Copyright (c) 2026 Vinayaka Babu, Jasmine Flora, Natasha Verma
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Efficacy of Core Strengthening Exercise with Neuromuscular Electrical Stimulation for DRAM in Post Cesarean Mother
Corresponding Author(s) : Vinayaka Babu
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 14 No. 2 (2026): 2026 Volume -14 - Issue 2
Abstract
Background: Diastasis recti abdominis muscle (DRAM) is a common condition among post-cesarean mothers, characterized by widening of the rectus abdominis muscles along the linea alba. This widening may lead to reduced core stability, low back pain, and impaired functional activities. Conventional core strengthening exercises are widely used for rehabilitation; however, combining them with neuromuscular electrical stimulation (NMES) may enhance muscle activation and functional recovery.
Aim: To determine the efficacy of a combined program of core strengthening exercises and neuromuscular electrical stimulation compared to core strengthening alone in reducing inter-recti distance (IRD) and improving abdominal muscle strength and function in post-cesarean mothers with DRAM.
Search Methods: Relevant literature was searched through PubMed, Google Scholar, Science Direct and Research Gate.
Selection Criteria: Articles were included based on the inclusion criteria focusing on cesarean mother aged 21 to 34 years, women in the postnatal period (6 Month), Presence of Diastasis rectus abdominis And Primiparous or Multiparous mother.
Objective: To determine the efficacy of a combined program of core strengthening exercises and neuromuscular electrical stimulation compared to core strengthening alone in reducing inter-recti distance (IRD) and improving abdominal muscle strength and function in post-cesarean mothers with DRAM.
Results: Post cesarean mothers with diastasis recti showed significant improvement after intervention. Both groups demonstrated reduced inter-recti distance and increased abdominal strength. However, participants receiving core strengthening with neuromuscular electrical stimulation achieved significantly greater reductions in diastasis, superior muscle activation, and better functional outcomes compared to exercises alone during postnatal rehabilitation.
Conclusion: Combining neuromuscular electrical stimulation with core strengthening exercises is more effective than exercises alone in improving abdominal muscle integrity, strength, and function in post-cesarean mothers with DRAM. Early integration of NMES in postnatal rehabilitation may accelerate recovery and enhance core stability.