Volume 12, Issue 3 (2024)
Health Educ Health Promot 2024, 12(3): 547-552 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Indrani D, Alagesan J, Suganthirababu P, Subramanian S, Shaik R, Suthadevan S et al . Effect of Different Plank Positions on Enhancing Abdominal Strength and Stability in Women Undergoing Lower-Segment Cesarean Section. Health Educ Health Promot 2024; 12 (3) :547-552
URL: http://hehp.modares.ac.ir/article-5-76371-en.html
URL: http://hehp.modares.ac.ir/article-5-76371-en.html
D. Indrani *1, J. Alagesan2, P. Suganthirababu1, S.S. Subramanian1, R. Shaik3, S. Suthadevan4, D. NagaRaju1
1- Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Tamil Nadu, India
2- Department of Physiotherapy, School of Paramedical Allied and Health Care Sciences, Mohan Babu University, Tirupati, India
3- GEMS College of Physiotherapy, Dr. N.T.R University of Health Sciences, Andhra Pradesh, India
4- Chettinad School of Physiotherapy, Chettinad Academy of Research and Education, Kelambakkam, India
2- Department of Physiotherapy, School of Paramedical Allied and Health Care Sciences, Mohan Babu University, Tirupati, India
3- GEMS College of Physiotherapy, Dr. N.T.R University of Health Sciences, Andhra Pradesh, India
4- Chettinad School of Physiotherapy, Chettinad Academy of Research and Education, Kelambakkam, India
Abstract: (922 Views)
Aims: The abdominal muscles are significantly stretched during pregnancy, leading to an increase in inter-recti distance. Several physiological changes greatly impact women’s musculoskeletal systems. The abrupt drop in muscle strength caused by activity is known as fatigability. This study aimed to investigate the role of different plank positions in enhancing abdominal strength and stability for women recovering from lower-segment cesarean section.
Materials & Methods: This experimental study was conducted on postpartum women based on specific inclusion and exclusion criteria, utilizing the odd-even method and a convenient sampling technique. A total of 30 subjects were allocated into two groups, including the abdominal draw-in maneuver and different plank positions (n=15 per group). The functional evaluation of abdominal muscles in both groups was performed using a pressure biofeedback unit, and the strength of the abdominal muscles was measured with the single leg lift abdominal strength test weekly for six months.
Findings: Statistical analysis of the post-test values indicated the strength and functional activity of the abdominal muscles in postnatal women who underwent lower-segment cesarean section. The results showed that the different plank positions group demonstrated greater improvement than the abdominal draw-in maneuver group.
Conclusion: Incorporating varied plank exercises effectively restores core stability and supports a quicker return to daily activities.
Materials & Methods: This experimental study was conducted on postpartum women based on specific inclusion and exclusion criteria, utilizing the odd-even method and a convenient sampling technique. A total of 30 subjects were allocated into two groups, including the abdominal draw-in maneuver and different plank positions (n=15 per group). The functional evaluation of abdominal muscles in both groups was performed using a pressure biofeedback unit, and the strength of the abdominal muscles was measured with the single leg lift abdominal strength test weekly for six months.
Findings: Statistical analysis of the post-test values indicated the strength and functional activity of the abdominal muscles in postnatal women who underwent lower-segment cesarean section. The results showed that the different plank positions group demonstrated greater improvement than the abdominal draw-in maneuver group.
Conclusion: Incorporating varied plank exercises effectively restores core stability and supports a quicker return to daily activities.
Keywords: Abdominal Muscles [MeSH], Cesarean Section [MeSH], Postpartum [MeSH], Resistance Training [MeSH], Exercises [MeSH]
Article Type: Original Research |
Subject:
Family Health Education/Promotion
Received: 2024/09/1 | Accepted: 2024/10/20 | Published: 2024/10/28
Received: 2024/09/1 | Accepted: 2024/10/20 | Published: 2024/10/28
References
1. Maleki M, Bahadoran P, Shekarchizadeh P. Effect of core stability training on postpartum mother's sexual desire. Iran J Nurs Midwifery Res. 2023;28(1):105-109. [Link] [DOI:10.4103/1735-9066.368498]
2. Deering RE, Cruz M, Senefeld JW, Pashibin T, Eickmeyer S, Hunter SK. Impaired trunk flexor strength, fatigability, and steadiness in postpartum women. Med Sci Sports Exerc. 2018;50(8):1558-69. [Link] [DOI:10.1249/MSS.0000000000001609]
3. Thabet AA, Alshehri MA. Efficacy of deep core stability exercise program in postpartum women with diastasis recti abdominis: a randomised controlled trial. J Musculoskelet Neuronal Interact. 2019;19(1):62-68. [Link]
4. Lobel M, DeLuca RS. Psychosocial sequelae of cesarean delivery: Review and analysis of their causes and implications. Soc Sci Med. 2007;64(11):2272-84. [Link] [DOI:10.1016/j.socscimed.2007.02.028]
5. Fan C, Guidolin D, Ragazzo S, Fede C, Pirri C, Gaudreault N, et al. Effects of cesarean section and vaginal delivery on abdominal muscles and fasciae. Medicina. 2020;56(6):260. [Link] [DOI:10.3390/medicina56060260]
6. Almuklass AM, Price RC, Gould JR, Enoka RM. Force steadiness as a predictor of time to complete a pegboard test of dexterity in young men and women. J Appl Physiol. 2016;120(12):1410-7. [Link] [DOI:10.1152/japplphysiol.01051.2015]
7. Saleh MSM, Botla AMM, Elbehary NAM. Effect of core stability exercises on postpartum lumbopelvic pain: A randomized controlled trial. J Back Musculoskelet Rehabil. 2019;32(2):205-213. [Link] [DOI:10.3233/BMR-181259]
8. Lee J, Jeong KH, Lee H, Shin JY, Choi JL, Kang SB, et al. Comparison of three different surface plank exercises on core muscle activity. Phys Ther Rehabil Sci. 2016;5(1):29-33. [Link] [DOI:10.14474/ptrs.2016.5.1.29]
9. Sharpe EE, Booth JL, Houle TT, Pan PH, Harris LC, Aschenbrenner CA, Eisenach JC. Recovery of physical activity after cesarean delivery and its relationship with pain. Pain. 2019;160(10):2350-2357. [Link] [DOI:10.1097/j.pain.0000000000001628]
10. Hunter SK. Performance fatigability: Mechanisms and task specificity. Cold Spring Harb Perspect Med. 2018;8(7):a029728. [Link] [DOI:10.1101/cshperspect.a029728]
11. Cairns MC, Harrison K, Wright C. Pressure biofeedback: A useful tool in the quantification of abdominal muscular dysfunction?. Physiotherapy. 2000;86(3):127-38. [Link] [DOI:10.1016/S0031-9406(05)61155-8]
12. ACOG. Physical activity and exercise during pregnancy and the postpartum period. ACOG Committee Opinion Number 804. Obstet Gynecol. 2020;135(4):e178-88. [Link] [DOI:10.1097/AOG.0000000000003772]
13. Perrodin SF, Salm L, Beldi G. Safety of core muscle training immediately after abdominal surgery: systematic review. BJS Open. 2023;7(6):zrad142. [Link] [DOI:10.1093/bjsopen/zrad142]
14. Chia YY, Lo Y, Chen YB, Liu CP, Huang WC, Wen CH. Risk of chronic low back pain among parturients who undergo cesarean delivery with neuraxial anaesthesia: A nationwide population-based retrospective cohort study. Medicine. 2016;95(16):e3468. [Link] [DOI:10.1097/MD.0000000000003468]
15. Macones GA, Caughey AB, Wood SL, Wrench IJ, Huang J, Norman M, et al. Guidelines for postoperative care in cesarean delivery: Enhanced Recovery After Surgery (ERAS) Society recommendations (part 3). Am J Obstet Gynecol. 2019;221(3):247.e1-247.e9. [Link] [DOI:10.1016/j.ajog.2019.04.012]
16. Schütze S, Heinloth M, Uhde M, Schütze J, Hüner B, Janni W, Deniz M. The effect of pelvic floor muscle training on pelvic floor function and sexuality postpartum. A randomized study including 300 primiparous. Arch Gynecol Obstet. 2022;306(3):785-793. [Link] [DOI:10.1007/s00404-022-06542-z]
17. Chon SC, Chang KY, You JS. Effect of the abdominal draw-in manoeuvre in combination with ankle dorsiflexion in strengthening the transverse abdominal muscle in healthy young adults: A preliminary, randomised, controlled study. Physiotherapy. 2010;96(2):130-6. [Link] [DOI:10.1016/j.physio.2009.09.007]
18. Selman R, Early K, Battles B, Seidenburg M, Wendel E, Westerlund S. Maximizing Recovery in the Postpartum Period: A Timeline for Rehabilitation from Pregnancy through Return to Sport. Int J Sports Phys Ther. 2022;17(6):1170-1183. [Link] [DOI:10.26603/001c.37863]
19. Evenson KR, Brown WJ, Brinson AK, Budzynski-Seymour E, Hayman M. A review of public health guidelines for postpartum physical activity and sedentary behavior from around the world. J Sport Health Sci. 2024;13(4):472-483. [Link] [DOI:10.1016/j.jshs.2023.12.004]
20. Demissie Z, Siega-Riz AM, Evenson KR, Herring AH, Dole N, Gaynes BN. Associations between physical activity and postpartum depressive symptoms. J Womens Health (Larchmt). 2011;20(7):1025-34. [Link] [DOI:10.1089/jwh.2010.2091]
21. Lavender T, Smyth RMD, Chimwaza AF, Mills TA, Dwan K. Mobile health (m‐health) technological support for women during pregnancy or the first six weeks postpartum, or both. Cochrane Database Syst Rev. 2023;2023(3):CD015191. [Link] [DOI:10.1002/14651858.CD015191]
22. Evenson KR, Aytur SA, Borodulin K. Physical activity beliefs, barriers, and enablers among postpartum women. J Womens Health (Larchmt). 2009;18(12):1925-34. [Link] [DOI:10.1089/jwh.2008.1309]
23. Saharoy R, Potdukhe A, Wanjari M, Taksande AB. Postpartum Depression and Maternal Care: Exploring the Complex Effects on Mothers and Infants. Cureus. 2023;15(7):e41381. [Link] [DOI:10.7759/cureus.41381]
24. Nazar, Ghania. (2021). Awareness about the Role of Physical Therapy in Post-Partum Females among Gynecologists. Healer J Physiother Rehabil Sci. 2021;1(1):21-6. [Link] [DOI:10.55735/thjprs.v1i1.21]
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |