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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Evaluation of Abdominal Muscle Elasticity and Thickness Among Multiparous Women of Indian Origin Using Shear Wave Elastography and Enumerate the Factors Which Influence the Parameters Cross Sectional Study in a Tertiary are Hospital

E. Sathish Kumar, S. Karthiyayini, S. Pradhap Lenin and T. Mithula
Page: 259-264 | Received 31 Jan 2024, Published online: 12 Mar 2024

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https://doi.org/10.36478/10.59218/makrjms.2024.1.259.264

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Abstract

To evaluate the abdominal muscle elasticity and thickness among multiparous women of Indian population and to depict the inter observer variability in detecting the elasticity and thickness values of abdominal wall muscles among multiparous woman using shear wave elastography. Cross sectional study done at Department of Radio diagnosis, Karpagam Faculty of Medical Sciences and Research, Coimbatore, Tamil Nadu, India from June 2023 to November 2023. PHILIPS AFFINITY 70 machine was used for the study. Two observers with experience of more than 5 years on ultrasound did the study. All multiparous women aged >18 years were included in our study. Ten skin landmarks were made and the rectus abdominis thickness is obtained by taking the mean values of observed 6 points. The measurement of external oblique, internal oblique, transverse abdominis thickness were obtained by taking the mean value of observed points. Similarly elasticity was obtained using the above mentioned landmarks. Rectus abdominis elasticity was obtained by taking the mean of 6 observed points. The measurement of external oblique, internal oblique and transverse abdominis elasticity were obtained by taking the mean value of observed points. Thickness of internal oblique and transverse abdominal have reduced with increase in number of delivery. Post LSCS individuals show decrease in thickness of transverse abdominis muscle when compared with post normal vaginal delivery. No association found between the thickness of anterior abdominal wall muscles with age, BMI. Significant reduction in elasticity of rectus abdominis found as the age increases (p value of 0.012). No association found between BMI, number of deliveries, mode of delivery and abdominal wall elasticity. No interobserver variability noted in evaluating thickness of abdominal wall muscles. Elasticity values of rectus abdominis muscles show significant interobserver variability (p<0.001). No significant interobserver variability noted between elasticity of Oblique muscles on either side. Reduction in abdominal wall thickness and elasticity indicate reduced strength of abdominal wall muscles which make the individuals susceptible to develop ventral wall hernia/diastasis recti. So the susceptible individuals were instructed to follow up core strengthening exercises, which reduce the incidence of developing such conditions.

How to cite this article:

E. Sathish Kumar, S. Karthiyayini, S. Pradhap Lenin and T. Mithula. Evaluation of Abdominal Muscle Elasticity and Thickness Among Multiparous Women of Indian Origin Using Shear Wave Elastography and Enumerate the Factors Which Influence the Parameters Cross Sectional Study in a Tertiary are Hospital.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.1.259.264
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.1.259.264