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Abstract

Background: Diastasis recti abdominis (DRA) is the most common complication occurring post-delivery that limits the functional well-being of the affected individuals. Management of diastasis recti can include an abdominal binder, core strengthening, taping, and various surgical procedures. There is limited evidence to support the Russian current and structured exercise intervention in managing patients with DRA. Methodology: Three patients identified with DRA underwent a multi-modal treatment regimen including a hot moist pack, Russian current, abdominal binder, transverse abdominus activation exercises, treadmill training, and stationary cycling training. Outcomes were assessed using the visual analogue scale, abdominal girth, Ranney DRA scale, Oswestry low back disability questionnaire, and McGill’s torso battery test. These measures were administered at baseline and discharge. Results: Each patient demonstrated improvements in all outcome measures. The visual analogue scale improved by a mean of 7.3 on a 0–10 point scale, DRA reduced to 1 finger and the Oswestry disability questionnaire showed no disability. Conclusion: Structured exercises and Russian current were effective in managing three patients with DRA. The inclusion of Russian current and structured exercise within this multi-modal approach may enhance the conservative management of patients with DRA.

Author Bio(s)

"Nagma Khan, MPT, is a second-year postgraduate student studying OBG physiotherapy at KAHER Institute of Physiotherapy, Belagavi.

Dr. Ashwini Bulbuli, MPT, (PhD), is an associate professor in the Department of OBG physiotherapy at KAHER Institute of Physiotherapy, Belagavi."

Acknowledgements

ACKNOWLEDGEMENT We'd want to use this time to extend our heartfelt gratitude to everyone who has helped us bring this study to completion in some way. We want to express our appreciation to the patients who enthusiastically volunteered for our research. We expect that this research's findings will help improve the planning and implementation of any interested entities in promoting the management of Diastasis recti abdominis management in postpartum women. Funding: No funding sources Competing interests: Nil Ethics approval: The Research and Ethics Committee, The KAHER Institute of physiotherapy approved this study. Participants gave written informed consent before data collection began.

DOI

10.46743/1540-580X/2024.2400

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