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Effects of Breathing Exercises on Diastasis Recti Abdominis and Pelvic Floor Dysfunctions in Females.

Record Type:	Language materials, manuscript : Monograph/item
Title/Author:	Effects of Breathing Exercises on Diastasis Recti Abdominis and Pelvic Floor Dysfunctions in Females./
Author:	Pelaez, Cynthia.
other author:	Cerda, Natalie,
Description:	1 online resource (97 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 85-03, Section: B.
Contained By:	Dissertations Abstracts International85-03B.
Subject:	Physical therapy. -
Online resource:	click for full text (PQDT)
ISBN:	9798380155199

Effects of Breathing Exercises on Diastasis Recti Abdominis and Pelvic Floor Dysfunctions in Females.
Pelaez, Cynthia.

Effects of Breathing Exercises on Diastasis Recti Abdominis and Pelvic Floor Dysfunctions in Females. - 1 online resource (97 pages)

Source: Dissertations Abstracts International, Volume: 85-03, Section: B.

Thesis (D.P.T.)--Azusa Pacific University, 2023.

Includes bibliographical references

Background. Diastasis recti abdominis (DRA) and pelvic floor dysfunctions (PFD) are two conditions that females commonly experience, especially post-partum. Interestingly, PFDs, such as pelvic organ prolapse, urinary and fecal incontinence, along with lumbopelvic pain are often the sequelae of DRA in the post-partum population. The purpose of this doctoral capstone project is to investigate the efficacy of breathing exercises, particularly hypopressive breathing on the management of DRA and PFDs. This was performed via a systematic review (SR) and a critically-appraised topic (CAT). Methods. Four independent reviewers conducted a SR where they carried out a literature search over six databases from January to March 2023. Twelve articles were included that investigated the efficacy of abdominal exercises versus breathing exercises on the management of DRA-related health outcomes in postpartum females. Exclusion criteria for the SR included any articles that were written prior to 2012, non-journal articles, non-English language, non-humans, males, and females that are more than three years postpartum. The researchers also administered a CAT using six appraised articles that focused on the effectiveness of hypopressive exercise versus pelvic floor muscle training (PFMT) in females with PFDs. The inclusion criteria consisted of full text in English, randomized controlled trials (RCT) published between 2017-2023, and human females subjects. The exclusion criteria included non-RCTs and male subjects. To avoid risk of bias, the four reviewers independently appraised the included articles in the SR and CAT using the PEDro and NIH-NHL-BI tools. The reviewers were able to discuss differences between the appraisable literature and reach an agreement on the level of evidence and appraisal scores. Results. In the SR, studies that focused on abdominal exercises in comparison to no treatment improved inter-rectus distance (IRD) (p < .005). Interestingly, different combinations of abdominal exercises improve IRD in comparison in alternative combinations of abdominal exercises. However, the studies that incorporated breathing exercises along with abdominal exercises significantly improved DRA (p < .0001) in comparison to abdominal exercises alone. In the CAT, PFMT exercises were more effective in treating PFD. However both hypopressive exercises (HE) and PFMT were effective in improving quality of life (QOL). Conclusion. Evidence from the SR shows that core strengthening exercises are effective at reducing IRD and potentially reduce low back pain (LBP). There was limited evidence on the effectiveness of breathing exercises, however one technique that was identified was hypopressive breathing exercises. HEs have shown promising results in the reduction of IRD. Another treatment technique that has been utilized is a combination of breathing techniques, abdominal muscle activation and strengthening, and PFM contraction; which had positive results in the reduction of DRA and improvement in QOL. The CAT showed that traditional PFMT and HE helped improve PFD in females, however PFMT should be used as a first line of treatment. Limitations of this study included a lack of studies comparing core exercises and breathing exercises, as well as limitations on the generalizability of the findings.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2024

Mode of access: World Wide Web

ISBN: 9798380155199Subjects--Topical Terms:

678370
Physical therapy.
Subjects--Index Terms:

Breathing exercisesIndex Terms--Genre/Form:

554714
Electronic books.

Effects of Breathing Exercises on Diastasis Recti Abdominis and Pelvic Floor Dysfunctions in Females.
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