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Indian Journal of Physiotherapy & Occupational Therapy. January-March 2014, Vol. 8, No. 1 193
ABSTRACT
Objective: To compare the effect of antenatal motor relearning approach of diaphragm, deep
abdominal and pelvic floor exercises versus kegels exercises on postpartum pelvic floor muscle
strength.
Design: Quasi experimental, Post test only design with a comparison group
Setting: Department of Obstetrics and Gynecology, PSG Hospitals.
Participants: 78 antenatal women randomly selected. Among the 78 women, 39 each were assigned
to Group A (interventional group) and to Group B (control group). Finally 21 women in each group
continued the treatment program.
Group A- antenatal motor relearning approach of diaphragmatic, deep abdominal and pelvic
floor muscles
Outcome Measure: The pelvic floor muscle strength was measured using Perineometer on the third
postnatal day.
Results: Data from 42 women were analyzed. Independent 't' test was used as statistical tool. It has
been found that there is significant difference in the postpartum pelvic floor muscle strength between
the interventional and control group. The mean difference between the interventional and control
group were 1.762mm hg. The calculated 't' value using independent 't' test was 3.584 which was
greater than tabulated test statistic value of the 1.960 at (p<0.05).
Conclusion: The pelvic floor muscle strength was comparatively greater among the women who
performed antenatal motor relearning approach than kegels exercise group. Hence antenatal Motor
Relearning approach of diaphragmatic, deep abdominal and pelvic floor exercises can be implemented
during a normal pregnancy unless precluded by additional risk factors.
Keywords: Antenatal Motor Relearning Programme, Perineometer, Kegels exercises
Corresponding author:
Siva Priya R
Assistant Lecturer
College of Allied Health Sciences, Gulf Medical
University, Ajman
Email: UAE. Siva5pt@yahoo.co.in
193
INTRODUCTION
The muscles of the pelvic floor are extremely
important for the internal organs as well as the bladder
and bowel function.1 The pelvic floor muscles are the
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194 Indian Journal of Physiotherapy & Occupational Therapy. January-March 2014, Vol. 8, No. 1
Perineometer
Sterile Gloves
Condoms
Gel
Cotton
Primigravida
Exclusion Criteria
BMI>30
194
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Indian Journal of Physiotherapy & Occupational Therapy. January-March 2014, Vol. 8, No. 1 195
Age
BMI
27.2
24.7
26.5
24.2
GRAPH 1
Mean Value of Pelvic Floor Muscle Strength Between
Group A and Group B
Mean
[in mmHg]
Mean difference
[in mmHg]
Standard
deviation
t value
P value
5.28
1.762
1.874
3.584
<0.05
3.52
195
1.249
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196 Indian Journal of Physiotherapy & Occupational Therapy. January-March 2014, Vol. 8, No. 1
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