ABDOMINAL EXERCISE WITH BRACING, A THERAPEUTIC EFFICACY IN REDUCING DIASTASIS-RECTI AMONG POSTPARTAL FEMALES

Abstract

Background: Diastasis recti abdominis (DRA) has been defined as an impairment characterized by the separation of the two rectus abdominis muscles along the linea alba , Diastasis of the rectus abdominis muscle (DRAM) is common during and after pregnancy, and has been related to lumbo-pelvic instability and pelvic floor weakness. Women with DRAM are commonly referred to physiotherapists for non surgical management, but very few found to be effective. Objectives: To determine if the effectiveness of Abdominal exercise with bracing in reducing the diastasis recti among postpartum females. Methodology: IP&OPD patients of Godavari hospital, Jalgaon for a period of 4 weeks. For this descriptive study a cross-sectional study design was incorporated. A number of (n=30) female patients within 1 month after delivery with Diastasis recti were selected. Each patient was screened, initially by using simple selection proforma relevant to the inclusion and exclusion criteria. Results: A total (n=30) subjects were included in the study, these 30 subjects all are Females and one month and more after child birth. The subjects included in this study with an age from minimal 23 years to 34 years old. Number of off springs which is another variable used, was listed as 1(Minimum) and 4(Maximum) children’s. In this study a 26.6% of female are primiparous and 56.7% of them are multiparous. The collected information (data) was tabulated and analyzed by using appropriate statistical analysis tools. 30 Female subjects having mean age 28.8(SD=3.23) in which both primiparous and multiparous women having diastasis recti within 1 month postpartum. Diastasis recti pretest was found to be 3.5(SD= 0.5085) Diastasis recti posttest was found to be 2.5(SD=0.5074) t value=29.00 and P value found to be less than 0.001 which is highly significant. Conclusion: Based on the available evidence and quality of this evidence, after the exercise regimen and bracing the Diastasis recti muscle separation by finger palpation was found to be reduced. Hence, it can be interpreted that with non-surgical interventions (Physical Therapy) can prevent or reduce DRAM in the postpartum.