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2 Advances in Rehabilitation

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Physiotherapy in women with diastasis of the rectus abdominis muscles

100%

Bobowik P. Ż. , Dąbek A.

nr 3

11-17

Background Diastasis of the rectus abdominis muscles (DRAM) is the separation of the two rectus abdominis muscles more than 2 cm wide. It often arises as a result of android obesity, dysfunctional abdominal cramp and pregnancy. Untreated diastasis may lead to dangerous heath consequences such as.: abdominal hernia, lower back pain or disorders in pelvis’s area. The aim of this study was to determinate the effectiveness of novel physiotherapeutic program in women with diastasis of the rectus abdominis muscles. Material and methods The study was conducted on a group of 40 women between 20-45 years old (mean 32,32+5,9 year). They all were qualified in obstetric ward of Szpital Bielański in Warsaw. All of them were in the postpartum between 0-3 days after labor and have DRAM greater than 2 cm (measured by palpation on the umbilicus height, 4,5 cm above and below umbilicus). In research group (included 20 women) applied novel physiotherapeutic program aimed at reduction of DRAM. In controlled group (20 women) there was no therapy but only observation of spontaneous reduction of diastasis. The study took 6 weeks. Results Data analysis had shown 95% effectiveness of novel physiotherapeutic program. Chi-square test has confirmed the difference in DRAM size in both groups (p<0,0001). A statistically significant correlation was demonstrated between width of diastasis and growth of the mother’s weight gain in pregnancy, waist-to-hip ratio, BMI, number of delivery and mother’s physical activity before and during pregnancy (p<0,05). There wasn’t clear correlation between width of diastasis and mother’s age or infant’s mass (p>0,05). Conclusions It seems that spontaneous reduction of diastasis of the rectus abdominis muscles is very rare. New physiotherapeutic program is an effective method in DRAM’s reduction. The research should be continued in larger group of women and after effectiveness confirmation, program should be introduced in obstetric wards.

The influence of physical activity on climacteric symptoms

80%

Dąbek A. , Adamiec A. , Rekowski W. , Czyżewski P.

Advances in Rehabilitation

2020

tom 30

nr 1

27-32

Introduction The menopausal syndrome affects 85-87% post-menopausal women. Typical symptoms include: hot flashes, heavy sweats, dizziness, increased body temperature, heart palpitations, depression, mood swings, distorted concentration, distorted memory and interrupted sleeping patterns. The literature on effects of physical activity on menopausal symptoms seems to be inconsistent. The aim of this study was to determine the relationship between intensified menopausal syndrome and undertaking physical activity. Material and methods We studied 105 healthy menopausal women (aged 45 to 65). Their mean age was 52 SD 5.2. We used the survey method. The research tools were: questionnaire we devised, Kupperman index and Borg scale. Additionally, we devised: physical effort intensity index and physical activity variety index. To conduct the statistical analysis, we used STATISTICA programme. We set statistical significance at p<0.05. Results We found a statistically significant relationship between the frequency of undertaking physical activity and the intensity of menopausal syndrome. More than a half of the subjects (54.3%) did physical exercise "often" or "regularly", and they did not suffer from the "severe" form of menopausal syndrome. We found a significant relationship between the BMI and intensity of menopausal symptoms (p=0.04) and between the waist size and menopausal symptoms (p=0.001). Conclusions The more intense, varied and frequent physical activity, the less intense menopausal symptoms. The subjects with normal BMI and waist narrower than 80cm had less difficult menopause. Physical activity reduces physical and psychological changes experienced in the climacteric.