Efeito do Método Pilates nas queixas de disfunções do assoalho pélvico de mulheres com diástase dos retos abdominais

Abstract

Diastasis recti abdominis (DRA) is a common condition during pregnancy, characterized by the separation of the rectus abdominis muscles due to the growth of the uterus. Given the functional relationship between this musculature and the pelvic floor, it is hypothesized that interventions aimed at treating DRA may positively influence pelvic floor dysfunctions. However, the current literature still presents gaps regarding this association. In this context, the objective of the present study was to evaluate the effect of an intervention based on the Pilates Method on pelvic floor dysfunction complaints in women with DRA. This randomized controlled clinical trial included women diagnosed with DRA and with a previous history of pregnancy. Participants were randomized into two groups: the Pilates group (n = 22), which performed Pilates-based exercises (two 30-minute sessions per week), and the control group (n = 22), which did not receive any intervention. Before and after 12 weeks, all participants were assessed for pelvic floor dysfunction complaints using the Pelvic Floor Bother Questionnaire. Statistical analysis was conducted using repeated measures ANOVA, followed by Tukey’s post hoc test.The results showed no significant differences between groups regarding pelvic floor dysfunction complaints (p > 0.05). It was concluded that the intervention based on the Pilates Method did not produce changes in pelvic floor dysfunction complaints in women with DRA