Impact of TECAR therapy on post-natal rectus diastasis: A randomized trial

Eman A. Elhosary, Hamada Ahmed Hamada, Doaa Rafat ElAzab, Yassmin Essam, Gehan A. Abdelsamea


Eman A. Elhosary, Hamada Ahmed Hamada, Doaa Rafat ElAzab, Yassmin Essam, Gehan A. Abdelsamea – Impact of TECAR therapy on post-natal rectus diastasis: A randomized trial. Fizjoterapia Polska 2023; 23(1); 54-59

DOI: https://doi.org/10.56984/8ZG07B1B5

Streszczenie

Background. Rectus diastasis is a common problem affecting postpartum mothers. It decreases the integrity as well as functional strength of the abdominal wall, and causes low back pain and pelvic instability
Objective. To examine how TECAR therapy (monopolar capacitive resistance radiofrequency of 448 KHz) affects rectus diastasis in postpartum women.
Design. A prospective randomized controlled trial.
Setting. Outpatient physical therapy clinic, Kafr El Sheikh University.
Methods. Forty postnatal women having diastasis recti abdominis (DRA) > 2.5 cm were recruited and randomized into two equal groups; the control group received a program of selected abdominal exercises and low caloric diet of 1200 kcal/ day for 4 weeks, and the study group received the same control group interventions in addition to TECAR application. DRA degree was the primary outcome, while weight and body mass index measures were the secondary outcomes. All variables were measured at the baseline and after 4 weeks of the intervention by rectus diastasis test, abdominal ultrasonography, and calibrated weight scale.
Results. Analysis showed a significant reduction (P < .05) in weight, body mass index, rectus diastasis test, and ultrasound measures in both groups in favor of the study group
Conclusion. Using TECAR with a standard program of abdominal exercises and low caloric diet has more beneficial effects on postnatal DRA than practicing the exercise program alone with the low-calorie diet.

Słowa kluczowe:
diastasis recti, radiofrequency therapy, physical exercises, postpartum

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Effect of Russian Current Stimulation on Abdominal Strength and Endurance in Postnatal Diastasis Recti: A Randomized Controlled Trial

Afaf Mohamed Mahmoud Botla, Marwa Shafiek Mustafa Saleh

Afaf Mohamed Mahmoud Botla, Marwa Shafiek Mustafa Saleh – Effect of Russian Current Stimulation on Abdominal Strength and Endurance in Postnatal Diastasis Recti: A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(1); 16-22

Abstract
Background. Postnatal diastasis recti (DR) can result in cosmetic defects, psychological discomfort, and other related problems such as low back pain (LBP) and pelvic instability. Although, Russian current stimulation is one of the most widely used modalities for improving muscle strength, there is still inconclusive evidence to support its effectiveness in patients with postnatal DR. Objective. This study was conducted to investigate the effect of Russian current stimulation on abdominal strength and endurance in postnatal DR. Methods. Thirty six women suffering from postnatal DR randomly assigned to study or a control group. The control group (n = 18) participated in an abdominal exercise program for 30 minutes per session, whereas the study group (n = 18) received Russian stimulation to rectus abdominis muscles in addition to the same abdominal exercise program. Outcome measures included inter recti distance (IRD), waist/hip ratio (WHR), abdominal muscle strength (peak torque, maximum repetition total work, and average power), abdominal endurance and body appreciation. Measures were assessed for all participants in both groups before and after 6 weeks of treatment program. Results. Analysis showed that both groups had improved in all outcomes measures. Further, there was a significant difference between the two groups in favor of the study group for all of the measured variables. Conclusions. The study showed that adding Russian current stimulation to abdominal exercises program is more effective than abdominal exercises program only in treatment of postnatal DR.

Key words:
Diastasis recti, Abdominal exercises, Russian stimulation, Abdominal strength, Abdominal endurance

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