Exercises for pregnant and postpartum women with diastasis recti abdominis – literature review

IntroductionDysmenorrhoea is a common gynaecological problem among teenage and young adult females. The aim of this work was to evaluate the effectiveness of kinesiotaping for treating menstrual pain.MethodsThe subjects were 44 women with complaints of pain during menstruation. The participants were randomly assigned to 3 groups: group 1 (n = 16), in which a kinesio tape was applied to the abdominal area; group 2 (n = 14), in which an identically looking inelastic tape was applied; and group 3 (n = 14), in which no intervention occurred. The degree of menstrual discomfort was assessed by a visual analogue scale, modified Laitinen questionnaire, and Spielberger state-trait anxiety inventory.ResultsIn all groups, within 24 hours after tape application, pain intensity diminished by approximately 50%. In groups 1 and 2, the reduction of pain occurred 2–4 hours after the application of the tapes. In contrast, in group 3, an initial increase of pain intensity was observed, and pain decrease began after 11 hours. However, the differences between the groups did not reach statistical significance. The values obtained with the Laitinen pain questionnaire revealed that kinesiotaping significantly reduced the intensity (p = 0.004) and incidence (p = 0.006) of menstrual pain between the first and fifth day.ConclusionsPainful menstruation severely limits everyday functioning. The application of a kinesio tape to the abdominal area may reduce the severity of pain in women with complaints referring to menstruation.

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“…Gynaecological problems are quite often described in the scientific literature [13][14][15]. one of them is painful menstruations.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of kinesiotaping for the treatment of menstrual pain

Boguszewski¹,

Borowska²,

Szymańska³

et al. 2020

Physiother Quart.

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“…DRAM adalah gangguan berupa pemisahan garis tengah dari dua otot rectus abdominis disepanjang linea alba. Penguluran otot perut menjadi penyebab terjadinya DRAM yang dipengaruhi oleh usia dan status gizi (berat badan) (Gruszczyńska & Truszczyńska-Baszak, 2018). Selama kehamilan dengan bertambah besar rahim semakin mempengaruhi bentuk perut dan posisi tulang belakang lumbar, sehingga terjadi peningkatan jarak antara otot-otot perut dan perubahan sudut otot perut.…”

Section: Pendahuluanunclassified

“…DRAM yang belum menutup setelah melahirkan, berpengaruh terhadap munculnya berbagai kasus seperti nyeri punggung bawah, instabilitas panggul, inkontinensia urin dan inkontensia feces, sindrom vestibulitis vulva, interstitial, sistitis atau herniasi diskus (Gruszczyńska & Truszczyńska-Baszak, 2018). Berdasarkan risiko-risiko yang telah diuraikan di atas, sebaiknya DRAM harus segera diatasi.…”

Section: Pendahuluanunclassified

“…Diastasis recti abdominis muscle (DRAM) sebagai pemisahan otot rectus abdominis di linea alba yang menghubungkan dua bagian otot ini (Gruszczyńska & Truszczyńska-Baszak, 2018). Saat kehamilan, perubahan geometri otot perut masih mempertahankan fungsinya.…”

Section: Pembahasanunclassified

“…Sehingga, terjadi gangguan fungsional otot perut dapat menyebabkan nyeri tulang belakang dan disfungsi dan komplikasi lain seperti hernia abdominal. Tonjolan di daerah garis median anterior abdomen yang dapat diamati pada individu dengan DRAM juga merupakan masalah estetika (Gruszczyńska & Truszczyńska-Baszak, 2018).…”

Section: Pembahasanunclassified

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Pengaruh Latihan Otot Perut terhadap Diastasis Recti Abdominalis Muscle pada Ibu Pasca Melahirkan Normal

Rustanti¹,

Zuhri²

2020

j.kesehatan metro sai wawai

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Latar Belakang: Akibat kehamilan akan menimbulkan Diastasis Recti Abdominal Muscle (DRAM) atau celah yang terbentuk oleh karena terpisahnya otot rectus abdominalis selama pembesaran rahim dan dan setelah melahirkan. DRAM dapat berpengaruh terhadap timbulnya berbagai kasus seperti nyeri punggung bawah, incontinensia urin, instabilitas panggul, sehingga perlu terapi dini. Tujuan: Penelitian ini untuk mengetahui manfaat latihan otot perut terhadap DRAM.Metode: Desain penelitian quasi eksperimen dengan two group pre and post test design. Subjek penelitian adalah ibu pasca melahirkan normal yang terbagi menjadi dua kelompok secara acak. Kelompok perlakuan diberikan latihan otot perut selama 4 minggu. Data dianalisis dengan menggunakan uji chi-square digunakan untuk menguji hasil pengukuran.Hasil: Terdapat perbedaan pengaruh antara kelompok perlakuan dengan kelompok kontrol secara bermakna (p= 0,009; POR=0,714; CI 95%: 0,545-0,936). Latihan otot perut berkontribusi sebesar 41% dalam penutupan DRAM. Simpulan: Latihan otot perut (transversus abdominis) mampu mencegah insiden DRAM pada ibu pasca melahirkan. Ibu setelah melahirkan perlu melakukan latihan dengan mandiri atau dibimbing oleh tenaga kesehatan.

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Convolution neural network based multi-class classification of rehabilitation exercises for diastasis recti abdominis using wearable EMG-IMU sensors

Radhakrishnan,

Premkumar,

Prahaladhan

et al. 2024

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PurposeGlobally, postnatal women endure a prominent issue caused by midline separation of abdominal recti muscles, characterized by a sagging and pouch-like appearance of the belly termed as Diastasis Recti Abdominis (DRA). The necessity of ensuring the efficacy of rehabilitative workouts for individuals with DRA cannot be overstated, as inaccurate exercises can exacerbate the condition and deteriorate the health of affected women. The purpose of these exercises is to specifically focus on the rectus abdominis muscles to facilitate the reapproximation of the linea alba. The primary aim of this research work is to assess the effectiveness of rehabilitation exercises for DRA women obtained from Inertial Measurement Unit (IMU) and Electromyography (EMG) sensors.Design/methodology/approachConvolutional neural networks (CNN) employs convolutional activation functions and pooling layers. Recently, 1D CNNs have emerged as a promising approach used in various applications, including personalized biomedical data classification and early diagnosis, structural health monitoring and anomaly detection. Yet another significant benefit is the feasibility of a real-time and cost-effective implementation of 1D CNN. The EMG and IMU signals serve as inputs for the 1D CNN. Features are then extracted from the fully connected layer of the CNN and fed into a boosting machine learning algorithm for classification.FindingsThe findings demonstrate that a combination of sensors provides more details about the exercises, thereby contributing to the classification accuracy.Practical implicationsIn real time, collecting data from postnatal women was incredibly challenging. The process of examining these women was time-consuming, and they were often preoccupied with their newborns, leading to a reluctance to focus on their own health. Additionally, postnatal women might not be fully aware of the implications of DRA and the importance of rehabilitation exercises. Many might not realize that neglecting DRA can lead to long-term issues such as back pain, pelvic floor dysfunction, and compromised core strength.Social implicationsDuring our data collection camps, there were educational sessions to raise awareness about the DRA problem and the benefits of rehabilitation exercises. This dual approach helped in building trust and encouraging participation. Moreover, the use of wearable sensors in this study provided a non-invasive and convenient way for new mothers to engage in rehabilitation exercises without needing frequent visits to a clinic, which is often impractical for them.Originality/valueThe utilization of discriminating features retrieved from the output layer of 1D CNN is a significant contribution to this work. The responses of this study indicate that 1D convolutional neural network (1D CNN) and Boosting algorithms used in a transfer learning strategy produce successful discrimination between accurate and inaccurate performance of exercises by achieving an accuracy of 96%.

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Exercises for pregnant and postpartum women with diastasis recti abdominis – literature review

Cited by 6 publications

References 19 publications

Effectiveness of kinesiotaping for the treatment of menstrual pain

Effectiveness of kinesiotaping for the treatment of menstrual pain

Pengaruh Latihan Otot Perut terhadap Diastasis Recti Abdominalis Muscle pada Ibu Pasca Melahirkan Normal

Convolution neural network based multi-class classification of rehabilitation exercises for diastasis recti abdominis using wearable EMG-IMU sensors

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