Document Type : Original Article
Authors
1
Lecturer of Physical Therapy, Department of physical therapy for Women Health, Faculty of Physical Therapy, Deraya University, EL Minia, Egypt.
2
Lecturer of physical therapy, Department of Physical Therapy for Internal Medicine and Geriatrics, Faculty of Physical Therapy, Nahda University, Beni Suef, Egypt.
3
Lecturer of physical therapy, Department of Physical Therapy for Neurology and Its Surgery, Faculty of Physical Therapy, Nahda University, Beni Suef, Egypt.
4
Lecturer of Physical Therapy for surgery and burn , Faculty of Physical Therapy, Nahda University, Beni Suef, Egypt.
Abstract
Background: In postpartum women, rectus diastasis (RD) and decreased diaphragmatic mobility are common issues that frequently affect breathing, posture, and core stability.
Purpose: This study compares the effects of core stability exercises (CSE) and pelvic floor muscle strengthening (PFMS) on diaphragmatic mobility and RD.
Materials and Methods: Eighty postpartum women, equally split between the PFMS and CSE groups, participated in a randomized controlled experiment. Participants received structured exercise treatments for 12 weeks, and ultrasound imaging and M-mode ultrasonography were used to measure inter-recti distance (IRD), diaphragmatic excursion (DE), and core stability before and after the interventions, respectively.
Results: The findings showed that both groups' IRD and DE had significantly improved. In comparison to the PFMS group (3.1 ± 0.5 cm to 2.0 ± 0.4 cm, p<0.001), the CSE group displayed a larger reduction in IRD (3.2 ± 0.6 cm to 1.5 ± 0.3 cm, p<0.001). In contrast to CSE (2.3 ± 0.4 cm to 3.5 ± 0.5 cm, p<0.001), PFMS showed a greater DE improvement (2.4 ± 0.5 cm to 4.1 ± 0.6 cm, p<0.001). Core stability was improved in both groups with no discernible changes (p<0.001 among groups).
Conclusions: These results demonstrate the special advantages of PFMS and CSE in the treatment of diaphragmatic dysfunction and postnatal RD that indicating a possible benefit of combining the two therapies for the best possible recovery.
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