PMID- 35819090
OWN - NLM
STAT- MEDLINE
DCOM- 20231115
LR  - 20231122
IS  - 1532-5040 (Electronic)
IS  - 0959-3985 (Linking)
VI  - 39
IP  - 12
DP  - 2023 Dec 2
TI  - 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.
PG  - 2596-2608
LID - 10.1080/09593985.2022.2100300 [doi]
AB  - BACKGROUND: Diastasis recti abdominis (DRA) affects a significant number of women 
      in the postpartum period. OBJECTIVE: 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. METHODS: 
      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. RESULTS: 
      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. CONCLUSION: 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.
FAU - Yalfani, Ali
AU  - Yalfani A
AD  - Department of Sport Rehabilitation and Corrective Exercises, Faculty of Sport 
      Sciences, Bu-Ali Sina University, Hamedan, Iran.
FAU - Bigdeli, Nahid
AU  - Bigdeli N
AD  - Department of Sport Rehabilitation and Corrective Exercises, Faculty of Sport 
      Sciences, Bu-Ali Sina University, Hamedan, Iran.
FAU - Gandomi, Farzaneh
AU  - Gandomi F
AD  - Department of Sport Injuries and Corrective Exercises, Faculty of Sport Sciences, 
      Razi University, Kermanshah, Iran.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20220712
PL  - England
TA  - Physiother Theory Pract
JT  - Physiotherapy theory and practice
JID - 9015520
SB  - IM
MH  - Humans
MH  - Female
MH  - Rectus Abdominis
MH  - *Low Back Pain/therapy
MH  - Postpartum Period
MH  - *Diastasis, Muscle
MH  - Exercise Therapy/methods
OTO - NOTNLM
OT  - Intra rectus diastasis
OT  - childbirth
OT  - disability
OT  - low back pain
OT  - pregnancy
EDAT- 2022/07/13 06:00
MHDA- 2023/11/15 06:43
CRDT- 2022/07/12 07:23
PHST- 2023/11/15 06:43 [medline]
PHST- 2022/07/13 06:00 [pubmed]
PHST- 2022/07/12 07:23 [entrez]
AID - 10.1080/09593985.2022.2100300 [doi]
PST - ppublish
SO  - Physiother Theory Pract. 2023 Dec 2;39(12):2596-2608. doi: 
      10.1080/09593985.2022.2100300. Epub 2022 Jul 12.