HIGH-INTENSITY MAGNETIC FIELD DEVICE ASSOCIATED WITH THE POSTPARTUM RESTRUCTURING PROGRAM FOR TREATMENT OF ABDOMINAL DIASTASIS
DOI:
https://doi.org/10.56238/ERR01v10n7-032Keywords:
Diastasis Muscle, Muscle Contraction, Hypertrophy, PregnancyAbstract
Postpartum women seek rapid and effective abdominal rehabilitation due to the separation between the rectus abdominis muscles, known as inter-recti distance (IRD) during pregnancy. This is a common condition that occurs when the uterus enlarges and the woman's biomechanics change due to the stretching and thinning of the linea alba, leading to functional instability in various systems. The present study aimed to evaluate a high-intensity focused electromagnetic (HIFEM) device, combined with phase 1 of the postpartum restructuring method (PRM). A field, interventional, and prospective study was conducted using a quantitative approach. Nine patients in the postnatal period were analyzed with an initial evaluation and a follow-up evaluation, which included photos in frontal and oblique postures; a clinical IRD test; abdominal girth measurement; ultrasound examination; and bioimpedance. The treatment consisted of ten sessions, twice a week, each lasting forty minutes each with phase 1 of RPP associated with the high-intensity electromagnetic field device, SUPRAMÁXIMUS SHE-MSP003 – Adoxy®. The research was approved by the CEP/UFC. The results showed that in the comparative analysis of average thickness, DIR presented a statistically significant reduction (**p<0.01) at the umbilical level; in the rectus abdominis, the upper and lower portions of the right and left sides showed a statistically significant increase (*p<0.05). The analysis of abdominal circumferential measurements revealed statistically significant variations (*p<0.05) in the lower abdomen measurements. Thus, it is concluded that HIFEM associated with phase 1 of RPP should be included in therapies for abdominal diastasis.
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References
BEAMISH, N et al. Differences in linea alba stiffness and linea alba distortion between women with and without diastasis recti abdominis: The impact of measurement site and task. Journal of orthopaedic & sports physical therapy. v. 49, n. 9. September 2019.
BENJAMIN, D. R et al. Relação entre diástase do músculo reto abdominal (DRAM) e disfunções musculoesqueléticas, dor e qualidade de vida: Uma revisão sistemática. Fisioterapia. v. 105, p. 24-34. 2019.
CAROLYN, I. J; PASKOVA, K. Safety and efficacy of a novel high intensity focused electromagnetic technology device for noninvasive abdominal body shaping. J Cosmet Dermatol. p. 1 - 5. 2018.
DUNCAN, D. I. Combination treatment for buttock and abdominal remodeling and skin improvement using HIFEM procedure and simultaneous delivery of radiofrequency and targeted pressure energy. J Cosmet Dermatol. v. 20, p. 3893 - 3898. 2021.
GUSTAVSSON. C, ERIKSSON-CROMMERT. M. Physiotherapists' and midwives' views of increased inter recti abdominis distance and its management in women after childbirth. BMC Womens Health. v. 20, n. 1, p. 37. 2020.
KAMEL, D. M; YOUSIF, A. M. Neuromuscular Electrical Stimulation and Strength Recovery of Postnatal Diastasis Recti Abdominis Muscles. Ann. Rehabil. Med. v. 41, p. 465 - 474. 2017.
KINNEY, B. M.; LOZANOVA, P. High intensity focused electromagnetic therapy evaluated by magnetic resonance imaging: safety and efficacy study of a dual tissue effect based non-invasive abdominal body shaping. Lasers in Surgery and Medicine, v. 51, n. 1, p. 40-46, jan. 2019.
KIRK et al. The effect of visceral manipulation on Diastasis Recti Abdominis (DRA): A case series. Journal of Bodywork & Movement Therapies. v. 26, p. 471-480. 2021.
MARTINS, R. A. B. L. et al. Efeitos e Aplicações do Campo Eletromagnético de Alta Intensidade (PEMF) em saúde e estética: perspectivas e evidências clínicas. Research, Society and Development, v. 10, n. 14. 2021.
MICHALSKA, A et al. Diastasis recti abdominis — a review of treatment methods. Ginekologia Polska. v. 89, n. 2, p. 97–101. 2018.
PACHECO, F. C. et al. Contribuição da prática de exercício resistido e do tipo de parto para a diástase dos músculos retos do abdome em primíparas. Fisioterapia e Pesquisa, São Paulo, v. 30, 2023.
PIRRI, C et al. Inter-rater Reliability and Variabilityof Ultrasound Measurements of Abdominal Muscles and Fasciae Thickness. Clinical Anatomy. v. 32, p.948–960. 2019.
PTASZKOWSKA, L. et al. Immediate Effects of Kinesio Taping on Rectus Abdominis Diastasis in Postpartum Women - Preliminary Report. J. Clin. Med. v. 10, p. 5043. 2021.
SPERSTAD, J. B. et al. Diastasis recti abdominis during pregnancy and 12 months after childbirth: prevalence, risk factors and report of lumbopelvic pain. Br J Sports Med. v. 50, p. 1092–1096. 2016.
THABET, A. A.; MANSOUR, A. A. “Efficacy of deep core stability exercise program in postpartum women with diastasis recti abdominis: a randomised controlled trial.” Journal of musculoskeletal & neuronal interactions. v. 19, n. 1, p. 62-68. 2019.
