COMPARISON OF STATIC, DYNAMIC BALANCE AND CURVATURE OF THE SPINE IN WOMEN WITH AND WITHOUT DIASTASIS RECTI ABDOMINAL IN THE POSTPARTUM PERIOD

Increasing in the inter-recti abdominal muscle during pregnancy and postpartum,
called diastasis recti abdominal. Many musculoskeletal disorders occur in women with diastasis recti
After pregnancy in the lumbopelvic region. This research article aims to compare the static, dynamic
balance and curvature of the spine in women with and without diastasis recti abdominal in the
postpartum period.
Materials & Methods: This study is a retrospective study of the type of case_control. Forty women
participated in the study, 2 to 5 months after childbirth, and were divided into two groups, healthy(n=20)
with a mean age of 26.4± 4.88 years and diastasis recti(n=20) with a mean age of 29.5 ± 5.88 years. To
assessment the two groups in this study, a flexible ruler was used to assess the curvature of the spine
and to measure static and dynamic balance using the Biodex balance system. The information was
analyzed using SPSS software version 24 and an independent t-test.
Results: The results of this study showed that between the two groups, the lumbar lordosis angle was
significant (P≤0.05) and the kyphosis angle was non-significant (P≥0.05). Also, the results of static
balance in the overall, anterior-posterior and lateral-medial stability, showed a significant difference
between the two groups (p 050.05), but in dynamic balance except in anterior-posterior
stability(P≤0.05), not observed a significant difference(P≥0.05).
Conclusion: This study showed that lumbar hyperlordosis and postural instability are associated with
diastasis recti Abdominal, and women with this disorder have little improvement after childbirth without
treatment modalities, because after childbirth due to shrinking uterine volume, Abdominal muscles
become weakness and sag, and there is a lack of muscle support in this area, which can increase the
postural instability of patient women compared to healthy women and slow the recovery process of
hyperlordosis