Prevalence Of Core Muscle Weakness In Multiple Lower Segment Cesarean Section Women..

Abstract

Background:  Core muscles are characterised as a muscular box that includes the diaphragm as the roof, the pelvis floor, the hip musculature as the bottom, the abdominals in the front, and the paraspinal and gluteal muscles in the rear. The core muscle plays a vital role in spinal stability and functional mobility. However during pregnancy the abdominal and pelvic floor muscles extend to provide room for the developing baby, which causes alterations in core muscles. This may lead to loss in core muscle function, which is exacerbated by the abdominal muscles damage during caesarean sections. As in caesarean section the surgical incision and the healing procedures that follow, have a direct impact on the abdominal wall and thereby on core muscle. These effects can be made worsen by repeated caesarean sections, which could result in chronic muscular weakening and dysfunction.

Objective: The objective of this study is to determine core muscle weakness in women with  multiple caesarean section delivery.  

Materials and Methods: 90 female volunteers between 20- 40 years were involved in this study fulfilling the inclusion and exclusion criteria and were explained about the procedure and informed consent was taken. Core strength was assessed using two standardized test. Participants performance was recorded and data was collected. Data was analysed to determine the prevalence of core weakness.

Result: Out of 90 participants, 48.88% of female were unable to perform Trunk curl up test which indicates significant weakness in abdominal muscles. Similarly 37.77% of female were unable to perform Bridge test which suggests comprised strength and stability of core muscle.

Conclusion: The study reveals a notable prevalence of core muscle weakness among women with multiple caesarean section delivery.