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Journal of Diseases

February 2016, Volume 3, 2, pp 16-20

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

S. Gitta

,

Z. Magyar

,

P. Tardi

,

I. Fuge

,

M. Jaromi

,

P. Acs

,

J. Garai

,

J. Bodis

,

M. Hock

S. Gitta 1 ,

Z. Magyar 2
P. Tardi 3

I. Fuge 4 M. Jaromi 1 P. Acs 1 J. Garai 7
J. Bodis 4 M. Hock 1 

  1. Faculty of Health Sciences, University of Pecs, Pecs, Hungary 1

  2. Department of Obstetrics and Gynaecology, Peterfy Sandor Street Hospital and Casualty Centre, Budapest, Hungary 2

  3. Medical Center of Harkany, Train-Health Nonprofit Ltd, Harkany, Hungary 3

  4. Obstetrics and Gynaecology Clinic, University of Pecs Clinical Centre, Pecs, Hungary 4

  5. Institute for Translational Medicine, Medical School, University of Pecs, Pecs, Hungary 7

Pages: 16-20

DOI: 10.18488/journal.99/2016.3.2/99.2.16.20

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Abstract:

An increased inter-recti distance is a common problem in late pregnancy and during postpartum period. According to researches diastasis recti abdominis’ occurs in 35-60% of the cases. There are only assumptions about the risk factors, treatment and consequences. The aim of this study was to determine the effect of the treatment in the postpartum period using a single case study. A 33-year-old woman, six weeks after her first delivery, was recruited to the research. She complained about abdominal muscle weakness and low back pain. The patient got a three-months-long physical therapy in which the strengthening of the transverse abdominal muscles was primary. After the intervention the pathological inter-recti distance achieved the normal range almost at each reference point. This study found that the inter-recti distance was reduced when isometric contraction of the transverse abdominal muscle was performed. This suggests that this type of exercise could be effective in treating the postpartum diastasis recti and preventing the possible sequelae.

Contribution/ Originality
This study contributes in the existing literature with the observations of a single case treatment. It is unique because nobody in Hungary has investigated diastasis recti abdominis yet, in consequence a new country appeared which can be active in researches in obstetric and gynecologic physiotherapy.

Keywords:

Diastasis recti abdominis, Inter-recti distance, Abdominal wall, Postpartum period, Physiotherapy, Treatment, Low back pain.

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Reference:

  1. E. Noble, Essential exercises for the childbearing year. USA, Boston: Houghton Mifflin Company, 1988.
  2. J. S. Boissonnault and M. J. Blaschak, "Incidence of diastasis recti abdominis during the childbearing year," Physical Therapy, vol. 68, pp. 1082-1086, 1988.
  3. S. G. Bursch, "Interrater reliability of diastasis recti abdominis measurement," Physical Therapy, vol. 67, pp. 1077-1079, 1987.
  4. G. Candido, T. Lo, and P. A. Janssen, "Risk factors for diastasis of the recti abdominis," Journal of the Association of Chartered Physiotherapists in Women's Health, vol. 97, pp. 49-54, 2005.
  5. P. Mota, A. G. Pascoal, A. I. Carita, and K. Bo, "Inter-recti distance at rest, during abdominal crunch and drawing in exercises during pregnancy and postpartum," Physiotherapy, vol. 101, pp. 1050-1051, 2015.
  6. T. M. Spitznagle, F. C. Leong, and L. R. Van Dillen, "Prevalence of diastasis recti abdominis in urogygecological patient population," International Urogynecology Journal, vol. 18, pp. 321-328, 2007.
  7. G. M. Beer, A. Schuster, B. Seifert, and M. M. P. Manestar, "The normal width of the linea alba in nulliparous women," Clinical Anatomy, vol. 22, pp. 706-711, 2009.
  8. L. J. Liaw, M. J. Hsu, C. F. Liao, M. F. Liu, and A. T. Hsu, "The relationships between inter-recti distance measured by ultrasound imaging and abdominal muscle function in portpartum women: A 6-month follow-up study," Journal of Orthopaedic & Sports Physical Therapy, vol. 41, pp. 435-443, 2011.
  9. P. Mota, A. Pascoal, A. Carita, and K. Bo, "Reliability of the inter-rectus distance measured by palpation. Comparison of palpation and ultrasoud measurements," Manual Therapy, vol. 18, pp. 294-298, 2013.
  10. S. Sheppard, "The role of transversus abdominus in post partum correction of gross divarication recti," Manual Therapy, vol. 1, pp. 214-216, 1996.
  11. A. Opala-Berdzik and S. Dabrowski, "Physiotherapy in diastasis of the rectus muscles of abdomen in women during pregnancy and postpartum," Fizjoterapia, vol. 17, pp. 67-70, 2009.
  12. S. Boxer and S. Jones, "Intra-rater reliability of rectus abdominis diastasis measurement using dial calipers," Australian Physiotherapy, vol. 43, pp. 109-114, 1997.
  13. M. Hsia and S. Jones, "Natural resolution of rectus abdominis diastasis. Two single case studies," Australian Journal of Physiotherapy, vol. 46, pp. 301-307, 2000.
  14. M. A. Parker, A. L. Milar, and S. A. Dugan, "Diastasis rectus abdominis and lumbo-pelvic pain and dysfunction - are they related?," Journal of Women's Health Physical Therapy, vol. 33, pp. 15-22, 2008.
  15. S. Barbosa, D. S. R. Moreira, and V. L. Coca, "Diastasis of rectus abdominis in the immediate puerperium: Correlation between imaging diagnosis and clinical examination," Archives of Gynecology and Obstetrics, vol. 288, pp. 299-303, 2013.
  16. A. G. Pascoal, S. Dionisio, F. Cordeiro, and P. Mota, "Inter-rectus distance in postpartum women can be reduced by isometric contraction of the abdominal muscles: A preliminary case-control study," Physiotherapy, vol. 100, pp. 344-348, 2014.
  17. D. G. Lee, L. J. Lee, and L. McLaughlin, "Stability, continence and breathing: The role of fascia following pregnancy and delivery," Journal of Bodywork and Movement Therapies, vol. 12, pp. 333-348, 2007.
  18. D. R. Benjamin, D. W. A. T. M. Van, and C. L. Peiris, "Effects of exercise on diastasis of the rectus abdominis muscle in the antenatal and postnatal periods: A systematic review," Physiotherapy, vol. 100, pp. 1-8, 2014.
  19. M. Zappile-Lucis, "Quality of life measurements and physical therapy management of a female diagnosed with diastasis recti abdominis," Journal of Women's Health Physical Therapy, vol. 33, p. 22, 2009.
  20. K. Bo, G. Hilde, M. Tennfjord, and J. E. Sperstad, "Diastasis recti abdominis and pelvic floor muscle function - a cross sectional study of primiparous women during pregnancy and postpartum," Physiotherapy, vol. 101, pp. 161-162, 2015.
  21. M. F. Sancho, A. G. Pascoal, P. Mota, and K. Bo, "Abdominal exercises affect inter-rectus distance in postpartum women: A two-dimensional ultrasound study," Physiotherapy, vol. 101, pp. 286-291, 2015.
  22. T. Lo, G. Candudi, and P. Janssen, "Diastasis of the recti abdominis in pregnancy: Risk factors and treatment," Physiotherapy Canada, vol. 44, pp. 32-37, 1999.

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Funding:

This study received no specific financial support.

Competing Interests:

The authors declare that they have no competing interests.

Acknowledgement:

All authors contributed equally to the conception and design of the study.

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