Diastasis Rectus Abdominis and Lumbo-Pelvic Pain and Dysfunction-Are They Related?

Parker, Meredy A.; Millar, L.; Dugan, Sheila A.

doi:10.1097/01274882-200933020-00003

Cited by 112 publications

(97 citation statements)

References 12 publications

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“…The Odds Ratio observed were approximately 1 (OR = 0.991), showing that women with DRA have the same chances to having lumbopelvic pain than those without DRA. This is in line with the results found by Parker et al (2009), who did not find a significant difference between women with and without DRA in lumbo-pelvic pain.…”

Section: Discussionsupporting

confidence: 93%

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Prevalence and risk factors of diastasis recti abdominis from late pregnancy to 6 months postpartum, and relationship with lumbo-pelvic pain

et al. 2015

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This file was dowloaded from the institutional repository Brage NIH -brage.bibsys.no/nih Mota, P., Pascoal, A. G., Carita, A., Bø, K. (2014). Prevalence and risk factors of diastasis recti abdominis from late pregnancy to 6 months postpartum, and relationship with lumbo-pelvic pain. Manual Therapy. doi:10.1016/j.math.2014.09.002Dette er siste tekst-versjon av artikkelen, og den kan inneholde små forskjeller fra forlagets pdf-versjon. Forlagets pdf-versjon finner du på www.sciencedirect.com: http://dx

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Section: Discussionsupporting

confidence: 93%

“…In the postpartum period reported lumbo-pelvic pain is expected to be high (Parker et al 2009) and it may affect between 9% and 48% (Bø and Backe-Hansen 2007) of women. The prevalence of these conditions in our study was within the range of other prevalence studies.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and risk factors of diastasis recti abdominis from late pregnancy to 6 months postpartum, and relationship with lumbo-pelvic pain

et al. 2015

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“…This has been found to be significant because the "umbilicus is the most common site for DRA. Forty seven percent (47%) of the measurements at the umbilicus show a DRA" [4], according to a study conducted by Parker et al (2009).…”

Section: Discussionmentioning

confidence: 99%

“…One of the major health complications of DRA is low back pain. Around four out of ten women report persistent LBPP [low back pelvic pain] half a year after delivery" (Parker, Dugan, & Millar, 2009) [4]. Current studies have shown that DRA presence may contribute to the occurrence and persistence of low back pain in postpartum women.…”

Section: Introductionmentioning

confidence: 99%

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The effects of a 6 week dynamic core stability plank exercise program compared to a traditional supine core stability strengthening program on diastasis recti abdominis closure, pain, oswestry disability index (ODI) and pelvic floor disability index scores (PFDI)

Walton¹,

Costa²,

LaVanture³

et al. 2016

Phys Ther Rehabil

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Cohort study of the effect of surgical repair of symptomatic diastasis recti abdominis on abdominal trunk function and quality of life

et al. 2019

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BackgroundDuring pregnancy, women are at risk of developing persistent symptomatic diastasis recti abdominis (DRA), which may have a detrimental effect on their physical function and quality of life (QoL). The aim of this prospective cohort study was to determine the effect of surgical repair of DRA on abdominal trunk function, urinary incontinence and QoL in postpartum women with trunk instability symptoms resistant to training.MethodsPostpartum women with diagnosed DRA and training‐resistant symptoms underwent double‐row plication of the linea alba. Abdominal trunk function was evaluated as the primary endpoint using a multimodal examination tool, the Abdominal Trunk Function Protocol. Recurrence was assessed by CT, urinary incontinence was evaluated using the Urogenital Distress Inventory (UDI‐6) and Incontinence Impact Questionnaire (IIQ‐7), and QoL was assessed with the Short Form 36 (SF‐36®) questionnaire. All subjects were examined before and 1 year after surgery.ResultsSixty women were recruited. There was no DRA recurrence at the 1‐year follow‐up. Self‐reported abdominal trunk function had improved in 98 per cent of patients, with a mean score improvement of 79·1 per cent. In the physiological tests monitored by a physiotherapist, 76 per cent performed better and endured exercise tests longer than before surgery. All SF‐36® subscales improved significantly compared with preoperative scores and reached levels similar to, or higher than, the normative Swedish female population. For the UDI‐6 and IIQ‐7, 47 and 37 per cent respectively reported fewer symptoms at follow‐up than before surgery, and 13 and 8 per cent respectively reported more symptoms.ConclusionIn this series of postpartum women presenting with DRA and symptoms of trunk instability resistant to training, surgical reconstruction resulted in a significant improvement in abdominal trunk function, urinary incontinence and QoL.

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Diastasis Rectus Abdominis and Lumbo-Pelvic Pain and Dysfunction-Are They Related?

Cited by 112 publications

References 12 publications

Prevalence and risk factors of diastasis recti abdominis from late pregnancy to 6 months postpartum, and relationship with lumbo-pelvic pain

Prevalence and risk factors of diastasis recti abdominis from late pregnancy to 6 months postpartum, and relationship with lumbo-pelvic pain

The effects of a 6 week dynamic core stability plank exercise program compared to a traditional supine core stability strengthening program on diastasis recti abdominis closure, pain, oswestry disability index (ODI) and pelvic floor disability index scores (PFDI)

Cohort study of the effect of surgical repair of symptomatic diastasis recti abdominis on abdominal trunk function and quality of life

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