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abstract:
Original article
Effect of ultrasound cavitation on static and dynamic balance in obese postnatal women with diastasis recti: a randomized controlled trial
Elham Shahat Hassan
1
,
Asmaa Maher Zahran
2
,
Mohamed Ahmed Awad
2
 ,
Hala Mohamed Hanafy
2
,
Moamen Mohamed Hassan
3
Advances in Rehabilitation
Online publish date: 2024/09/16
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Introduction
Diastasis recti abdominis (DRA) is prevalent in obese postnatal women and may cause postural instability and low back pain, affecting their quality of life. Thus, this study was designed to ascertain how ultrasound cavitation (UC) affected the static and dynamic postural balance of obese postpartum women with DRA. Material and methods 60 obese postnatal women with DRA, whose ages were 25 to 35 years and whose body mass indices were 30 to 39.9 Kg/m2, were split randomly into two equal groups: The study group was treated by UC twice weekly in addition to a caloric restriction diet for 2 months (n = 30), while the control group was treated by the same caloric restriction diet only (n = 30). The primary outcome measure was the overall stability index (OSI) of static and dynamic balance, which was evaluated by the biodex balance system, while the secondary outcome measures included inter recti distance (IRD) and abdominal subcutaneous fat thickness, which were evaluated by abdominal ultrasonography. Results Within groups, there were statistically significant improvements post-treatment versus pre-treatment in all outcome variables. Between groups post-treatment, the stud group verified more significant improvements in static OSI (mean difference (MD) = 0.51; p = 0.001), dynamic OSI (MD = 0.18; p = 0.007), subcutaneous fat (MD = 1.01; p = 0.001) and IRD (MD = 0.98; p = 0.001). Conclusions UC may be considered an effective modality in improving both static and dynamic balance, besides reducing abdominal subcutaneous fat thickness and IRD in obese postnatal women with DRA. keywords:
Diastasis recti, Static balance, Ultrasound cavitation, Dynamic balance, Postnatal women |
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