Rektusdiastase und Schwangerschaft

Kimmich, Nina; Haslinger, Christian; Kreft, Martina; Zimmermann, Roland

doi:10.1024/1661-8157/a002075

Cited by 15 publications

(9 citation statements)

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“…The presence of an associated ventral hernia may be an indication for surgery, regardless of the size of a concomitant diastasis 2,4 . The surgical procedure should focus on the repair of the hernia, but may also include closure of the diastasis.…”

Section: Width Of the Diastasismentioning

confidence: 99%

Management of diastasis of the rectus abdominis muscles: recommendations for swedish national guidelines

et al. 2020

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Background: Diastasis of the rectus abdominis muscle is a common condition. There are no generally accepted criteria for diagnosis or treatment of diastasis of the rectus abdominis muscle, which causes uncertainty for the patient and healthcare providers alike. Methods: The consensus document was created by a group of Swedish surgeons and based on a structured literature review and practical experience. Results: The proposed criteria for diagnosis and treatment of diastasis of the rectus abdominis muscle are as follows: (1) Diastasis diagnosed at clinical examination using a caliper or ruler for measurement. Diagnostic imaging by ultrasound or other imaging modality, should be performed when concurrent umbilical or epigastric hernia or other cause of the patient’s symptoms cannot be excluded. (2) Physiotherapy is the firsthand treatment for diastasis of the rectus abdominis muscle. Surgery should only be considered in diastasis of the rectus abdominis muscle patients with functional impairment, and not until the patient has undergone a standardized 6-month abdominal core training program. (3) The largest width of the diastasis should be at least 5 cm before surgical treatment is considered. In case of pronounced abdominal bulging or concomitant ventral hernia, surgery may be considered in patients with a smaller diastasis. (4) When surgery is undertaken, at least 2 years should have elapsed since last childbirth and future pregnancy should not be planned. (5) Plication of the linea alba is the firsthand surgical technique. Other techniques may be used but have not been found superior. Discussion: The level of evidence behind these statements varies, but they are intended to lay down a standard strategy for treatment of diastasis of the rectus abdominis muscle and to enable uniformity of management.

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Section: Width Of the Diastasismentioning

confidence: 99%

Management of diastasis of the rectus abdominis muscles: recommendations for swedish national guidelines

et al. 2020

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“…Many publications showed an elevated prevalence of DRA in multiparous women and obese men due to the stretching and thinning of the linea alba and the abdominal wall [16,[24][25][26][27]. Janes et al described that linea alba width increases significantly with parity, in particular after the first and second pregnancy [1].…”

Section: Introductionmentioning

confidence: 99%

Normal width of the linea alba, prevalence, and risk factors for diastasis recti abdominis in adults, a cross-sectional study

Kaufmann

Reiner

Dietz

et al. 2021

Hernia

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Aim The prevalence and definition of diastasis recti abdominis (DRA) is under debate. This retrospective cross-sectional study evaluated the interrectal distance and the prevalence of DRA in computed tomography (CT) in an asymptomatic population. Materials and methods Patients undergoing CT scans for suspected appendicitis or kidney stones from 01/2016 to 12/2018 were screened retrospectively to participate. A study population with equal distribution according to gender and age (18–90 years) was generated (n = 329 patients) and the interrectal distance was measured at six reference points. Results DRA (defined as > 2 cm at 3 cm above the umbilicus) was present in 57% of the population. The 80th percentile of the interrectal distance was 10 mm at the xiphoid (median 3 mm, 95% confidence interval (CI) 0–19 mm), 27 mm halfway from xiphoid to umbilicus (median 17 mm, 95% CI 0–39 mm), 34 mm at 3 cm above the umbilicus (median 22 mm, 95% CI 0–50 mm), 32 mm at the umbilicus (median 25 mm, 95% CI 0–45 mm), 25 mm at 2 cm below the umbilicus (median 14 mm, 95% CI 0–39 mm), and 4 mm halfway from umbilicus to pubic symphysis (median 0 mm, 95% CI 0–19 mm). In the multivariate analysis, higher age (p = 0.001), increased body mass index (p < 0.001), and parity (p < 0.037) were independent risk factors for DRA, while split xiphoid, tobacco abuse, and umbilical hernia were not. Conclusion The prevalence of DRA is much higher than commonly estimated (57%). The IRD 3 cm above the umbilicus may be considered normal up to 34 mm. To avoid over-treatment, the definition of DRA should be revised.

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“…Diastasis rectus abdominis (DRA) is characterized by an increased distance between the rectus abdominis on both sides of the linea alba in pregnant women and postpartum women 1,2 . The incidence of DRA, which is about 46.5-100% in the middle and late stages of pregnancy and approximately 30-70% after delivery [3][4][5] , is continuously increasing in China 6 . Parturients often have different degrees of DRA during the third trimester 6 .…”

Section: Introductionmentioning

confidence: 99%

Efficacy of standardized rehabilitation in the treatment of diastasis rectus abdominis in postpartum women in Eastern China

Hu¹,

Gu²,

Yu³

et al. 2021

Preprint

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Objectives: The aim of the study was to retrospectively summarize the experience and efficacy in the treatment of diastasis rectus abdominis (DRA) via standardized rehabilitation procedures in Eastern China.Methods: This retrospective study included the parturients with DRA admitted to the Xishan People’s Hospital of Wuxi between January 2017 and May 2021. Patients were separated in standardized rehabilitation group (SR) and non-standardized rehabilitation group (non-SR). The outcomes were the change of rectus abdominis separation and Physical Functioning Scale (PFs). Measurement data were compared between the two groups using Student's t-test or Fisher's exact test. Multivariate linear regression was used to analyze the factors associated with standardized rehabilitation process. P value < 0.05 was considered statistically significant.Results: A total of 294 patients with DRA were included in the study. Among the 294 patients, 171 patients were treated with SR (SR), and the other 123 patients were treated without SR process (non-SR). Compared with non-SR, the separation of the rectus abdominis was significantly reduced in SR after standardized rehabilitation treatment (p value<0.0001). The multiple linear regression model analysis results suggested that standardized rehabilitation was an independent factor influencing the prognosis of DRA in parturients (P<0.0001). In addition, the quality of life of the study group was significantly improved (p value<0.0001).Conclusions: Standardized rehabilitation method has the high efficiency in the treatment of DRA in postpartum women, and can improve the quality of life of parturients.

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Rektusdiastase und Schwangerschaft

Cited by 15 publications

References 0 publications

Management of diastasis of the rectus abdominis muscles: recommendations for swedish national guidelines

Management of diastasis of the rectus abdominis muscles: recommendations for swedish national guidelines

Normal width of the linea alba, prevalence, and risk factors for diastasis recti abdominis in adults, a cross-sectional study

Efficacy of standardized rehabilitation in the treatment of diastasis rectus abdominis in postpartum women in Eastern China

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