Prevalência da diástase abdominal e perfil clínico e obstétrico de mulheres praticantes de pilates em Natal/RN - um estudo piloto

Abstract

Introduction: Diastasis rectus abdominis muscles (DMRA), defined as the spacing between the rectus abdominis muscles, is a common condition among women, however, underreported and underevaluated. DRAM can affect the support of the viscera, the stability of the spine and pelvis, postural control, cause low back pain, impact pelvic floor functions and is a risk factor for the development of midline hernias. physiotherapy and physical education professionals' knowledge of the subject is of great importance, so that they can outline their prescriptions based on the identification, evaluation and resolution of diastasis. Objective: To investigate the prevalence of abdominal diastasis and outline the clinical and obstetric profile of women practicing Pilates in Natal/RN. Method: This is a pilot project of a descriptive-observational study that took place in November 2022, with healthy women, over 18 years old, who practice Pilates sessions in a studio located in the city of Natal, Rio Grande do Norte. Inclusion criteria were: healthy women of childbearing age or in the climacteric, who have or have not been pregnant. Results: Seven (7) women participated in the pilot project, with a mean age of 58.43 years (±16.2). The results of the DRAM measurement show that 86% of the evaluated women have some degree of diastasis through digital palpation, with the umbilical region being the most affected, followed by the supraumbilical region. A slight tendency to have DRAM is observed in relation to a greater number of pregnancies and greater weight of the child. No significant differences were found regarding lumbopelvic pain. Study data show a predominance of a flaccid abdomen and rib cage hypomobility in women with DMRA. Conclusion: DRAM is a common and significant clinical condition. There is not enough evidence to affirm which factors influenced the development of diastasis in the volunteers of our study.