Efeitos dos exercícios hipopressivos sobre as queixas de disfunções dos músculos do assoalho pélvico em puérperas com diástase dos retos abdominais

Abstract

During pregnancy, the appearance of diastasis of the rectus abdominis muscle (DRAM) and complaints related to the pelvic floor (PF) is common, which can persist until the postpartum period. The objective of the study was to evaluate the effects of hypopressive gymnastics (HG) in reducing PF symptoms in postpartum women with DRAM. A randomized clinical trial was carried out, with 44 participants allocated to intervention (IG, n= 22) and control groups (CG, n=22). Confirmation of the diagnosis of DRAM was made by 5-12Mhz ultrasound, and the Pelvic Floor Bother Questionnaire (PFBQ) was used to evaluate complaints related to AP. The IG carried out a supervised group HG program for 12 weeks, twice a week, while the CG did not participate in intervention during the period. For data analysis, the Anova Two Away test and Tukey's post-hoc test were used, with a significance level of 5% (p <0.05). After the intervention, a significant reduction in patient complaints was observed AP only in IG (F (1,44)=12.38; p=0.001; Ptukey= 0.003). From the results found, it can be concluded that HG performed for 12 weeks was able to reduce complaints of pelvic floor dysfunction in postpartum women with DRAM