Combination of Core Activation and Curl-Up Exercise on Reducing Diastasis Rectus Abdominis (DRA) in Multiparous Women in Homba Rande Village
Main Article Content
Abstract
Background: Pregnancy and childbirth cause physical changes in women, including pelvic floor muscle weakness and abdominal wall enlargement leading to the condition of Diastasis Recti Abdominis (DRA). Multiparous women are at higher risk of experiencing DRA due to repeated stretching of the abdominal wall. This study aimed to evaluate the effectiveness of combining core activation with curl-up exercises in reducing the degree of DRA in multiparous women.
Methods: This research was conducted in Desa Homba Rande and employs an experimental pretest-posttest control group design with 24 multiparous women selected using purposive sampling and divided into two groups: an intervention group (n=12) receiving a combination of core activation and curl-up exercises, and a control group (n=12) without the intervention. The 12-week intervention was conducted three times per week. Inter-recti distance was measured using a digital caliper before and after the intervention period. Data were analyzed using the Paired Sample T-Test and Independent Sample T-Test.
Results: All research samples were multiparous women aged 20-45 years, with controlled BMI, type of delivery, number of pregnancies, number of births, and physical activity score (IPAQ-SF). The paired sample t-test showed a p-value of 0.001 (p<0.05), indicating a significant improvement after intervention. The independent sample t-test showed a p-value of 0.002 (p<0.05), indicating a significant difference in post-test data between groups.
Conclusion: Core activation combined with curl-up exercises is effective in reducing DRA in multiparous women. These exercises are recommended as part of routine postpartum rehabilitation to improve core strength and function.
Article Details
References
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