Clinical Evidence

SRC® Recovery Shorts – Pilot Study (Sept 2008)

Ongoing research using questionnaire

Please refer to ‘Recovery Shorts Survey Summary.pdf’.

Post C-section Recovery & Diastasis Rectus Abdominus (DRA)

A Case study by Physiotherapist - Kylie Patterson

Sarah, 36, was seen pre-natally for the entire duration of her pregnancy for clinical Pilates exercise as she had found it useful in maintaining strength and pelvic floor muscle control in her previous pregnancy (George, now 2). The pregnancy was uncomplicated and George was delivered vaginally after a 4 hour labour. Sarah sustained one small tear so no issues were anticipated for the upcoming delivery. She had recovered well post natally again continuing with a regular weekly clinical Pilates appointment.

She contacted the clinic 3 days after delivery to advise that Dimitri had been delivered via emergency cesarean and she would now have to wait for 6 weeks before being able to re-attend any exercise sessions.

Her main concern was being able to maintain and regain the strength of her lumbo-pelvic muscles and pelvic floor. Sarah reported that the physiotherapist at the hospital checked her rectus abdominis diastasis (abdominal muscle separation) and found a 3 finger width separation.

As Sarah would be unable to exercise for six weeks to prevent any issues with the wound site, I recommended that she purchase and wear SRC Recovery Shorts as the compression that the garment provides I have found to improve wound healing and dramatically reduce the diastasis rectus abdominis (DRA) at a faster rate than without compression. Clients can go from as much as a 4 finger width separation down to 2 finger width in as little as 8 weeks wearing the garment.

When I reviewed Sarah at 7 weeks post natal her Diastasis Rectus Abdominus (DRA) measured 1.5 finger widths and the wound had healed well with minimal discomfort after the 4th post natal week. We resumed her clinical pilates regime at that time and Sarah continued to wear the SRC Recovery Shorts and attend weekly sessions with exercises focused on pelvic floor, transverses abdominus and rectus abdominis closure. 4 months after wearing the SRC Recovery Shorts the Diastasis Rectus Abdominus (DRA) was reduced to less than a finger width.

The Effect of Abdominal Support on Functional Outcomes in Patients Following Major Abdominal Surgery: A Randomized Controlled Trial. Physiotherapy Can. 2010; 62:242–25 Oren Cheifetz, S. Deborah Lucy, Tom J. Overend, Jean Crowe.

ABSTRACT

Purpose: Immobility and pain are modifiable risk factors for development of venous thromboembolism and pulmonary morbidity after major abdominal surgery (MAS). The purpose of this study was to investigate the effect of abdominal incision support with an elasticized abdominal binder on postoperative walk performance (mobility), perceived distress, pain, and pulmonary function in patients following MAS.

Methods: Seventy-five patients scheduled to undergo MAS via laparotomy were randomized to experimental (binder) or control (no binder) groups. Sixty

(33 male, 27 female; mean age 58e14.9 years) completed the study. Preoperative measurements of 6-minute walk test (6MWT) distance, perceived distress, pain, and pulmonary function were repeated 1, 3, and 5 days after surgery.

Results: Surgery was associated with marked postoperative reductions (p < 0.001) in walk distance (P75–78%, day 3) and forced vital capacity (35%, all days) for both groups. Improved 6MWT distance by day 5 was greater (p < 0.05) for patients wearing a binder (80%) than for the control group (48%). Pain and symptom-associated distress remained unchanged following surgery with binder usage, increasing significantly (p < 0.05) only in the no binder group.

Conclusion: Elasticized abdominal binders provide a non-invasive intervention for enhancing recovery of walk performance, controlling pain and distress, and improving patients’ experience following MAS.