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Technical aspects of inter-recti distance measurement with ultrasonographic imaging for physiotherapy purposes: the scoping review

2023-05Journal article Open access
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dc.contributor.authorOpala-Berdzik, Agnieszka
dc.contributor.authorRudek-Zeprzałka, Magdalena
dc.contributor.authorNiesporek, Justyna
dc.contributor.authorCebula, Maciej
dc.contributor.authorBaron, Jan
dc.contributor.authorGruszczyńska, Katarzyna
dc.contributor.authorPascoal, Augusto Gil
dc.contributor.authorMota, Patrícia
dc.contributor.authorChmielewska, Daria
dc.date.accessioned2023-05-22T14:27:36Z
dc.date.available2023-05-22T14:27:36Z
dc.date.issued2023-05
dc.description.abstractBackground: Inter-recti distance (IRD) measurement using musculoskeletal USI has been used in physiotherapy research, in particular, to investigate pregnancy-related diastasis recti abdominis (DRA) and to seek its effective treatment methods. Severe and untreated diastasis may result in the formation of umbilical or epigastric hernias. Objective: This study aimed to systematically map physiotherapy-related research articles that included descriptions of IRD measurement procedures using USI to present their similarities and differences, and formulate recommendations on the procedure. Design: A scoping review was conducted according to PRISMA-ScR guidelines, including 49 of 511 publications from three major databases. Publications were selected and screened by two independent reviewers whose decisions were consulted with a third reviewer. The main synthesized data items were: the examinees' body position, breathing phase, measurement sites, and DRA screening methods. The final conclusions and recommendations were the result of a consensus between seven reviewers from four research centers. Results: Studies used 1-5 measurement sites that were differently determined. IRD was measured at the umbilicus (n = 3), at its superior (n = 16) and/or inferior border (n = 9), and at different levels: between 2 and 12 cm above the umbilicus, or a third of the distance and halfway between the umbilicus and xiphoid (n = 37); between 2 and 4.5 cm below the umbilicus or halfway between the umbilicus and pubis (n = 27). Different approaches were used to screen subjects for DRA. Conclusions: The discrepancies between the measurement procedures prevent between-study comparisons. The DRA screening method should be standardized. IRD measurement protocol standardization has been proposed. Critical relevance statement: This scoping review indicates that the inter-recti distance measurement procedures using ultrasound imaging differ between studies, preventing between-study comparisons. Based on the synthesis of the results, measurement protocol standardization has been proposed. Key points: The inter-recti distance measurement procedures using USI differ between studies. Proposed standardization concerns body position, breathing phase, and measurement number per location. Determination of measurement locations considering individual linea alba length is suggested. Recommended locations: umbilical top, ½ of umbilical top-xiphoid, ¼ of umbilical top-xiphoid/pubis distances. Diastasis recti abdominis diagnostic criteria are needed for proposed measurement locations.pt_PT
dc.description.sponsorshipThe Jerzy Kukuczka Academy of Physical Education has funded the article’s editorial expenses.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationOpala-Berdzik A, Rudek-Zeprzałka M, Niesporek J, Cebula M, Baron J, Mota P, et al. Technical aspects of inter-recti distance measurement with ultrasonographic imaging for physiotherapy purposes: the scoping review. Insights Imaging. 2023;14(1):92.pt_PT
dc.identifier.doi10.1186/s13244-023-01443-4pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.21/16102
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringerpt_PT
dc.relation.publisherversionhttps://insightsimaging.springeropen.com/articles/10.1186/s13244-023-01443-4pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectDiastasis recti abdominispt_PT
dc.subjectInter-recti distancept_PT
dc.subjectLinea albapt_PT
dc.subjectMeasurement procedurept_PT
dc.subjectUltrasonographic imagingpt_PT
dc.titleTechnical aspects of inter-recti distance measurement with ultrasonographic imaging for physiotherapy purposes: the scoping reviewpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1pt_PT
oaire.citation.startPage92pt_PT
oaire.citation.titleInsights into Imagingpt_PT
oaire.citation.volume14pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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