Postpartum Females -Effects of Deep Core Stability Exercises Versus Pilates Exercises for Diastasis Recti. -A Randomized Controlled Trial of Coastal Patients

Main Article Content

Vidhya Sri. M
Shanmugananth E.
Thamizharasi V.
Ezhumalai G.

Abstract

BACKGROUND:  Diastasis recti, or the division of abdominal muscles, can occur in coastal patients as a result of factors such as pregnancy, weight gain, and physical activity. Diastasis rectus abdominis (DRA), or a gap of the inter-recti at the centre, is a common health problem which impacts all pregnant and postpartum women who have a split of more than 2 cm at one or more locations along the linea alba. Symptoms of diastasis recti may include a bulge or pooch in the abdomen, lower back pain, poor posture, and difficulty engaging the core muscles. Diastasis recti can also contribute to pelvic floor dysfunction and urinary incontinence. Pilates and deep core stability exercises is a form of exercise with goals of improving flexibility, core strength, Posture and coordinate movement. The study aimed to compare the effect of deep core stability exercises versus Pilates exercises to evaluate which of these treatment protocols prove to be more efficient in decreasing inter recti distance and waist hip ratio in postpartum females with diastasis recti.


OBJECTIVE: The objective of this study is to compare the deep core stability exercises versus Pilate’s exercises to evaluate which of these treatment protocol is more effective in treating diastasis recti. 


METHODOLOGY: In a study of 20 subjects with diastasis recti , postpartum females  were randomly divided into 2 groups with 10 subjects each in Group A and Group B. Subject were selected between the age between 20- 35. Group A underwent deep core stability exercise along with conventional exercises (n = 10) and Group B underwent pilates exercises along with conventional exercises (n= 10). The subject were submitted to inter recti distance test by Vernier calliper and waist hip ratio by using inch tape before and after the 6 weeks intervention. The pre-test value and post-test value were calculated after the intervention.


RESULT: The data were analyzed and interpreted by using the SPSS version. There was a significant reduction in inter-recti distance and waist-hip ratio in both groups and a significant difference was found between the two groups (p<0.05).


CONCLUSION: From the above study we conclude that Group A and Group B both were effective in decreasing the diastasis recti gap but compare to these two group pilates exercises (Group B) is more effective than deep core stability exercises (Group B) in reducing inter recti distance and waist-hip ratio caused by diastasis recti in this special population of postpartum females. The need for this type of special education needs to be emphasized.

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How to Cite
Sri. M, V. ., Shanmugananth E., V., T. ., & Ezhumalai G. (2023). Postpartum Females -Effects of Deep Core Stability Exercises Versus Pilates Exercises for Diastasis Recti. -A Randomized Controlled Trial of Coastal Patients . Journal of Coastal Life Medicine, 11(1), 2500–2509. Retrieved from https://www.jclmm.com/index.php/journal/article/view/708
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References

Sanjivani Ramesh Khand, et al. “Effects of Abdominal Exercises on Reduction of Diastasis Recti in Postnatal Women” Vol.6; Issue: 6; June 2016.

Sagarika Shashank Patwardhan, et al. “Effect of Conventional Abdominal Binder on Diastasis Recti Abdominis in Post-Partum Women” Vol. 10 / Issue 30 / July 26, 2021.

Ali A. Thabet, et al. “Effects of deep core stability exercise program in postpartum women with diastasis recti abdominis: a randomised controlled trial” Musculoskeletal Neuronal Interact 2019; 19(1):62-68.

Preethi, P. Anu, et al. “Effects of Kinesiotaping Along With Abdomen and Pelvic Floor Exercise on Diastasis Recti Abdominis for Postpartum Women in Normal Delivery Versus LSCS Biomedicine, 5 Mar. 2022,

Vaishnavi Ravikantiwar, et al. “Effectiveness of 6 week Pilates training on diastasis recti in post-partum women” -A pilot study. Volume 3, Issue 2, 2021.

Cañamero-de León S, et al. “Effects of an Exercise Program on Diastasis Recti in Women” Vol.9; Issue: 10; October 2019.

Zulekha Saleem, et al. “Effect of Exercise on Inter-Recti Distance and Associated Low Back Pain among Post-Partum Females: A Randomized ConVol.6; Issue: 6; June 2016, September 2021.

Pournima A Pawar, et al. “Effects of mat based Pilates exercises Vs conventional exercises on core muscle strength in postnatal women” Volume 3; Issue 1; January 2018.

Cherry Pereira, et al. “To study the added effect of modified dynamic core stability plank exercise program on diastasis recti abdominis closure and pelvic floor disability :a pilot study. IJAMSCR |Volume 6 | Issue 2 | Apr - Jun - 2018.

D.R. Benjamin, et al. “Effects of exercise on diastasis of the rectus abdominis muscle in the antenatal and postnatal periods” a systematic review. Physiotherapy 100 (2014) 1–8.

Feny Oktaviyani, et al. “Effect of Core Stability Exercise in Preventing Diastasis Recti Abdominis among Normal Birth Delivery of Postpartum Mothers”: Meta-Analysis. E-issn: 2549-0265 (2022).

Mrunal Kulkarni, et al. “Effects of pilates on core muscle strength and endurance in post 6 months delivered women”. Volume11 issue 8 2020.

Kisner C. Colby L, et al. Therapeutic exercise foundations and techniques, 5” Ed. Philadelphia: F.A. Davis: 2007.

Snijders T. Verdijk LB, et al. A single bout of exercise activates Skeletal muscle satellite cells during subsequent overnight recovery. Exp Physio l 2012;97(6):762-73.

Helal OF, Alshehri MA, et al. “The effectiveness of short-term high-intensity exercise on ventilatory function, in adults with a high risk of chronic obstructive pulmonary disease. J Phys Ther Sci 2017:29(5):927-30.

IDEA Health and Fitness Association. Inspire Women to Fitness. San Diego: IDEA: 2003.

Mahdavinejad R, et al. “Pilate’s selected exercises effects on muscles strength, trunk joints range of motion and flexibility of women with hyper lordosis in immediate post-partum”. 2015; 13(3):198-207.

Pedro O.P. Lima Rodrigo R.oliveria, et al. Concurrent validity on pressure biofeedback unit and surface electromyography in measuring transerversus abdominis muscle activity in patients with chronic 12.nonspecific low back pain. ISSN 1413-3555 Rev Bras Fisoter São Carlos, v 16n.5.p.389-95.sep/oct.2012.

T, Murugaraj, Ashila, Sabarish Hariharan, Mossadeq A, and Shanmugananth E. 2022. “Effectiveness of Kegel Exercise Combined With Utkatasana on Symptoms Associated With Stress Urinary Incontinence On Middle Aged Women: Life Sciences-Health”. International Journal of Life Science and Pharma Research 12 (SP25):L66-L72

Jani, Chaitsi & Elayaperumal, Shanmugananth & Nambi, Gopal & Makwana, Ankita. (2014). Association of Environmental Tobacco Smoking with Pulmonary Functions among Pregnant Women: A Prospective Cohort Study. International journal of health sciences and research. 4. 78-83.