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Atuacao fisioterapeutica na reducao da diastase abdominal no puerperio imediato (Physiotherapy in the reduction of diastasis of the recti abdominis in immediate postpartum) [Portuguese]
Pampolim G, Ribeiro dos Santos B, Gadiolli Verzola I, Ferres AM, Rodrigues da Silva GB, Silva Sarmento S
Revista de Pesquisa: Cuidado e Fundamental 2021 Jan-Dec;13(1):856-860
clinical trial
2/10 [Eligibility criteria: Yes; Random allocation: No; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: to verify if the physiotherapeutic intervention in the immediate puerperium contributes to the reduction of the diastasis. METHODS: randomized intervention study of two groups of 25 mothers recruited at a maternity hospital in Vitoria-ES. Both were submitted to diastasis evaluation and measurement using a caliper, and in the treatment group, in addition to the evaluation, a physical therapy protocol was applied at 6 and 18 hours after delivery. Data were analyzed by Wilcoxon, Mann-Whitney and paired t-tests. RESULTS: there was a decrease in the abdominal diastasis between the first and last evaluation in both groups and the variables studied, however, the analysis between groups identified a sharper decline in the treatment group (p < 0.001). CONCLUSION: the findings of this study show that the physiotherapeutic care in the immediate puerperium is able to positively influence the reduction of the abdominal diastasis, providing a faster recovery to the puerperal women.

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