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Effect of a Postpartum Training Program on the Prevalence of Diastasis Recti Abdominis in Postpartum Primiparous Women: A Randomized Controlled Trial

Physical therapy, 2018-04, Vol.98 (4), p.260-268 [Peer Reviewed Journal]

2018 American Physical Therapy Association 2018 ;COPYRIGHT 2018 Oxford University Press ;COPYRIGHT 2018 Oxford University Press ;Copyright © 2018 American Physical Therapy Association ;Copyright Oxford University Press, UK Apr 2018 ;info:eu-repo/semantics/openAccess ;The Author(s) 2018. Published by Oxford University Press on behalf of the American Physical Therapy Association. 2018 ;ISSN: 0031-9023 ;EISSN: 1538-6724 ;DOI: 10.1093/ptj/pzy008 ;PMID: 29351646

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Title:
Effect of a Postpartum Training Program on the Prevalence of Diastasis Recti Abdominis in Postpartum Primiparous Women: A Randomized Controlled Trial
Author: Gluppe, Sandra L ; Hilde, Gunvor ; Tennfjord, Merete K ; Engh, Marie E ; Bø, Kari
Subjects: Abdomen ; Abdominal muscles ; Adult ; Clinical trials ; Diastasis, Muscle - physiopathology ; Diastasis, Muscle - rehabilitation ; Exercise Therapy - methods ; Female ; Health aspects ; Humans ; Intervention ; Methods ; Mothers ; Muscles ; Original Research ; Pain ; Parity ; Pelvic Floor - physiopathology ; Physical therapists ; Physical therapy ; Physiological aspects ; Postnatal Care ; Postpartum period ; Pregnancy ; Pregnancy Complications - physiopathology ; Pregnancy Complications - rehabilitation ; Rectus Abdominis - physiopathology ; Risk Factors ; Sports training ; Strength training ; Studies ; Systematic review ; Therapeutics, Physiological ; Treatment Outcome ; Ultrasonic imaging ; Womens health
Is Part Of: Physical therapy, 2018-04, Vol.98 (4), p.260-268
Description: Abstract Background Diastasis recti abdominis affects a significant number of women during the prenatal and postnatal period. Objective The objective was to evaluate the effect of a postpartum training program on the prevalence of diastasis recti abdominis. Design The design was a secondary analysis of an assessor-masked randomized controlled trial. Methods One hundred seventy-five primiparous women (mean age = 29.8 ± 4.1 years) were randomized to an exercise or control group. The interrectus distance was palpated using finger widths, with a cutoff point for diastasis as ≥2 finger widths. Measures were taken 4.5 cm above, at, and 4.5 cm below the umbilicus. The 4-month intervention started 6 weeks postpartum and consisted of a weekly, supervised exercise class focusing on strength training of the pelvic floor muscles. In addition, the women were asked to perform daily pelvic floor muscle training at home. The control group received no intervention. Analyses were based on intention to treat. The Mantel-Haenszel test (relative risk [RR] ratio) and the chi-square test for independence were used to evaluate between-group differences on categorical data. Results At 6 weeks postpartum, 55.2% and 54.5% of the participants were diagnosed with diastasis in the intervention and control groups, respectively. No significant differences between groups in prevalence were found at baseline (RR: 1.01 [0.77–1.32]), at 6 months postpartum (RR: 0.99 [0.71–1.38]), or at 12 months postpartum (RR: 1.04 [0.73–1.49]). Limitations The interrecti distance was palpated using finger widths, and the sample included women with and without diastasis. Conclusions A weekly, postpartum, supervised exercise program, including strength training of the pelvic floor and abdominal muscles, in addition to daily home training of the pelvic floor muscles, did not reduce the prevalence of diastasis.
Publisher: United States: Oxford University Press
Language: English;Norwegian
Identifier: ISSN: 0031-9023
EISSN: 1538-6724
DOI: 10.1093/ptj/pzy008
PMID: 29351646
Source: MEDLINE
NORA Norwegian Open Research Archives
Alma/SFX Local Collection

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Effect of a Postpartum Training Program on the Prevalence of Diastasis Recti Abdominis in Postpartum Primiparous Women: A Randomized Controlled Trial

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