How to Treat Diastasis Recti Abdominis with Physical Therapy: A Case Report

Gitta, Stefánia; Magyar, Zoltán; Tardi, Péter; Füge, Istvánné; Járomi, Melinda; Ács, Pongrác; Garai, János; Bódis, József; Hock, Márta

doi:10.18488/journal.99/2016.3.2/99.2.16.20

Cited by 8 publications

(8 citation statements)

References 9 publications

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“…This includes a case report by Gitta and colleagues using an intervention emphasizing education on proper activity mechanics in combination with strengthening exercises that resulted in a 26% reduction of the IRD after a three month intervention. 27 Support was also found for exercise in a pre-post study design by Khandale et al 28 using strengthening exercises with statistically significant improvements in IRD above and below the umbilicus measured using finger width and calipers. 28 Our study adds to this body of research, suggesting that more education and self-management principles may need to be included in future studies and that perhaps the standardized exercise protocols used in RCTs are not appropriate and need to be individualized in order to maximize outcomes.…”

Section: Discussionmentioning

confidence: 68%

Pregnancy-related diastasis rectus abdominis: Impact of a multi-component group-based intervention

Dufour¹,

Hurd²,

Lis³

et al. 2019

OGIJ

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Purpose: To explore the feasibility and effect on outcomes of a one-time multi-component group-based intervention among women with pregnancy-related diastasis rectus abdominis (DRA). Methods: Women with clinically diagnosed DRA and minimum 8 weeks postpartum participated in a pre-post cohort pilot study. Subjects participated in a group workshop consisting of education and exercise prescription. They were assessed before the workshop and 8 weeks later with a booster session at 4 weeks. The following assessments were used: inter-recti distance (finder width), linea alba (LA) integrity, LA tension generating capacity, active straight leg raise (ASLR), Pelvic Floor Disability Index (PFDI-20), and global rating of change scale(GRC). Results: Thirty participants were enrolled in this study and 16 completed both pre and post measurements (53.3%). Following intervention, all outcomes measures improved with statistically significant changes in IRD (finger width), LA integrity, and LA tension generation. The average GRC score was 1.7. Issues with loss to follow up point to lack of feasibility of this intervention in its current format. Conclusion: We found one-time multi-component group-based intervention improved pregnancy-related DRA outcomes. Future studies need to further explore the effect of the different components within this intervention, particularly behavioural strategies. Further, the benefit of applying self-management principles in DRA interventions as well as further investigating assessment techniques is also warranted.

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Section: Discussionmentioning

confidence: 68%

Pregnancy-related diastasis rectus abdominis: Impact of a multi-component group-based intervention

Dufour¹,

Hurd²,

Lis³

et al. 2019

OGIJ

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“…Abdominal exercise includes isometric contraction of the abdomen, and Noble's correction exercise was performed for 30 minutes/session, five times per week for 6 weeks. [11][12][13] Isometric contraction of the abdomen: The patient was in a crook lying position and arm along the side. Then, we asked the patient to…”

Section: Exercisesmentioning

confidence: 99%

Effect of Russian Current Followed by Exercise in Postpartum Diastasis Recti Abdominis: A Single Case Study

Kudi¹,

Pattali²,

Meethal³

et al. 2021

Journal of South Asian Federation of Obstetrics and Gynaecology

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Aim: To find out the effect of Russian currents followed by exercises in diastasis recti postpartum. Materials and methods: A single case study was done by fulfilled inclusion criteria. Inter-recti distance (IRD) was assessed by dial caliper and waist-hip circumference by inch tape. Russian current was given for 30 minutes/day with a duty cycle of 20 seconds on period and 40 seconds off period for 5 days/week for 6 weeks. Exercises given are isometric contraction of abdominal muscle and Noble's correction exercise of 30 minutes/day for 5 days/week for every 6 weeks. Results:The study shows IRD reduction of 1.4 cm above the umbilicus, 1.3 cm at the level of the umbilicus, and 1.3 cm below the level of the umbilicus. Conclusion:The present study opens a wide scope to practice Russian currents for reducing IRD along with exercises for the postpartum period. Clinical significance: Russian currents can be introduced to the postpartum physiotherapy management along with exercises as it is giving more amount of feedback to the clients.

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“…It is considered to be the only treatment method that may potentially result in the decrease of IRD. Although numerous studies confirm the positive influence of exercises on reducing the inter-recti distance [4,17,[24][25][26][27][28] no generally acceptable protocol of therapeutic exercises has been formulated so far. It has not been assessed which abdominal exercises are the most effective.…”

Section: Treatment Of Dramentioning

confidence: 99%

“…According to one, exercises of transversus abdominis muscles (drawing-in exercise) are advised, whereas any exercises engaging the rectus abdominis muscles are forbidden as they may potentially increase IRD (abdominal sit-up/ curl-up, crunch exercise). The other method includes a crunch exercise in the supine position which activates the rectus abdominis muscles [4,24]. According to Keller et al [17] transversus abdominis training is usually applied (in 89.2% out of 296 respondents), although in 62.5% cases the Nobel technique engaging rectus abdominis muscles was applied.…”

Section: Treatment Of Dramentioning

confidence: 99%

Diastasis recti abdominis — a review of treatment methods

et al. 2018

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Diastasis recti abdominis is a condition in which both rectus abdominis muscles disintegrate to the sides, this being accompanied by the extension of the linea alba tissue and bulging of the abdominal wall. DRA may result in the herniation of the abdominal viscera, but it is not a hernia per se. DRA is common in the female population during pregnancy and in the postpartum period. There is a scant knowledge on the prevalence, risk factors, prevention or management of the abovementioned condition. The aim of this paper is to present the methods of DRA treatment based on the results of recent studies.

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How to Treat Diastasis Recti Abdominis with Physical Therapy: A Case Report

Cited by 8 publications

References 9 publications

Pregnancy-related diastasis rectus abdominis: Impact of a multi-component group-based intervention

Pregnancy-related diastasis rectus abdominis: Impact of a multi-component group-based intervention

Effect of Russian Current Followed by Exercise in Postpartum Diastasis Recti Abdominis: A Single Case Study

Diastasis recti abdominis — a review of treatment methods

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