Physiotherapy in the reduction of diastasis of the recti abdominis in inmediate pospartum / Atuação fisioterapêutica na redução da diástase abdominal no puerpério imediato

Pampolim, Gracielle; Santos, Bruna Ribeiro dos; Verzola, Isabelle Gadiolli; Ferres, Alessandra Misanda; Silva, Geiceane Bruna Rodrigues da; Sarmento, Sara Silva

doi:10.9789/2175-5361.rpcfo.v13.9555

Cited by 11 publications

(20 citation statements)

References 11 publications

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“…Efficacy in the reduction of ARD measures, resulting in the improvement of two finger lengths above and below the umbilicus. POMPOLIM G, et al (2021).…”

Section: Resultsmentioning

confidence: 99%

Relevant studies focused on health sciences

2024

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“…Efficacy in the reduction of ARD measures, resulting in the improvement of two finger lengths above and below the umbilicus. POMPOLIM G, et al (2021).…”

Section: Resultsmentioning

confidence: 99%

Relevant studies focused on health sciences

2024

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“…The reviewed studies had varying sample sizes (3–129) and used different cut-off points for DRA diagnosis, such as 2.0 cm [ 29 – 32 ], 2.2 cm [ 12 ], or 2.5 cm [ 33 – 37 ] above the umbilicus during rest, and 1.5–3.0 cm above the umbilicus during a head-lift or curl-up [ 38 – 40 ]. Three studies proposed cut-offs of two finger-widths at the umbilicus [ 21 ] or anywhere in the midline [ 23 , 41 ] during a head-lift and subsequently assessed with ultrasound, whereas 12 studies did not use any cut-off points [ 22 , 37 , 42 – 51 ].…”

Section: Resultsmentioning

confidence: 99%

“…2 ). Although most samples had ultrasound-measured [ 12 , 21 – 23 , 30 – 34 , 36 , 37 , 41 , 43 , 46 – 51 ] or caliper-measured [ 29 , 35 , 38 – 40 , 42 – 45 , 52 ] IRDs between 2.5 and 5 cm, two studies [ 43 , 47 ] encompassed IRDs <2.5 cm, whereas one case series [ 52 ] included women with IRDs >7 cm. However, 7 studies [ 21 , 23 , 32 , 34 , 37 , 45 , 48 ] included postpartum women with combined normal and borderline IRD, according to established classification systems [ 1 ].…”

Section: Resultsmentioning

confidence: 99%

Diastasis Recti Abdominis Rehabilitation in the Postpartum Period: A Scoping Review of Current Clinical Practice

Skoura,

Billis,

Papanikolaou

et al. 2024

Int Urogynecol J

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Introduction and hypothesis Despite exercise being the standard approach to diastasis recti abdominis (DRA) rehabilitation, there is no consensus on the most effective exercise routine and adjunct modalities for reducing DRA and improving functional parameters. The present study is aimed at investigating evidence for DRA rehabilitation in postpartum women, as well as knowledge gaps and areas for future research. Methods For this scoping review a systematic search was conducted in MEDLINE, AMED, CINAHL, Embase, ScienceDirect, Scopus, and PEDro up to November 2022. Selection criteria included studies investigating exercise therapy interventions both with and without adjunct modalities for postpartum DRA. Sample characteristics, diagnostic criteria, program design, and outcome measures were recorded. Critical appraisal of clinical trials was performed using PEDro classification. Results Twenty-eight studies were included: 14 clinical trials, 3 case series, and 11 observational studies. DRA exercises that focused on deep and superficial muscles, pelvic floor muscles, respiratory maneuvers, functional exercises, or alternative interventions (yoga, suspension training, hypopressive exercise) and adjunct modalities showed promising results in reducing the inter-recti distance and related dysfunction. However, there was great variability in diagnostic criteria and methods, DRA severity, time post-birth, and exercise program design. Conclusions Reviewed studies provide valuable insights into exercise therapy, but it is important to recognize their limitations, as variability in diagnostic criteria, sample characteristics, and exercise program design hinder the generalizability of the findings. Further high-quality research is needed to strengthen the evidence in this area and provide reliable recommendations for clinical practice.

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“…Three of the studies highlighted as intervention abdominal activation exercises performed in series and muscle strengthening through adequate muscle activation, associated with breathing exercises and postural reeducation (POMPOLIM G, et al, 2021;FRANCHI EF, et al, 2016;THABET AA, et al, 2019).…”

Section: Randomized Studymentioning

confidence: 99%

Human anatomy: speech-language pathology students' preferences and perspectives

Carneiro¹,

Ramos²,

Silva³

et al. 2023

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Teaching practices at the university and the curricular component of Human Anatomy, in recent decades, have shared a significant process of change. The research aims to describe the profile and teaching preferences of Speech Therapy students enrolled in the Functional Neuroanatomy curricular component, offered at the Health Sciences Center of the Federal University of Paraíba, João Pessoa, Brazil. The study was observational and cross-sectional in nature with serial collection in the same population. Data collection took place between July 2014 and April 2018. Most of the 53 respondents were female, aged between 18 and 28 years, mean age of 20.4±2.2 years. In the students' opinion, learning anatomy disciplines involved a lot of effort (65.4%) and the majority (71.7%) consider the cadaver necessary in the study of anatomy, but would not donate their body for teaching or research. Students use the main personal protective equipment, lab coat, mask and gloves, but many complaints of headache, nasal irritation and tearing were observed. Thus, making a local diagnosis and identifying preferences, demands and difficulties is essential for decision-making and planning of institutional and teaching actions that can qualify the teaching-learning process, which will imply the qualification of the future professional practice of these students.

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Physiotherapy in the reduction of diastasis of the recti abdominis in inmediate pospartum / Atuação fisioterapêutica na redução da diástase abdominal no puerpério imediato

Cited by 11 publications

References 11 publications

Relevant studies focused on health sciences

Relevant studies focused on health sciences

Diastasis Recti Abdominis Rehabilitation in the Postpartum Period: A Scoping Review of Current Clinical Practice

Human anatomy: speech-language pathology students' preferences and perspectives

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