Abstract:To investigate the effects of ultrasonic evaluation of a progressive yoga exercise program on reducing the inter-recti distance (IRD) among women in the early postpartum period. Postpartum women (
n
=
116
), free of obstetric complications and in recovery following vaginal delivery between weeks 1 and 12, were recruited. Participants were randomly assigned to the control and yog… Show more
“…Although most samples had ultrasound-measured [ 12 , 21 – 23 , 30 – 34 , 36 , 37 , 41 , 43 , 46 – 51 ] or caliper-measured [ 29 , 35 , 38 – 40 , 42 – 45 , 52 ] IRDs between 2.5 and 5 cm, two studies [ 43 , 47 ] encompassed IRDs <2.5 cm, whereas one case series [ 52 ] included women with IRDs >7 cm. However, 7 studies [ 21 , 23 , 32 , 34 , 37 , 45 , 48 ] included postpartum women with combined normal and borderline IRD, according to established classification systems [ 1 ]. Fig.…”
Section: Resultsmentioning
confidence: 99%
“…In clinical trials, the IRD was assessed under various conditions, including rest [ 23 , 33 , 37 , 47 , 48 ], head-lift [ 35 , 38 , 52 ], curl-up maneuver [ 29 , 39 , 40 , 42 – 44 ], or combinations [ 21 , 45 , 46 ]. Observational studies also utilized combinations of rest and head-lift/curl-up maneuvers [ 30 , 32 , 49 ] with additional conditions, such as TrA [ 12 , 50 , 51 ] and PFM contractions [ 31 , 36 ], sit-ups [ 38 ], leg raise or side planks [ 41 ], and abdominal hypopressive exercises (AHEs) [ 22 ].…”
Section: Resultsmentioning
confidence: 99%
“…Time postpartum varied broadly (Fig. 3 ), including women who were between 6 h and 6 months postpartum [ 21 , 23 , 29 , 33 , 39 , 40 , 42 , 48 ], less than 2 days postpartum [ 40 , 42 ], less than 4 months postpartum [ 23 , 33 ], between 1 week and 6 months postpartum [ 21 , 29 , 39 , 48 ], between 2 and 8 months postpartum [ 34 , 44 , 46 ], over 6 months postpartum [ 45 , 47 , 52 ], whereas two studies [ 32 , 43 ] enrolled women at 3 months to 3 years postpartum. Fig.…”
Introduction and hypothesis
Despite exercise being the standard approach to diastasis recti abdominis (DRA) rehabilitation, there is no consensus on the most effective exercise routine and adjunct modalities for reducing DRA and improving functional parameters. The present study is aimed at investigating evidence for DRA rehabilitation in postpartum women, as well as knowledge gaps and areas for future research.
Methods
For this scoping review a systematic search was conducted in MEDLINE, AMED, CINAHL, Embase, ScienceDirect, Scopus, and PEDro up to November 2022. Selection criteria included studies investigating exercise therapy interventions both with and without adjunct modalities for postpartum DRA. Sample characteristics, diagnostic criteria, program design, and outcome measures were recorded. Critical appraisal of clinical trials was performed using PEDro classification.
Results
Twenty-eight studies were included: 14 clinical trials, 3 case series, and 11 observational studies. DRA exercises that focused on deep and superficial muscles, pelvic floor muscles, respiratory maneuvers, functional exercises, or alternative interventions (yoga, suspension training, hypopressive exercise) and adjunct modalities showed promising results in reducing the inter-recti distance and related dysfunction. However, there was great variability in diagnostic criteria and methods, DRA severity, time post-birth, and exercise program design.
Conclusions
Reviewed studies provide valuable insights into exercise therapy, but it is important to recognize their limitations, as variability in diagnostic criteria, sample characteristics, and exercise program design hinder the generalizability of the findings. Further high-quality research is needed to strengthen the evidence in this area and provide reliable recommendations for clinical practice.
“…Although most samples had ultrasound-measured [ 12 , 21 – 23 , 30 – 34 , 36 , 37 , 41 , 43 , 46 – 51 ] or caliper-measured [ 29 , 35 , 38 – 40 , 42 – 45 , 52 ] IRDs between 2.5 and 5 cm, two studies [ 43 , 47 ] encompassed IRDs <2.5 cm, whereas one case series [ 52 ] included women with IRDs >7 cm. However, 7 studies [ 21 , 23 , 32 , 34 , 37 , 45 , 48 ] included postpartum women with combined normal and borderline IRD, according to established classification systems [ 1 ]. Fig.…”
Section: Resultsmentioning
confidence: 99%
“…In clinical trials, the IRD was assessed under various conditions, including rest [ 23 , 33 , 37 , 47 , 48 ], head-lift [ 35 , 38 , 52 ], curl-up maneuver [ 29 , 39 , 40 , 42 – 44 ], or combinations [ 21 , 45 , 46 ]. Observational studies also utilized combinations of rest and head-lift/curl-up maneuvers [ 30 , 32 , 49 ] with additional conditions, such as TrA [ 12 , 50 , 51 ] and PFM contractions [ 31 , 36 ], sit-ups [ 38 ], leg raise or side planks [ 41 ], and abdominal hypopressive exercises (AHEs) [ 22 ].…”
Section: Resultsmentioning
confidence: 99%
“…Time postpartum varied broadly (Fig. 3 ), including women who were between 6 h and 6 months postpartum [ 21 , 23 , 29 , 33 , 39 , 40 , 42 , 48 ], less than 2 days postpartum [ 40 , 42 ], less than 4 months postpartum [ 23 , 33 ], between 1 week and 6 months postpartum [ 21 , 29 , 39 , 48 ], between 2 and 8 months postpartum [ 34 , 44 , 46 ], over 6 months postpartum [ 45 , 47 , 52 ], whereas two studies [ 32 , 43 ] enrolled women at 3 months to 3 years postpartum. Fig.…”
Introduction and hypothesis
Despite exercise being the standard approach to diastasis recti abdominis (DRA) rehabilitation, there is no consensus on the most effective exercise routine and adjunct modalities for reducing DRA and improving functional parameters. The present study is aimed at investigating evidence for DRA rehabilitation in postpartum women, as well as knowledge gaps and areas for future research.
Methods
For this scoping review a systematic search was conducted in MEDLINE, AMED, CINAHL, Embase, ScienceDirect, Scopus, and PEDro up to November 2022. Selection criteria included studies investigating exercise therapy interventions both with and without adjunct modalities for postpartum DRA. Sample characteristics, diagnostic criteria, program design, and outcome measures were recorded. Critical appraisal of clinical trials was performed using PEDro classification.
Results
Twenty-eight studies were included: 14 clinical trials, 3 case series, and 11 observational studies. DRA exercises that focused on deep and superficial muscles, pelvic floor muscles, respiratory maneuvers, functional exercises, or alternative interventions (yoga, suspension training, hypopressive exercise) and adjunct modalities showed promising results in reducing the inter-recti distance and related dysfunction. However, there was great variability in diagnostic criteria and methods, DRA severity, time post-birth, and exercise program design.
Conclusions
Reviewed studies provide valuable insights into exercise therapy, but it is important to recognize their limitations, as variability in diagnostic criteria, sample characteristics, and exercise program design hinder the generalizability of the findings. Further high-quality research is needed to strengthen the evidence in this area and provide reliable recommendations for clinical practice.
“…38% der Mütter eine Rektusdiastase. Studien zeigten zudem, dass eine Rektusdiastase, die 8 Wochen nach der Geburt eines Kindes noch offen ist, in der Regel lebenslang offen bleibt 11 12 .…”
Section: Präventionunclassified
“…Die Autorin hat für das Rückbildungsyoga viele konventionelle Übungen abgewandelt, weil Atmung und Ausrichtung im traditionellen Yoga hinsichtlich Rektusdiastase und Beckenboden oft dysfunktional sind. Dass sich mit den richtigen Yogaübungen eine Rektusdiastase positiv beeinflussen lässt, zeigten Qunfeng Li et al (2022) 10 .…”
Section: Atemführung Und Erste Funktionelle üBungunclassified
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
