Efektivitas Latihan Curl-up dan Core Activation pada Pemulihan Wanita Post-partum dengan Diastasis Recti Abdominis : Case Report

Nadia Salsabiela Mumtazi Luthfiah; Mahendra Wahyu Dewangga; Vivin Sari Sukmawati

doi:10.61132/obat.v3i4.1548

Authors

Nadia Salsabiela Mumtazi Luthfiah Universitas Muhammadiyah Surakarta
Mahendra Wahyu Dewangga Universitas Muhammadiyah Surakarta
Vivin Sari Sukmawati Universitas Muhammadiyah Surakarta

DOI:

https://doi.org/10.61132/obat.v3i4.1548

Keywords:

Core muscle activation, curl-up, diaphragmatic breathing, diastasis recti abdominis

Abstract

Diastasis Recti Abdominis (DRA) is a common postpartum condition in women, characterized by separation of the rectus abdominis muscles due to a weekend linea alba. This case study aimed to evaluate the effectiveness of e combined core activation.and curl-up exercise program in reducing intra-recti distance in a postpartum patient.The subject was a spontaneous postpartum woman at 39 weeks of gestation. Initial assessment revealed intra-recti distance of 28 mm above and 17 mm below the umbilicus, exceeding normal limits. The intervention consisted of a 4-day program including curl-up and five core activation excercises : diaphragmatic breathing, abdominal drawing-in manuver, supine pelvic tilt, heel slide and knee fall out. Measurements showed no significant reducyion in intra-recti distance; however, the patient reported improved abdominal tightness and core stability. The study concludes that although measurable changes were not significant within a short evaluation period, the intervention had positive subjective effects. Longer-term assessment is recommended for more conclusive results.

Downloads

Download data is not yet available.

References

Berg-Poppe, Patti PhD; Hauer, Michaela BS; Jones, Cassandra BS; Munger, Mattison BS; Wethor, Cassidy BS. Use of Exercise in the Management of Postpartum Diastasis Recti: A Systematic Review. Journal of Women's Health Physical Therapy 46(1):p 35-47, January/March 2022. | DOI: 10.1097/JWH.0000000000000231

Chauhan G, Tadi P. Physiology, Postpartum Changes. [Updated 2022 Nov 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK555904/

Chiarello, Cynthia M. PT, PhD. Pregnancy-Related Pelvic Girdle Pain and Diastasis Rectus Abdominis. Journal of Women's Health Physical Therapy 41(1):p 3-9, January/April 2017. | DOI: 10.1097/JWH.0000000000000068

de Paula, D. A. G., Piatti, N. C. T. P., Costa, L. M., & Chiavegato, L. D. (2020). Satisfaction levels with physical therapy in hospitalized patients. Brazilian Journal of Physical Therapy, 24(2), 118–123. https://doi.org/10.1016/j.bjpt.2019.02.012

Donnelly, G. (2019). Diastasis rectus abdominis: physiotherapy management. In Journal of Pelvic, Obstetric and Gynaecological Physiotherapy (Vol. 124).

Gmelig Meyling, M. M., Frieling, M. E., Vervoort, J. P. M., Feijen-de Jong, E. I., Jansen, D. E. M. C. (2023). Health problems experienced by women during the first year postpartum: A systematic review. European Journal of Midwifery, 7(December), 1-20. https://doi.org/10.18332/ejm/173417.

Hall H, Sanjaghsaz H. Diastasis Recti Rehabilitation. [Diperbarui 8 Agustus 2023]. Dalam: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Tersedia dari: https://www.ncbi.nlm.nih.gov/books/NBK573063/.

Oliva-Lozano, J. M., & Muyor, J. M. (2020). Core muscle activity during physical fitness exercises: A systematic review. In International Journal of Environmental Research and Public Health (Vol. 17, Issue 12, pp. 1–42). MDPI AG. https://doi.org/10.3390/ijerph17124306

Skoura, A., Billis, E., Papanikolaou, D. T., Xergia, S., Tsarbou, C., Tsekoura, M., Kortianou, E., & Maroulis, I. (2024). Diastasis Recti Abdominis Rehabilitation in the Postpartum Period: A Scoping Review of Current Clinical Practice. In International Urogynecology Journal (Vol. 35, Issue 3, pp. 491–520). Springer Nature. https://doi.org/10.1007/s00192-024-05727-1

Soto-González, M., Cuña-Carrera, I. da, Lantarón-Caeiro, E. M., & Gil Pascoal, A. (2024). Effect of hypopressive and conventional abdominal exercises on postpartum diastasis recti A randomized controlled trial. PLOSONE

Sulkowski, L., Matyja, A., Osuch, C., & Matyja, M. (2022). Diastasis recti abdominis (DRA): review of risk factors, diagnostic methods, conservative and surgical treatment. In Clinical and Experimental Obstetrics and Gynecology (Vol. 49, Issue 5). IMR Press Limited. https://doi.org/10.31083/j.ceog4905111

Werner, L. A., & Dayan, M. (2018). Diastasis Recti Abdominis-diagnosis, Risk Factors, Effect on Musculoskeletal Function, Framework for Treatment and Implications for the Pelvic Floor. Current Women s Health Reviews, 15(2), 86–101. https://doi.org/10.2174/1573404814666180222152952

Woli, Y., Putu Ayu Vita Listyawati, L., Made Rininta Adi Putri, N., & Putu Dwi Larashati, N. (2025). Combination of Core Activation and Curl-Up Exercise on Reducing Diastasis Rectus Abdominis (DRA) in Multiparous Women. Jurnal Ilmu Kesehatan, 14(1). https://doi.org/10.37341/interest.v14i1.661

Zavagni, Käthi PT, MSc1; Stauffer, Mirjam PT, MSc1; Meier, Hannah PT, MSc2; Knols, Rudolf H. Dr. phil1,3,4; Kimmich, Nina PD Dr. med.5. Trust Your Fingers: Determining the Reliability and Validity of the Measurement of the Diastasis of the Rectus Abdominis Muscle by Palpation and Tape Measure. Journal of Women's & Pelvic Health Physical Therapy 47(4):p 245-254, October/December 2023. | DOI: 10.1097/JWH.0000000000000279

Buku Teks

Mills T., Marks E, Reynolds T, et al. Rehabilitation: Essential along the Continuum of Care. In: Jamison DT, Gelband H, Horton S, et al., editors. Disease Control Priorities: Improving Health and Reducing Poverty. 3rd edition. Washington (DC): The International Bank for Reconstruction and Development / The World Bank; 2017 Nov 27. Chapter 15. Available from: https://www.ncbi.nlm.nih.gov/books/NBK525298/ doi: 10.1596/978-1-4648-0527-1_ch15