Effect of Core Strengthening Exercises on Post- Partum Women with Lumbar Dysfunction
Article Sidebar
Main Article Content
Abstract
Background: Low back pain is the most common problem faced by women post -partum. Core muscles play important role in maintaining the balance pelvis and spine. It plays important role in trunk control. This study aimed to find our effect of core strengthening exercises along with conventional method in post-partum women with lumbar dysfunction.
Objectives: The objective was to assess the effect of core strengthening exercises along with conventional treatment protocol on post- partum women with lumbar dysfunction.
Materials and Method: In this comparative study, postpartum women with lumbar dysfunction who had lower segment caesarean sections or full-term natural deliveries undergone complete comparison. Samples were obtained by the use of random sampling. A total of 72 samples were gathered, which were then split into two groups with 36 participants each: control group A and experimental group B. Oswestry Disability Scale and Visual Analogue Scale were utilised as outcome measures. Pre-test, post-test, and post-four-week assessments were all part of a four-week study. For each of the outcome measures, an unpaired t test was utilised.
Results: A total of 72 samples were gathered, and 36 subjects from the control and experimental groups were placed in each group. When compared to conventional treatment alone, a significant and extremely significant difference was seen for the combination of core strengthening and conventional treatment protocol.
Conclusion: This study found that, in postpartum women with lumbar dysfunction, a combination of conventional treatment protocol and core strengthening exercises significantly and extremely significantly improved lumbar dysfunction compared to conventional protocol alone.
Article Details
References
Chaudry S, Rashid F, Shah SI. Effectiveness of core stabilisation exercises along with postural correction in postpartum back pain. Rawal Med J. 2013 Jan;38(3):256-9.
Skundric G, Vukicevic V, Lukic N. Effects of Core Stability Exercises, Lumbar Lordosis and Low-Back Pain: A Systematic Review. Journal of Anthropology of Sport and Physical Education. 2021;5(1):17-23.
Kumar T, Kumar S, Nezamuddin M, Sharma VP. Efficacy of core muscle strengthening exercise in chronic low back pain patients. Journal of back and musculoskeletal rehabilitation. 2015 Jan 1;28(4):699-707.
Afriannisyah E, Herawati L, Widyawati MN. Core Stability Exercise For Low Back Pain: A Literature Review. STRADA Jurnal Ilmiah Kesehatan. 2020 Nov 24;9(2):1718-23.
França FR, Burke TN, Hanada ES, Marques AP. Segmental stabilization and muscular strengthening in chronic low back pain: a comparative study. Clinics. 2010;65(10):1013-7.
Calatayud J, Escriche-Escuder A, Cruz-Montecinos C, Andersen LL, Pérez-Alenda S, Aiguadé R, Casaña J. Tolerability and muscle activity of core muscle exercises in chronic low-back pain. International Journal of Environmental Research and Public Health. 2019 Jan;16(19):3509.
Li X, Shen J, Liang J, Zhou X, Yang Y, Wang D, Wang S, Wang L, Wang H, Du Q. Effect of core-based exercise in people with scoliosis: A systematic review and meta-analysis. Clinical rehabilitation. 2021 May;35(5):669-80.
Stuge B, Hilde G, Vøllestad N. Physical therapy for pregnancy-related low back and pelvic pain: a systematic review. Acta obstetricia et gynecologica Scandinavica. 2003 Jan 1;82(11):983-90.
Breen TW, Ransil BJ, Groves PA, Oriol NE. Factors associated with back pain after childbirth. The Journal of the American Society of Anesthesiologists. 1994 Jul 1;81(1):29-34.
Hides JA, Jull GA, Richardson CA. Long-term effects of specific stabilizing exercises for first-episode low back pain. Spine. 2001 Jun 1;26(11):e243-8.
Helewa AN, Goldsmith CH, Lee P, Smythe HA, Forwell L. Does strengthening the abdominal muscles prevent low back pain--a randomized controlled trial. The Journal of rheumatology. 1999 Aug 1;26(8):1808-15.
Leopold M, Santiago K, Cheng J, Keller L, Abutalib Z, Bonder J, Sharma G, Tenforde A, Casey E. Efficacy of a Core Strengthening Program for Diastasis Rectus Abdominis in Postpartum Women: A Prospective Observational Study. Journal of Women's Health Physical Therapy. 2021 Oct 1;45(4):147-63.
Mannion AF, Caporaso F, Pulkovski N, Sprott H. Spine stabilisation exercises in the treatment of chronic low back pain: a good clinical outcome is not associated with improved abdominal muscle function. European Spine Journal. 2012 Jul;21(7):1301-10.
Chiarello CM, Falzone LA, McCaslin KE, Patel MN, Ulery KR. The effects of an exercise program on diastasis recti abdominis in pregnant women. J Womens Health Phys Therap. 2005;29(1):11–6.
Lo T, Candido G, Janssen P. Diastasis of the recti abdominis in pregnancy:risk factors and treatment. Physiother Can. 1999;51(l):32–7.
Gilleard WL, Brown JM. Structure and function of the abdominal muscles in primigravid subjects during pregnancy and the immediate postbirth period. Phys Ther. 1996;76(7):750–62.
Noble E. Essential exercises for the childbearing year:a guide to health and comfort before and after your baby is born. 4th ed. Harwich, MA: New Life Images; 1995.
Rett MT, Almeida TV. Factors relating to mother and child associated with separation of the rectus abdominis muscle in immediate puerperium. Rev Bras Saúde Matern Infant Recife. 2014;14(1):73–80.
Akuthota V, Ferreiro A, Moore T, Fredericson M. Core Stability Exercise Principles. Curr Sports Med Rep. 2008;7(1):39–44.
Gill V, Neumann P. EMG evidence of abdominal activity during pelvic floor muscle contraction. Proceedings of the International Continence Society Conference, Denver. 1999; 168:54–55.
Benjamin D, Van de Water A, Peiris C. Effects of exercise on diastasis of the rectus abdominis muscle in the antenatal and postnatal periods: a systematic review. Physiotherapy. 2014;100(1):1-8
Liaw L-J, Hsu M-J, Liao C-F, Liu M-F, Hsu A-T. The relationships between inter-recti distance measured by ultrasound imaging and abdominal muscle function in postpartum women: a 6-month follow-up study. journal of orthopaedic & sports physical therapy. 2011;41(6):435-43
da Mota PGF, Pascoal AGBA, Carita AIAD, Bø K. Prevalence and risk factors of diastasis recti abdominis from late pregnancy to 6 months postpartum, and relationship with lumbo-pelvic pain. Manual therapy. 2015;20(1):200-5.
Parker MA, Millar LA, Dugan SA. Diastasis rectus abdominis and lumbo-pelvic pain and dysfunction-are they related? Journal of women’s health physical therapy. 2009;33(2):15-22.
Fast A, Weiss L, Ducommun EJ, Medina E, Butler JG. Low-back pain in pregnancy. Abdominal muscles, sit-up performance, and back pain. Spine. 1990;15(1):28-30
. Bursch SG. Interrater reliability of diastasis recti abdominis measurement. Physical therapy. 1987;67(7):1077-9. 9
Tuttle LJ, Fasching J, Keller A, Patel M, Saville C, Schlaff R, et al. Noninvasive Treatment of Postpartum Diastasis Recti Abdominis: A Pilot Study. Journal of women’s health physical therapy. 2018; 42(2):65-75.