Prevalence, Potential Risk Factors, Sequelae of Diastasis Recti Abdominis and The Treatment

Abstract

A605of treatment, where the training of the transverse abdominis muscle was stressed. Pearson product moment correlations, ANOVAs and paired sample t-tests were used to examine relationship. P < 0.05 was considered statistically significant. Results: The prevalence of DRA in our population was 46.5%. There was a measurable difference between the DRA and age (p= 0.099), BMI (p= 0.129), number of pregnancies (p= 0.126), and type of delivery (p= 0.058). The results between the number of deliveries and the IRD were significant (p< 0.001). We found a significant difference in quality of life (p= 0.017), in presence of low back pain (p= 0.039) and urinary incontinence (p= 0.028) between the normal and the DRA group. After the three month treatment we measured a significant (p= 0.028) smaller interrectus distance at the patients. ConClusions: Almost every second women are affected by diastasis recti. This condition predisposes on low back pain and urinary incontinence, therefore on a decreased quality of life. For that very reason it would be necessary to open the women's eyes to the benefits of physiotherapy.

Diastasis recti abdominis in adult women based on abdominal computed tomography imaging: Prevalence, risk factors and its impact on life

“…At present, there are few studies using CT to judge the occurrence of DRA. Previous study showed that the incidence of DRA in women was as high as 46.5% to 100% in the third trimester and 30% to 70% postpartum (Fernandes da Mota et al, 2015; Gitta et al, 2017); Kimmich et al, 2015). Other studies have shown that vaginal births have a lower risk of postpartum DRA than caesarean deliveries (Wang et al, 2019).…”

“…The rectus abdominis plays an important role in posture, trunk and pelvis stability, respiration, trunk movement and abdominal organ support (Benjamin et al, 2014). For these reasons, DRA may contribute to chronic low back pain (Doubkova et al, 2018), have an impact on life (Gitta et al, 2017) and require surgery (Cheesborough, & Dumanian, 2015). There is an intervention research showing that postpartum back pain will be alleviated, muscle elasticity will be increased, and maternal body will recover as soon as possible when DRA condition improves (Wei et al, 2016).…”

“…In the presence of DRA, interventions are largely determined by the severity and its impact on the patient's life. Common measurement methods are as follows: finger width method (Keshwani et al, 2018; Sperstad et al, 2016), ultrasonic (Doubkova et al, 2018; Fernandes da Mota et al, 2015; Liaw et al, 2011), callipers (Gitta et al, 2017) and CT (Emanuelsson et al, 2016). In general, there is a certain error rate in using finger method (Keshwani et al, 2018) and calliper method (Chiarello & McAuley, 2013) to measure DRA, while it is more accurate using B‐ultrasound (Doubkova et al, 2018) and CT (Emanuelsson et al, 2016).…”

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

“…DRA usually regresses to its prepregnancy width, but the condition persists in 32–46 per cent of postpartum women. Reported risk factors for persistent DRA include maternal age, multiparity, caesarean section, macrosomia and multiple gestations.…”

Diastasis of rectus abdominis muscles in low back pain patients

“…Such skin redundancy and fascial laxity in the abdominal area has been shown to cause back strain and pain [14]. According to Gitta et al [15] not just low back pain but also decreased quality of life may occur in patients with DRA.…”