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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
Yalfani A, Bigdeli N, Gandomi F
Physiotherapy Theory and Practice 2023;39(12):2596-2608
clinical trial
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; 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*

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 = 0.001); lumbopelvic proprioception (p = 0.001); lumbopelvic control (p = 0.001); overall static balance (p = 0.010); overall dynamic balance (p = 0.012); low back pain (p = 0.001); and disability (p = 0.001). However, there was no significant difference between the training groups in: IRD (p = 0.12, MD -2.76); lumbopelvic proprioception (p = 0.48, MD -0.50); lumbopelvic control (p = 0.14, MD 1.53); static balance (p = 0.62, MD 0.07); dynamic balance (p = 0.27, MD = 0.33); pain (p = 0.25, MD -0.52); and disability (p = 0.48, 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.

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