Case report: Physiotherapy strategies for a woman with symphysis pubis diastasis occurring during labour.

Abstract:

:This case report demonstrates a therapeutic exercise program as a noninvasive functional treatment for symphysis pubis diastasis (SPD) and reports its results. A 32-year-old primigravida with SPD during labour received a specific functional exercise program, which consisted of abdominal stabilization and strengthening of the pelvic floor muscles, hip adductors, and extensors; training for bed mobility; and walking training with suitable aids. The program was performed for 1-hour per session, twice a day, for 2 weeks. Before the intervention, the patient was totally dependent on others for performing her daily activities owing to severe pain in the pelvic region. After the 2-week intervention, however, the interpubic distance was reduced by 36% (from 22 mm to 14 mm), and pain and functional disability were remarkably improved. Moreover, the patient could walk independently for 30 m with a pelvic corset. Our results suggest that a systematically designed functional rehabilitation program may be beneficial in the functional recovery of patients suffering from SPD related to pregnancy.

journal_name

Physiotherapy

journal_title

Physiotherapy

authors

Shim JH,Oh DW

doi

10.1016/j.physio.2011.01.005

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

89-91

issue

1

eissn

0031-9406

issn

1873-1465

pii

S0031-9406(11)00033-2

journal_volume

98

pub_type

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