the anterior midline of the ribcage and pelvis, respectively. Therefore, pain originated from the myofascial unit of rectus abdominis can refer to a wide area. Physiological, anatomical and biomechanical characteristics of the abdominal wall muscles enable the classification of these muscles as the stabilizers and the movers (Norris, 2001). The movers consist of RA and external oblique (EO), and the stabilizers consist of internal oblique (IO) and transversus abdominis (TA). The traditional ‘crunch’ movement involves a person lying supine initially and elevating their scapula and head from the floor. This moment is performed mainly by the prime-mover RA muscle, as shown by electromyography (EMG) studies (Nordin and Frankel, 2001). Trunk is flexed with a concentric action and returned back to initial position with an eccentric action of the RA (Maquirriain, Ghisi, and Kokalj, 2007). Alternatively, the movement can be performed using a crunch machine, in sitting position (Figure 1).
Related Knowledge Centers
- Dense Connective Tissue
- Linea Semilunaris
- Pubic Symphysis
- Pubic Tubercle
- Xiphoid Process
- Abdomen
- Skeletal Muscle
- Midriff
- Linea Alba
- Pubic Crest