Effect of Antenatal Exercise Program with and without Abdominal Strengthening Exercises on Diastasis Rectus Abdominis - A Post Partum Follow Up

Banerjee, Avaya; Mahalakshmi, V.; Baranitharan, R

doi:10.5958/j.0973-5674.7.4.134

Cited by 4 publications

(1 citation statement)

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“…Implementing abdominal exercises may reduce the risk of DRA but it will not eliminate the risk completely. A weakness of this paper was that the study participants were not supervised and the exercise protocols were not precisely defined [10].…”

Section: Resultsmentioning

confidence: 99%

Exercises for pregnant and postpartum women with diastasis recti abdominis – literature review

Gruszczyńska¹,

Truszczyńska-Baszak²

2018

areh

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Introduction: Diastasis recti abdominis is a pathological condition at the linea alba in which rectus abdominis muscles separate. It occurs mainly in pregnant and postpartum women. Changes in the linea alba area are caused by stress to the tissue and pregnancy induced hormonal changes which lead to the loosening of abdominal connective tissue. This pathological condition is not manifested with any pain symptoms but the effects which may develop as a result of diastasis recti abdominis may cause pain. This literature review study discusses the non-surgical methods of treating diastasis recti abdominis by reducing the distance between the two parts of the rectus abdominis muscle. Material and methods: Scientific literature on physiotherapy, surgical treatment and diagnostics of diastasis recti abdominis in pregnant and postpartum women from the last 15 years was analysed. Such databases as Google Scholar, PubMed, ScienceDirect, Ebsco and MedLine were used in the analysis and 11 publications were considered. Results: Having analysed the available literature, it was concluded that abdominal exercises can prevent or reduce diastasis recti abdominis. However, the analysis did not reveal which method of treatment was the most effective. Conclusions: This review of the literature revealed that there is not currently a gold standard method of treating diastasis recti abdominis. However, abdominal exercises during pregnancy reduce the risk of this condition postpartum. Diastasis recti abdominis may be reduced even a few years after childbirth by implementing appropriate treatment including a special training programme focusing on strengthening anterior abdominal wall and learning to maintain a proper body posture during activities of daily living. physiotherapy, pregnancy, Rectus Abdominis, postpartum, diastasis recti Streszczenie Wstęp: Rozstęp mięśnia prostego brzucha to patologiczna zmiana w obrębie kresy białej polegająca na powstaniu szczeliny pomiędzy brzuścami mięśnia prostego brzucha. Pojawia się szczególnie u kobiet w czasie ciąży oraz po porodzie. Do zmian w obrębie kresy białej przyczyniają się hormony, które wpływają na rozluźnienie tkanki łącznej. Ta patologiczna zmiana nie objawia się żadnymi dolegliwościami bólowymi ale następstwa, które mogą rozwinąć się w wyniku rozstępu mogą powodować ból.

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Section: Resultsmentioning

confidence: 99%

Exercises for pregnant and postpartum women with diastasis recti abdominis – literature review

Gruszczyńska¹,

Truszczyńska-Baszak²

2018

areh

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Pilates program design and health benefits for pregnant women: A practitioners' survey

Mazzarino

Kerr

Morris

2018

Journal of Bodywork and Movement Therapies

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Inter-Rectus Distance Measurement Using Ultrasound Imaging: Does the Rater Matter?

Keshwani

Hills

McLean

2016

Physiotherapy Canada

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Purpose: To investigate the interrater reliability of inter-rectus distance (IRD) measured from ultrasound images acquired at rest and during a head-lift task in parous women and to establish the standard error of measurement (SEM) and minimal detectable change (MDC) between two raters. Methods: Two physiotherapists independently acquired ultrasound images of the anterior abdominal wall from 17 parous women and measured IRD at four locations along the linea alba: at the superior border of the umbilicus, at 3 cm and 5 cm above the superior border of the umbilicus, and at 3 cm below the inferior border of the umbilicus. The interrater reliability of the IRD measurements was determined using intra-class correlation coefficients (ICCs). Bland-Altman analyses were used to detect bias between the raters, and SEM and MDC values were established for each measurement site. Results: When the two raters performed their own image acquisition and processing, ICCs(3,5) ranged from 0.72 to 0.91 at rest and from 0.63 to 0.96 during head lift, depending on the anatomical measurement site. Bland-Altman analyses revealed no systematic bias between the raters. SEM values ranged from 0.23 cm to 0.71 cm, and MDC values ranged from 0.64 cm to 1.97 cm. Conclusion: When using ultrasound imaging to measure IRD in women, it is acceptable for different therapists to compare IRDs between patients and within patients over time if IRD is measured above or below the umbilicus. Interrater reliability of IRD measurement is poorest at the level of the superior border of the umbilicus.

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Effect of Antenatal Exercise Program with and without Abdominal Strengthening Exercises on Diastasis Rectus Abdominis - A Post Partum Follow Up

Cited by 4 publications

References 0 publications

Exercises for pregnant and postpartum women with diastasis recti abdominis – literature review

Exercises for pregnant and postpartum women with diastasis recti abdominis – literature review

Pilates program design and health benefits for pregnant women: A practitioners' survey

Inter-Rectus Distance Measurement Using Ultrasound Imaging: Does the Rater Matter?

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