EFFECTIVENESS OF ELECTRICAL MUSCLE STIMULATION INTERVENTION ON RECOVERY OF RECTUS ABDOMINIS DIASTASIS IN POSTPARTUM WOMEN Hemi Fitriani (a), Setyowati (b), Yati Afiyati (c), Raldi Artono Koestoer (d)
(a) Nursing Science Program at Jenderal Achmad Yani University
(b) Department of Maternity Nursing, University of Indonesia
(c) Department of Maternity Nursing, University of Indonesia
(d) Faculty of Mechanical Engineering, University of Indonesia
Abstract
Abstract
Background: Much research has been done on the effect of electrical muscle stimulation (EMS) on rectus abdominis diastasis, but it needs to be clarified how this intervention is given and its effectiveness.
Purpose: This systematic review aims to identify the effectiveness of EMS in recovering rectus abdominis diastasis in postpartum mothers.
Methods: The formulation of systematic review questions uses the PICO framework: Postpartum Women, Electrical Muscle Stimulation (EMS), No comparison or other intervention, and Diastasis Rectus Abdominis Muscle OR Inter-Rectus Distance. Literature is sourced from eight databases, including Scopus, PubMed, EMBASE, MEDLINE, Sage Journals, Crossref, ProQuest, and Science Direct, with the keywords Electrical muscle stimulation, Diastasis Rectus Abdominis OR Inter Rectus distance, Postpartum OR Postnatal. The search obtained 1,297 articles, then screened all articles based on inclusion and exclusion criteria using the Covidence application, which finally got six articles. Identification and screening of articles are documented in the PRISMA flowchart. The six articles met the critical appraisal of the JBI RCT with a score range of 76.9% - 100%.
Results: The six articles in this systematic review were published in 2017 - 2022 and used a randomized controlled trial method. Three hundred fifty-nine postpartum mothers were involved in the six studies, divided into intervention and control groups. The results of the six studies stated that electrical muscle stimulation (EMS) intervention was proven to significantly reduce DRA in postpartum mothers, compared to average recovery, recovery accompanied by abdominal muscle training, and Kinesio taping interventions. Recovery of diastasis rectus abdominis has been shown to improve the quality of life for postpartum mothers.
Conclusion: The six articles state that EMS has been proven effective in accelerating the recovery process of diastasis rectus abdominis and improving quality of life.
