scholarly journals Effect of Conventional Abdominal Binder on Diastasis Recti Abdominis in Post-Partum Women

2021 ◽  
Vol 10 (30) ◽  
pp. 2255-2259
Author(s):  
Sagarika Shashank Patwardhan ◽  
Vrishali Baban Pawar ◽  
Smita Chandrakant Patil
Keyword(s):  
Post Partum ◽  
Radical Change ◽  
Mean Value ◽  
Rectus Abdominis ◽  
P Value ◽  
Linea Alba ◽  
Diastasis Recti ◽  
Strengthening Exercises ◽  
Post Partum Period ◽  
Diastasis Recti Abdominis

BACKGROUND Pregnancy creates a radical change in a woman’s life. The physical, hormonal, and psychosocial changes during pregnancy affect the quality of life in post pregnancy phase. Diastasis recti abdominis (DRA) is one of the most common problems seen in post-partum period. DRA is a separation between two bellies of the rectus abdominis muscle connected by the linea alba. A significant DRA, if left untreated at the right time can lead to delirious complications. Prior researches have shown that diastasis recti abdominis is a very common condition seen in the post-partum period. Previous studies have shown that DRA can be reduced with help of an abdominal binder but have very less recorded data. Fewer studies have been conducted showing the combined effect of use of abdominal binder with core strengthening exercises in reduction of DRA. The purpose of this study was to find out the effect of a conventional abdominal binder on diastasis recti abdominis in post-partum women and determine the effect of a conventional abdominal binder on diastasis recti abdominis in post-partum women. METHODS This experimental study included 9 post-partum women with significant DRA. Their age ranged from 25 - 30 years, body mass index (BMI) less than 40 kg/m2. The outcome measures included DRA, lumbar lordosis measurement, low back pain and disability in post-partum period. The subjects were instructed to use an abdominal binder and were taught core strengthening exercises up to 3 months post-partum. RESULTS The obtained results show that there is statistically significant reduction in DRA after use of conventional abdominal binder and exercises. The before treatment values for mean and standard deviation at, above and below umbilicus were 59.39 ± 14.24, 51.87 ± 12.37, 38.15 ± 12.13 respectively which reduced to 41.19 ± 12.21, 37.76 ± 12.98, 30.76 ± 8.94 respectively after using conventional binder with exercises for 3 months. The P value at all three levels of measurements namely - at, above and below umbilicus was < 0.0001 which is statistically considered to be extremely significant. The study duration was of 3 months. CONCLUSIONS The findings conclude that the mean value of DRA decreases with the help of abdominal binder and core strengthening exercise regime. Hence, the abdominal binder and core strengthening exercises were effective in reducing the DRA. KEY WORDS Abdominal Binder, Diastasis Recti Abdominis, Rectus Abdominis, Core Strengthening, Post-Partum

Management of Severe Diastasis Recti Abdominis by Abdominal Strengthening Exercise in Women after Postpartum Period: A Case Study

2021 ◽  
Vol 11 (6) ◽  
pp. 367-373
Author(s):  
Vinal Charpot
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Postpartum Period ◽  
Post Partum ◽  
Low Back ◽  
Diastasis Recti ◽  
Strengthening Exercise ◽  
Strengthening Exercises ◽  
Diastasis Recti Abdominis

Background: Abnormal gap between two rectus abdominal muscle at the level of umbilicus, above or below umbilicus called diastasis recti. It reduces the integrity and functional strength of the abdominal wall and can aggravate low back pain and later on pelvic instability. If the exercises are given to avoid the complications and reduce abnormal separation in early postpartum phase it will be most effective way to correct DRAM. But if these abdominal exercises have not been given on early phase then there will be no improvement in severe DRAM. Materials and Methods: In this case study it was design to find out effect of abdominal strengthening exercise in women after postpartum period.39 year old lady was diagnosed with severe diastasis recti after one year of her last delivery. In this study finger palpation method was used to examine DRAM then abdominal strengthening exercises were given for 8 weeks. Result: By finger palpation method it was found that this lady had severe DRAM at the level of umbilicus, above and below gap between two rectus abdominis muscle was more than 4 fingers. After completion of the exercise protocol it was found that there was no improvement in DRAM after 8 weeks but there is significant reduction in low back pain according to NPRS. Conclusion: The result of this case study shows that abdominal strengthening exercises are not effective in reducing severe diastasis recti in after post partum period. But there was definite reduction in low back pain. So it is not support the prescription of an abdominal strengthening exercise in severe diastasis recti in very late post partum period of time. Key words: Diastasis Recti Abdominis, Abdominal Strengthening Exercises, Low Back Pain, NPRS.

scholarly journals DANCE PREGNANCY BERPENGARUH MENURUNKAN DIASTASIS RECTI PADA IBU HAMIL

2020 ◽  
Vol 5 (1) ◽  
pp. 45
Author(s):  
Enny Fitriahadi
Keyword(s):  
Experimental Design ◽  
T Test ◽  
Rectus Abdominis ◽  
P Value ◽  
Diastasis Recti ◽  
Post Test ◽  
Diastasis Recti Abdominis

Kondisi pemisahan otot rectus abdominis dapat terjadi pada 30% hingga 70% wanita hamil dan kemungkinan kondisi diastasis recti abdominal (DRA) menetap setelah masa kehamilan pada 35% hingga 60% wanita (Mota et al, 2014). Keadaan DRA dapat menjadi masalah pada otot perut setelah melahirkan yaitu berupa masalah psikologis, gangguan kosmetik dan masalah fisik seperti nyeri punggung, penonjolan pada dinding perut, kelemahan pada dinding perut serta penurunan kekuatan otot perut. Berdasarkan penelitian Boissonnault & Blaschak (1988) menemukan bahwa 27% wanita memiliki diastasis recti abdominis pada trimester kedua dan 66% pada trimester ketiga kehamilan. 53% dari wanita ini terus memiliki DRA segera setelah melahirkan dan 36% tetap tidak normal lebar pada 5-7 minggu pascapartum. Tujuan dari penelitian mengetahui pengaruh dance pregnancy terhadap diastasis recti pada ibu hamil. Tahapan dan metode penelitian ini menggunakan quasy experimental design dengan desain non-randomized pretest-posttes group. Uji beda hasil pre test dan post test pada kelompok eksperimen ataunon eksperimen menggunkan T-test digunakan untuk mengetahui perbedaan pre test dan post test pada pada kelompok intervensi. Hasil penelitian didapatkan hasil p-value 0,033. Simpulan pada penelitian ini Ho di tolak dan ha di terima artinya terdapat pengaruh dance pregnancy terhadap diastasis recti. Ucapan terima kasih untuk kemenristekditi yang sudah mendanai penelitian tahun 2019.

scholarly journals KOGNITIF BIDAN TERHADAP PEMERIKSAAN DIASTASIS RECTI PADA IBU NIFAS

2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Nurun Ayati Khasanah ◽  
Ferilia Adiesti ◽  
Citra Adityarini Safitri
Keyword(s):  
Random Sampling ◽  
Post Partum ◽  
Simple Random Sampling ◽  
Rectus Abdominis ◽  
Cross Sectional ◽  
Exact Test ◽  
Fisher's Exact Test ◽  
Diastasis Recti ◽  
Fisher’S Exact Test

Diastasis rectus abdominis dapat terjadi kapanpun pada ibu hamil trimester dua, dampaknya pada ibu post partum yang mengalami diastasis rectus abdominis adalah melemahnya dinding abdomen, mengurangi kontraksi kekuatan otot abdomen dan kestabilan pelvis. Risiko seorang perempuan mengalami diastasis recti  ini jauh lebih besar jika ukuran tubuhnya tergolong kecil, mengandung janin kembar, hamil pada usia 35 tahun ke atas, serta berat janin yang besar.Tujuan penelitian ini untuk mengetahui Hubungan kognitif terhadap pemeriksaan diastasis recti pada ibu nifas .Penelitian ini menggunakan pendekatan cross sectional . Populasi pada penelitian ini adalah seluruh tenaga kesehatan ( bidan ) di wilayah kerja  UPT Puskesmas Bangsal Kabupaten Mojokerto. Sampel penelitian ini adalah   sebagian tenaga kesehatan ( bidan ) yang ada  di wilayah kerja UPT Puskesmas Bangsal Kabupaten Mojokerto, jumlah sampel 23 orang . pengambilan sampel pada penelitian adalah simple random sampling dilkasanakan pada bulan Agustus – November 2020. Instrumen  pada penelitian menggunakan kuisioner , kemudian dianalisis secara univariat dan bivariat . untuk mengetahui hubungan menggunakan Analisis statistik  Fisher’s Exact Test. Berdasarkan hasil penelitian bahwa sebagian besar responden memiliki kognitif yang baik  sebanyak 13 ( 56.53 %)dan sebagian besar melakukan pemeriksaan diastasis recti  sebanyak 17 ( 73.92%) responden .Berdasarkan uji Analisis Fisher's Exact Test dengan tingkat kemaknaan ( α< 0.05) didapatkan nilai (α = 0,022)  menunjukkan  bahwa ada hubungan kognitif  dengan  pemeriksaan diastasis recti pada ibu nifas .Pengetahuan didapat dari informasi sepanjang hidup seseorang. Pengetahuan tenaga kesehatan ( bidan ) tentang pemeriksaan diastasis recti yang mempengaruhi tenaga  kesehatan ( bidan ) tersebut untuk melakukan pemeriksaan diastasis recti. Sebagai tenaga kesehatan seyogyanya selalu  melakukan pemeriksaan diastasis recti pada ibu nifas yang datang kepelayanan baik di Rumah Sakit , Puskesmas maupun PMB

scholarly journals O16 THE TOR-CONCEPT (TRAINING-OPERATION-REHABILITATION) APPLIED TO A COHORT OF POST-PARTUM WOMEN WITH SYMPTOMATIC DRA (DIASTASIS RECTI ABDOMINIS). EVALUATION OF PHYSICAL FUNCTION AND QUALITY OF LIFE ONE YEAR AFTER SURGERY

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Anders Olsson ◽  
Katarina Woxnerud ◽  
Gabriel Sandblom ◽  
Otto Stackelberg
Keyword(s):  
Quality Of Life ◽  
Physical Function ◽  
Surgical Repair ◽  
Post Partum ◽  
Rehabilitation Program ◽  
Diastasis Recti ◽  
Sf 36 ◽  
One Year ◽  
Diastasis Recti Abdominis

Abstract Aim Management of diastasis recti abdominis (DRA) differs regarding core training, surgical repair methods and post-operative rehabilitation. The purpose of this prospective cohort study was to evaluate the effect of a novel concept of treatment for DRA, the TOR-concept (Training, Operation and Rehabilitation). The concept includes preoperative evaluation of symptoms and instructed abdominal core training; tailored surgical repair of the DRA; and an individualized postoperative rehabilitation program. Material and Methods A cohort of seventy-five post-partum women with diagnosed DRA and training resistant core dysfunctions were evaluated and included to the study during 2018-2020. After surgery, all participants underwent an individualized supervised rehabilitation program with progressive increasing load for four months. Physical function was registered preoperatively and one year after surgery with the disability rating index (DRI) questionnaire. Quality of life (QoL) was assessed with the SF-36 questionnaire. The DRA and the surgical result were assessed with ultrasonography before and one year after surgery. Results Sixty-nine participants, 92%, completed the study. There were no DRA-recurrences at the 1-year follow-up. Early results shows that self-reported physical function, (DRI), improved in 88.8 % of patients, with a mean score improvement of 78.5 %. Quality of life, (SF-36), improved significantly compared with the preoperative scores, and reached a level similar to, or higher than, the normative Swedish female population. Conclusions In this cohort of post-partum women with DRA combined with core instability symptoms resistant to training, surgical reconstruction within the TOR-concept resulted in a significant improvement of physical function and QoL.

scholarly journals Diastasis recti abdominis during pregnancy and 12 months after childbirth: prevalence, risk factors and report of lumbopelvic pain

2016 ◽  
Vol 50 (17) ◽  
pp. 1092-1096 ◽  
Author(s):  
Jorun Bakken Sperstad ◽  
Merete Kolberg Tennfjord ◽  
Gunvor Hilde ◽  
Marie Ellström-Engh ◽  
Kari Bø
Keyword(s):  
Risk Factors ◽  
Post Partum ◽  
Fisher Exact Test ◽  
Significance Level ◽  
Exact Test ◽  
Diastasis Recti ◽  
Student’S T ◽  
First Time ◽  
Diastasis Recti Abdominis ◽  
Student’S T Test

Background/aimDiastasis recti abdominis (DRA) is defined as a separation of the 2 muscle bellies of rectus abdominis. To date there is scant knowledge on prevalence, risk factors, and consequences of the condition. The present study aimed to investigate the prevalence of DRA during pregnancy and post partum, presence of possible risk factors, and the occurrence of lumbopelvic pain among women with and without DRA.MethodsThis prospective cohort study followed 300 first-time pregnant women from pregnancy till 12 months post partum. Data were collected by electronic questionnaire and clinical examinations. DRA was defined as a palpated separation of ≥2 fingerbreadths either 4.5 cm above, at or 4.5 cm below the umbilicus. Women with and without DRA were compared with independent samples Student's t-test and χ2/Fisher exact test, and OR with significance level >0.05.ResultsPrevalence of DRA was 33.1%, 60.0%, 45.4%, and 32.6% at gestation week 21, 6 weeks, 6 months and 12 months post partum, respectively. No difference in risk factors was found when comparing women with and without DRA. OR showed a greater likelihood for DRA among women reporting heavy lifting ≥20 times weekly (OR 2.18 95% CI 1.05 to 4.52). There was no difference in reported lumbopelvic pain (p=0.10) in women with and without DRA.ConclusionsPrevalence of mild DRA was high both during pregnancy and after childbirth. Women with and without DRA reported the same amount of lumbopelvic pain 12 months post partum.

scholarly journals Physiotherapy in diastasis of the rectus abdominis muscle for woman during pregnancy and postpartum – a review paper

2019 ◽  
Vol 23 (3) ◽  
pp. 31-38
Author(s):  
Dominika Gruszczyńska ◽  
Aleksandra Truszczyńska-Baszak
Keyword(s):  
Multiple Pregnancy ◽  
Abdominal Muscle ◽  
Rectus Abdominis ◽  
Google Scholar ◽  
Rectus Abdominis Muscle ◽  
Linea Alba ◽  
Diastasis Recti ◽  
Initial Stage ◽  
Pregnancy And Postpartum ◽  
The Right

Introduction: Diastasis recti abdominis (DRA) is defined as the increase between two abdominal rectal muscles located on both sides of the linea alba at the height of the navel. It occurs in pregnant and postpartum women due to the loosening of the linea alba during pregnancy under the influence of hormones and the developing foetus. The most common risk factors for dehiscence are: large foetus, large volume of foetal waters, multiple pregnancy, excessive abdominal muscle overload during the third trimester, obesity and too intense pressure during delivery. Study aim: The aim of the study was to present diagnostics and surgical as well as non-operative treatment for women with abdominal muscle diastasis due to pregnancy and during the puerperium period. Diagnosis of dehiscence primarily includes palpation, calliper measurements, ultrasound and CT scan. Materials and methods: Scientific bases such as Pubmed, Sciencedirect, Google Scholar and Ebsco were searched. Results: A total of 48 scientific reports from Pubmed, Sciencedirect and Google Scholar were collected. Conclusions: Diastasis of the rectus abdominis muscle can be treated preventively by introducing appropriate prophylaxis, which aims to strengthen the transverse and the rectus abdominis muscles, as well as learning the right posture and principles of proper performance of activities such as lifting heavy objects. In the event of diastasis occurring in the puerperium period, its size can be reduced in a non-invasive manner or even completely eliminated after introducing appropriate exercises, being supported with orthopaedic equipment if necessary. Exercises should be individually selected by a therapist and performed under his/her supervision at the initial stage of training to teach the patient to properly activate the transverse abdominal muscle. Pregnant women who do not have contraindications to physical activity can reduce the risk of the DRA by performing appropriate exercises.

scholarly journals Study on post-partum uterine involution by Ultrasonography and progesterone profile in local goats in Iraq

2016 ◽  
Vol 40 (1) ◽  
pp. 151-156
Author(s):  
Souhayla O. Hussain
Keyword(s):  
Post Partum ◽  
Biological Marker ◽  
Abdominal Ultrasound ◽  
Mean Value ◽  
Ovarian Activity ◽  
Uterine Lumen ◽  
Uterine Involution ◽  
The Mean ◽  
Post Partum Period

     The study was conducted to investigate and characteriz the time of uterine involution in local goats in Iraq by measuring the uterine diameter, uterine lumen (mm) and monitoring early post-partum ovarian activity as proved by Ultrasonography and progesterone assessment in local goats. 15 goats were submitted to examine from day 3 to 40 after kidding by Ultrasonography. Trans abdominal ultrasound approach was performed from day 3 to 5 after kidding and continued by trans rectal approach to follow up the uterine involution until day 40. Progesterone levels were measured starting from day of parturition, then a weekly measure until day 34 of post-partum period. Progesterone was assayed by Radio immune assay. The obtained results showed that complete of uterine involution started at day 26 (6.67) % and completed at day 34 post-partum in all does (100%). on the other hand involution of the uterus was completed at day 26, 27, 28, 29, 31, 33 after parturition  with a percentage of 6.67%, 13.34%, 33.34%, 40%, 46.67%, 66.67%, 73.34% and 80% respectively. Average uterine lumen (mm) from days 3-7, 8- 14, 15- 21, 22- 28, 29 -35 and 36-40 were 9.02, 5.82, 5.14, 3.51, 2.66, and 2.0 (mm) respectively. Average uterine diameter (mm) was 40.25, 33.9, 31.4, 25.57, 20 .15 and 16.35 at day 3-7, 8- 14, 15-28, 29-35 and 36-40 respectively. Regarding progesterone profile, results indicated that the mean value of the hormone was 0.267±0.005 ng /ml at parturition and the values were 0.320±0.007, 0.414±00.5, 0.536 ±0.013, and 1.945 ±0.129 ng/ ml at day 7, 14, 21 and day 30, respectively. It could be concluded that Ultrasonography image proved to be a valuable and safe tool in monitoring uterine involution and measuring of progesterone is a precise biological marker for the detection of resumption of ovarian cyclist during post-partum period.

scholarly journals Effect of Abdominal Physiotherapy in Reduction of Inter Recti Distance in Postpartum Females

2021 ◽  
Vol 15 (6) ◽  
pp. 1446-1448
Author(s):  
K. Kazmi ◽  
G. M. Hashmi ◽  
M. Bilal ◽  
N. Iqbal ◽  
Wajeeha . ◽  
...  
Keyword(s):  
Post Partum ◽  
Tertiary Care ◽  
Abdominal Muscle ◽  
Postnatal Period ◽  
P Value ◽  
Care Hospital ◽  
Post Intervention ◽  
Gynecology And Obstetrics ◽  
Diastasis Recti ◽  
Quasi Experimental

Aim: To see the effect of abdominal exercises in the recovery of diastasis recti in post natal females. Methodology: A Quasi Experimental study design was used to enroll 40 participants from OPD of Gynecology and Obstetrics from a Tertiary Care Hospital Lahore between ages ranged from 18 to 30 years. Using purposive sampling all postpartum females having diastasis of rectus abdominis muscles with inter recti distance more than 2 fingers width were enrolled. All the study participants received abdominal muscle exercises program for 30 min a day in 8 week program. inter recti distance was measured by using two finger palpation method. All the pre intervention and post intervention data were recorded into a short structured proforma.Results were considered significant for p value ≤ 0.05. Results: 40 participants were selected in this study with an age from 18- 30 years. The inter recti distance was significantly reduced as p value was ≤ 0.05 for both (above umbilicus and below umbilicus) groups. Conclusion: It was observed that abdominal exercises helped in the recovery of diastasis and reduced the separation between the muscles in postpartum women. It also enlightens the importance of the prescription of physiotherapy in reduction of post partum complications. Keywords: Abdominal Exercises, Diastasis Recti, Pregnancy, Postnatal period,

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