Case Study
Year: 2021 | Month: June | Volume: 11 | Issue: 6 | Pages: 367-373
DOI: https://doi.org/10.52403/ijhsr.20210655
Management of Severe Diastasis Recti Abdominis by Abdominal Strengthening Exercise in Women after Postpartum Period: A Case Study
Vinal Charpot1
1Lecturer, Physiotherapist, Government Physiotherapy College and Government Spine Institute, Civil Hospital, Ahmadabad.
ABSTRACT
Background: Abnormal gap between two rectus abdominal muscle at the level of umbilicus, above or below umbilicus called diastasis recti. It reduces the integrity and functional strength of the abdominal wall and can aggravate low back pain and later on pelvic instability. If the exercises are given to avoid the complications and reduce abnormal separation in early postpartum phase it will be most effective way to correct DRAM. But if these abdominal exercises have not been given on early phase then there will be no improvement in severe DRAM.
Materials and Methods: In this case study it was design to find out effect of abdominal strengthening exercise in women after postpartum period.39 year old lady was diagnosed with severe diastasis recti after one year of her last delivery. In this study finger palpation method was used to examine DRAM then abdominal strengthening exercises were given for 8 weeks.
Result: By finger palpation method it was found that this lady had severe DRAM at the level of umbilicus, above and below gap between two rectus abdominis muscle was more than 4 fingers. After completion of the exercise protocol it was found that there was no improvement in DRAM after 8 weeks but there is significant reduction in low back pain according to NPRS.
Conclusion: The result of this case study shows that abdominal strengthening exercises are not effective in reducing severe diastasis recti in after post partum period. But there was definite reduction in low back pain. So it is not support the prescription of an abdominal strengthening exercise in severe diastasis recti in very late post partum period of time.
Key words: Diastasis Recti Abdominis, Abdominal Strengthening Exercises, Low Back Pain, NPRS.