Open Access
Subscription Access
Open Access
Subscription Access
Effectiveness of Antenatal Motor Relearning Approach of Diaphragm, Deep Abdominal and Pelvic Floor Muscles Versus Kegels Exercises on Postpartum Pelvic Floor Muscle Strength
Subscribe/Renew Journal
Objective: To compare the effect of antenatal motor relearning approach of diaphragm, deep abdominal and pelvic floor exercises versus kegels exercises on postpartum pelvic floor muscle strength.
Design: Quasi experimental, Post test only design with a comparison group
Setting: Department of Obstetrics and Gynecology, PSG Hospitals.
Participants: 78 antenatal women randomly selected. Among the 78 women, 39 each were assigned to Group A (interventional group) and to Group B (control group). Finally 21 women in each group continued the treatment program. • Group A- antenatal motor relearning approach of diaphragmatic, deep abdominal and pelvic floor muscles • Group B - kegels exercises Outcome Measure: The pelvic floor muscle strength was measured using Perineometer on the third postnatal day.
Results: Data from 42 women were analyzed. Independent 't' test was used as statistical tool. It has been found that there is significant difference in the postpartum pelvic floor muscle strength between the interventional and control group. The mean difference between the interventional and control group were 1.762mm hg. The calculated 't' value using independent 't' test was 3.584 which was greater than tabulated test statistic value of the 1.960 at (p<0.05).
Conclusion: The pelvic floor muscle strength was comparatively greater among the women who performed antenatal motor relearning approach than kegels exercise group. Hence antenatal Motor Relearning approach of diaphragmatic, deep abdominal and pelvic floor exercises can be implemented during a normal pregnancy unless precluded by additional risk factors.
Keywords
- Linda J.O’ Connor, PT Rebecca J. Gourley. Obstetric and Gynecologic Care in Physical therapy.2nd ed. USA: Slack Incorporated; 1999.P 252-253.
- Sundar Rao PSS, Richard. Introduction to Biostatistics and Research methods. 4th ed. New Delhi: Prentice Hall of India (P) Ltd; 2006.
- Beatte carriere. Pelvic floor treatment of incontinence and other urinary dysfunction in men and women. In Umpherd DA. Editor. Neurological Rehabilitation.4th ed. St. Louis: Mosby; P.1061-1089.
- Carolyn Kisner, Lynn Allen Colby. Therapeutic exercise- Foundation and Techniques. 5th ed. Philadelphia: F A Davies & Company; 2002. P 681-705.
- Carrie. M. Hall, Lori Thein Brody. Therapeutic exercises: Moving towards Function. 2nd ed. Philadelphia: Lippincott & Williams; 2005. P 213-232.
- Dutta. D.C. Text Book of Gynecology. 4thed. India: New Central Book Agency Limited; 1998. P105-113.
- Eilen Brayshaw. Exercise for pregnancy and childbirth Musculoskeletal problems in pregnancy and postpartum, Elsevier Sciences Limited 2003. Page no.33.
- Hollis Herman, Elaine Wilder. Obstetrics and Gynecologic Physical therapy. New York: Churchill Livingstone; 1998. P108.
- Hsiu- Chuan Hung et al. An alternative intervention for urinary incontinence: Retraining diaphragmatic, deep abdominal and pelvic floor muscle coordinated function. Manual Therapy. 2010; 15(3): 273-279.
- Jill Mantle, Jeanette Haslam, Sue Barton. Physiotherapy in Obstetrics and Gynaecology. 2nd ed. Elsevier: 2004. P: 93-140.
- Julia herbert et al. Pregnancy and child birth -the effects on pelvic floor muscles. Nursing times .2009; 105: (7), 38–41.
- Margaret Polden, Jill Mantle. Physiotherapy in obstetrics and Gynaecology. Jaypee brothers: 1990. P 85-132.
- Nahid Rahmani and Mohammad A. Mohseni- Bandpei. Application of perineometer in the assessment of pelvic floor muscle strength and endurance: A reliability study. Journal of bodywork and movement therapies.2011; 15(2):209-14.
- Oliveria c de et al. Effects of pelvic floor muscle training during pregnancy. Clinics.2001; 62: 439-446.
- Sacomori C et al. Pelvic floor muscle strength and body self-perception among Brazilian pregnant women. Physiotherapy; 2010: 96 (4); 337–343.
- Po-chun ko et al, A randomized controlled trial of antenatal pelvic floor exercises to prevent and treat urinary incontinence, International urogynaecology journal. 2011; 22(1): 17-22
- Seung-chul chon et al. Effect of the abdominal draw in maneuver in strengthening the transverse abdominal muscles in healthy young adults. A preliminary, randomized, controlled study. Physiotherapy. 2010; Vol 96: pp.130-136.
- Sharif I.M.F Ismail. An audit of NICE guidelines on antenatal pelvic floor exercises. International urogynaecology journal. 2009; Vol 20 : pp.1417-1422.
- Sharon Kilbreath et al. Strength and Endurance of the pelvic floor muscles in continent women: An observational study. Physiotherapy.2010; Vol 96: pp.311-316.
- Sir Morkved et al. Pelvic floor muscle training during pregnancy and after delivery. Current women health reviews 2007.
- Stacy Hosp, “A new approach to the child bearing year: physical therapy and fitness for pregnancy and the early postpartum period.” Combined section meeting, 2003.
- Ursula M. Peschers, John . L. DeLancey, Levator ani function before and after childbirth, British Journal of Obstetrics and Gynaecology. September 1997: Vol. 104; pp. 1004-1008
Abstract Views: 668
PDF Views: 0