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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 15, Issue 3, July 2015 pp 617-621
Role of physiotherapy intervention on the functional adaptation of abdominal muscles in post-birth period
P R Dhote1, M M Barve2, M S Deshpande3
1Associate Professor, 3Professor and Head, Department of Neuroscience Physiotherapy, V.S.P.M’s College of Physiotherapy, Nagpur, Maharashtra, INDIA.
2Ex. Senior Physiotherapist, Physiotherapy School & Center, Government Medical College & Hospital, Nagpur, Maharashtra, INDIA.
During pregnancy, various structural and functional changes occur in the musculoskeletal system of the pregnant woman. The weight of growing uterus causes overloading of spine, over-stretching of abdominal muscles which increase the spinal lordosis. Weakness due to over-stretching of abdominal muscles may make the spine prone to be overloaded and for possible injury. The purpose of this study was to observe the effect of physiotherapeutic exercises on the functional abilities of abdominal muscles as these are greatly influenced during pregnancy. 100 primiparous females with full term normal delivery aging from 19 to 30 years (mean age25.2+2.8 years) were selected randomly and divided in two groups, group A and group B, each having 50 subjects(n=50). Group A subjects were treated with curl-up exercise with hand crossed on abdomen in crook lying position with trunk elevated by 450 , abdominal hallowing and abdominal bracing with 10 repetition each for 5 times per week. Outcome of interest include grade of strength of upper abdominal and lower abdominal muscles (as functional abilities)at the end of first week, sixth week, twelfth week, eighteenth week and twenty-forth week. Data was analyzed using paired and unpaired t test. Both group showed significant increase in the functional abilities of abdominal muscles periodically. However group A showed more significant improvement. The result of this study revealed that physiotherapeutic exercises are beneficial in post-childbirth (postnatal) period to improve the functional abilities of abdominal muscles.