open access

Vol 89, No 2 (2018)
REVIEW PAPERS Obstetrics
Published online: 2018-02-28
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Diastasis recti abdominis — a review of treatment methods

Agata Michalska, Wojciech Rokita, Daniel Wolder, Justyna Pogorzelska, Krzysztof Kaczmarczyk
DOI: 10.5603/GP.a2018.0016
·
Pubmed: 29512814
·
Ginekol Pol 2018;89(2):97-101.

open access

Vol 89, No 2 (2018)
REVIEW PAPERS Obstetrics
Published online: 2018-02-28

Abstract

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.

Abstract

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.

Get Citation

Keywords

diastasis recti abdominis, conservative treatment, surgical treatment, physiotherapy

About this article
Title

Diastasis recti abdominis — a review of treatment methods

Journal

Ginekologia Polska

Issue

Vol 89, No 2 (2018)

Pages

97-101

Published online

2018-02-28

DOI

10.5603/GP.a2018.0016

Pubmed

29512814

Bibliographic record

Ginekol Pol 2018;89(2):97-101.

Keywords

diastasis recti abdominis
conservative treatment
surgical treatment
physiotherapy

Authors

Agata Michalska
Wojciech Rokita
Daniel Wolder
Justyna Pogorzelska
Krzysztof Kaczmarczyk

References (35)
  1. Coldron Y, Stokes MJ, Newham DiJ, et al. Postpartum characteristics of rectus abdominis on ultrasound imaging. Man Ther. 2008; 13(2): 112–121.
  2. Axer H, Keyserlingk DG, Prescher A. Collagen fibers in linea alba and rectus sheaths. I. General scheme and morphological aspects. J Surg Res. 2001; 96(1): 127–134.
  3. Axer H, von Keyserlingk DG, Prescher A. Collagen fibers in linea alba and rectus sheaths. J Surg Res. 2001; 96(2): 239–245.
  4. Benjamin DR, van de Water ATM, Peiris CL. Effects of exercise on diastasis of the rectus abdominis muscle in the antenatal and postnatal periods: a systematic review. Physiotherapy. 2014; 100(1): 1–8.
  5. Liaw LJ, Hsu MJ, Liao CF, et al. The relationships between inter-recti distance measured by ultrasound imaging and abdominal muscle function in postpartum women: a 6-month follow-up study. J Orthop Sports Phys Ther. 2011; 41(6): 435–443.
  6. Beer GM, Schuster A, Seifert B, et al. The normal width of the linea alba in nulliparous women. Clin Anat. 2009; 22(6): 706–711.
  7. Chiarello C, Falzone L, McCaslin K, et al. The Effects of an Exercise Program on Diastasis Recti Abdominis in Pregnant Women. J Womens Health Phys Ther. 2005; 29(1): 11–16.
  8. Keshwani N, Hills N, McLean L. Inter-Rectus Distance Measurement Using Ultrasound Imaging: Does the Rater Matter? Physiother Can. 2016; 68(3): 223–229.
  9. Emanuelsson P, Dahlstrand U, Strömsten U, et al. Analysis of the abdominal musculo-aponeurotic anatomy in rectus diastasis: comparison of CT scanning and preoperative clinical assessment with direct measurement intraoperatively. Hernia. 2014; 18(4): 465–471.
  10. van de Water ATM, Benjamin DR. Measurement methods to assess diastasis of the rectus abdominis muscle (DRAM): A systematic review of their measurement properties and meta-analytic reliability generalisation. Man Ther. 2016; 21: 41–53.
  11. Rett MT, Braga MD, Bernardes NO, et al. Prevalência de diástase dos músculos retoabdominais no puerpério imediato: comparação entre primíparas e multíparas. Rev Bras Fisioter. 2009; 13(4): 275–280.
  12. Emanuelsson P, Gunnarsson U, Dahlstrand U, et al. Operative correction of abdominal rectus diastasis (ARD) reduces pain and improves abdominal wall muscle strength: A randomized, prospective trial comparing retromuscular mesh repair to double-row, self-retaining sutures. Surgery. 2016; 160(5): 1367–1375.
  13. Fernandes da Mota PG, Pascoal AG, Carita AI, et al. Prevalence and risk factors of diastasis recti abdominis from late pregnancy to 6 months postpartum, and relationship with lumbo-pelvic pain. Man Ther. 2015; 20(1): 200–205.
  14. Sperstad JB, Tennfjord MK, Hilde G, et al. Diastasis recti abdominis during pregnancy and 12 months after childbirth: prevalence, risk factors and report of lumbopelvic pain. Br J Sports Med. 2016; 50(17): 1092–1096.
  15. Hilger T, Bagłaj M. Rzadko występujące przepukliny brzuszne u dzieci. Adv Clin Exp Med. 2006; 15(4): 733–740.
  16. Cheesborough JE, Dumanian GA. Simultaneous prosthetic mesh abdominal wall reconstruction with abdominoplasty for ventral hernia and severe rectus diastasis repairs. Plast Reconstr Surg. 2015; 135(1): 268–276.
  17. Keeler J, Albrecht M, Eberhardt L, et al. Diastasis Recti Abdominis. J Womens Health Phys Ther. 2012; 36(3): 131–142.
  18. Roshan A, Khyati B, Ujwal Y, et al. Prevalence Of Diastasis Of Rectus Abdominis Muscle In Immediate Post-Partum Women Of Urban And Rural Areas. EJPRM. 2016; 3(5): 460–462.
  19. Turan V, Colluoglu C, Turkyilmaz E, et al. Prevalence of diastasis recti abdominis in the population of young multiparous adults in Turkey. Ginekol Pol. 2011; 82(11): 817–821.
  20. Candido G, Lo T, Janssen PA. Risk factors for diastasis of the recti abdominis. J Assoc Chart Physiother Womens Health. 2005; 97: 49–54.
  21. Parker M, Millar L, Dugan S. Diastasis Rectus Abdominis and Lumbo-Pelvic Pain and Dysfunction-Are They Related? J Womens Health Phys Ther. 2009; 33(2): 15–22.
  22. Bø K, Hilde G, Tennfjord MK, et al. Pelvic floor muscle function, pelvic floor dysfunction and diastasis recti abdominis: Prospective cohort study. Neurourol Urodyn. 2017; 36(3): 716–721.
  23. Spitznagle TM, Leong FC, Van Dillen LR. Prevalence of diastasis recti abdominis in a urogynecological patient population. Int Urogynecol J Pelvic Floor Dysfunct. 2007; 18(3): 321–328.
  24. Gitta S, Magyar Z, Tardi P, et al. How to Treat Diastasis Recti Abdominis with Physical Therapy: A Case Report. J Diseases. 2016; 3(2): 16–20.
  25. Acharry N, Kutty R. Abdominal exercise with bracing,a therapeutic efficacy in reducing diastasis-recti among postpartal females. Int J Physiother Res. 2015; 3(2): 999–1005.
  26. Walton L, Costa A, LaVanture D, et al. The effects of a 6 week dynamic core stability plank exercise program compared to a traditional supine core stability strengthening program on diastasis recti abdominis closure, pain, oswestry disability index (ODI) and pelvic floor disability index scores (PFDI). Phys Ther Rehabil. 2016; 3(1): 3.
  27. Awad M, Morsy M, Mohamed M, et al. Efficacy of Tupler Technique on Reducing Post Natal Diastasis Recti: A Controlled Study. Br J Appl Sci Technol. 2016; 12(1): 1–8.
  28. Khandale SR, Hande D. Effects of abdominal exercises on reduction of diastasis recti in postnatal women. Int J Health Sci Res. 2016; 6(6): 182–191.
  29. Mota P, Pascoal AG, Carita AI, et al. The Immediate Effects on Inter-rectus Distance of Abdominal Crunch and Drawing-in Exercises During Pregnancy and the Postpartum Period. J Orthop Sports Phys Ther. 2015; 45(10): 781–788.
  30. Sancho MF, Pascoal AG, Mota P, et al. Abdominal exercises affect inter-rectus distance in postpartum women: a two-dimensional ultrasound study. Physiotherapy. 2015; 101(3): 286–291.
  31. Lee D, Hodges PW. Behavior of the Linea Alba During a Curl-up Task in Diastasis Rectus Abdominis: An Observational Study. J Orthop Sports Phys Ther. 2016; 46(7): 580–589.
  32. Hauser RA, Lackner JB, Steilen-Matias D, et al. A Systematic Review of Dextrose Prolotherapy for Chronic Musculoskeletal Pain. Clin Med Insights Arthritis Musculoskelet Disord. 2016; 9: 139–159.
  33. Strauchman M, Morningstar M. Prolotherapy Injections for Diastasis Recti: A Case Report. Case Reports Clinical Medicine. 2016; 05(09): 342–346.
  34. Siddiky AH, Kapadia CR. Laparoscopic plication of the linea alba as a repair for diastasis recti - a mesh free approach. J Surg Case Rep. 2010; 2010(5): 3.
  35. Brauman D. Diastasis recti: clinical anatomy. Plast Reconstr Surg. 2008; 122(5): 1564–1569.

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