Comparing the effects of suspension and isometric-isotonic training on postural stability, lumbopelvic control, and proprioception in women with diastasis recti abdominis: a randomized, single-blinded, controlled trial.

Diastasis recti abdominis (DRA) affects a significant number of women in the postpartum period. This study compared the effectiveness of suspension training system (STS) with that of isometric-isotonic (ISoM-ISoT) exercises in the treatment of DRA and its secondary complications. Thirty-six women wi...

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Publicado en:Physiotherapy Theory & Practice Vol. 39; no. 12; pp. 2596 - 2609
Autores principales: Yalfani, Ali, Bigdeli, Nahid, Gandomi, Farzaneh
Formato: equations & formulas pictorial research tables/charts randomized controlled trial Journal Article
Publicado: Taylor & Francis Ltd Dec2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2023
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/09593985.2022.2100300
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        atl: Comparing the effects of suspension and isometric-isotonic training on postural stability, lumbopelvic control, and proprioception in women with diastasis recti abdominis: a randomized, single-blinded, controlled trial.
      aug:
        au:
          Yalfani, Ali
          Bigdeli, Nahid
          Gandomi, Farzaneh
        affil: Department of Sport Rehabilitation and Corrective Exercises, Faculty of Sport Sciences, Bu-Ali Sina University, Hamedan, Iran
      sug:
        subj:
          Balance, Postural
          Proprioception
          Women's Health
          Rectus Abdominis Muscles
          Diastasis Recti Abdominis
          Low Back Pain Therapy
          Therapeutic Exercise Methods
          Resistance Training Methods
          Human
          Female
          Iran
          Randomized Controlled Trials
          Random Assignment
          Single-Blind Studies
          Comparative Studies
          Postnatal Period
          Pain Physiology
          Pain Management Methods
          Control Group
          Scales
          Outcome Assessment
          Clinical Trial Registry
          Abdominal Muscles
          Pain Measurement
          Descriptive Statistics
          Coefficient alpha
          One-Way Analysis of Variance
          Data Analysis Software
          Intraclass Correlation Coefficient
          Confidence Intervals
          Female
      ab: Diastasis recti abdominis (DRA) affects a significant number of women in the postpartum period. This study compared the effectiveness of suspension training system (STS) with that of isometric-isotonic (ISoM-ISoT) exercises in the treatment of DRA and its secondary complications. Thirty-six women with DRA participated in this study. They were divided into the three groups of STS, ISoM-ISoT, and control. Inter-recti distance (IRD), proprioception, lumbopelvic control, postural stability, low back pain, and disability were assessed using a digital caliper, a goniometer, a lateral step-down test, a Biodex balance system, a visual analogue scale (VAS), and the Oswestry Disability Index (ODI), respectively. Two intervention groups underwent training for 8-week and the control group resumed their normal lives. Positive effects were observed in the STS and ISoM-ISoT groups compared with the control group in: IRD (P =.001); lumbopelvic proprioception (P =.001); lumbopelvic control (P =.001); overall static balance (P =.010); overall dynamic balance (P =.012); low back pain (P =.001); and disability (P =.001). However, there was no significant difference between the training groups in: IRD (P =.12, MD = −2.76); lumbopelvic proprioception (P =.48, MD = −0.50); lumbopelvic control (P =.14, MD = 1.53); static balance (P =.62, MD = 0.07); dynamic balance (P =.27, MD = 0.33); pain (P =.25, MD = −0.52); and disability (P =.48, MD = −1.74). The results of the minimal clinically important difference (MCID) and minimal detectable change (MDC) suggested that the STS exercises outperformed ISoM-ISoT training regarding IRD, pain, disability, and proprioception, whereas ISoM-ISoT training had a better effect in lumbopelvic control and balance. The results of our study showed that the STS had a positive effect on women with DRA and like the ISoM-ISoT exercises can be used to treat this dysfunction.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        pictorial
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Unknown
    language: English
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