The relationship of severity in diastasis recti abdominis and pelvic floor dysfunction: a retrospective cohort study

Fang, Hui; Liu, Yun; Li, Mengxiong; He, Jianxing; Liu, Lixiang; Li, Juanhua; Wang, Ying; Li, Tian

doi:10.1186/s12905-021-01194-8

Cited by 27 publications

(37 citation statements)

References 28 publications

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“…Generally, DRA is caused by endocrine factors during pregnancy, such as the relaxation of cartilage and ligaments at the joint of sacroiliac joint and phalanx, too much exertion during delivery, and improper posture of the parturient. Without treatment, DRA will not be restored to its normal anatomical position, which can lead to abdominal discomfort and low back pain in the parturient, which will seriously affect women's quality of life [6][7][8]. erefore, it is very important to diagnose DRAin time and take early measures to treat it.…”

Section: Introductionmentioning

confidence: 99%

Dynamic Evaluation of the Rectus Abdominis Muscle before and after Delivery by Ultrasonography

Wang

Luan

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Objective. To evaluate the changes of rectus abdominis thickness and inter-rectus distance before and after delivery with high-frequency ultrasound. Methods. A total of 148 pregnant women at 12 weeks of gestation who underwent prenatal examination in our hospital from January 2019 to March 2020 were selected, and 140 of them cooperated with rectus abdominis examination. According to the results of rectus abdominis examination 42 days after delivery, 97 patients were divided into the DRA group with rectus abdominis isolated and 43 patients were divided into the normal group with rectus abdominis not isolated. At 12 weeks, 24 weeks, and 37 weeks of pregnancy, 3 days and 42 days after delivery, the thickness and spacing of the left and right rectus abdominis muscle were measured by high-frequency ultrasound along the white linea at three positions: 5 cm above the navel, 3 cm below the umbilical edge, and 3 cm below the navel. Results. The thickness of rectus abdominis at 5 cm above the navel, 3 cm below the navel, and at the navel margin of the abdominal white line in the pregnant women of the two groups was gradually decreased with the increase of the pregnancy cycle and gradually recovered after delivery. At 42 days after delivery, the thickness of rectus abdominis in the DRA group was significantly lower than that in the normal group, which was 5 cm above the umbilicus, 3 cm below the umbilicus, and the umbilical margin of the abdominal white line ( P < 0.05 ). The space between rectus abdominis 5 cm above the navel, 3 cm below the navel, and the navel margin of the abdominal white line in the pregnant women of the two groups was gradually increased with the increase of the pregnancy cycle and gradually recovered after delivery. At 37 weeks of pregnancy, 3 days after delivery, and 42 days after delivery, the space of rectus abdominis along the umbilicus 5 cm above, 3 cm below the umbilicus, and the umbilicus border of the abdominal white line in the DRA group was significantly larger than that of the normal group ( P < 0.05 ). Conclusion. Ultrasound can accurately measure the inter-rectus distance and rectus thickness, accurately evaluate the degree of DRA, and realize the one-stop evaluation from prenatal diagnosis and prediction to postpartum rehabilitation monitoring, so as to intervene during pregnancy and reduce the risk of postpartum DRA.

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Section: Introductionmentioning

confidence: 99%

Dynamic Evaluation of the Rectus Abdominis Muscle before and after Delivery by Ultrasonography

Wang

Luan

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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“…[16] Análise dos desfechos Os resultados obtidos em relação aos métodos de avaliação, grupos de intervenção, frequência, intensidade e duração do programa de reabilitação e as principais conclusões estão dispostos na Tabela III. [20,22,24]. Relatos de que a incidência de diástase foi significativamente maior em mulheres que se submeteram à cesária foram encontrados em quatro estudos [20,22,24,25].…”

Section: Resultsunclassified

“…Relatos de que a incidência de diástase foi significativamente maior em mulheres que se submeteram à cesária foram encontrados em quatro estudos [20,22,24,25]. Além disso, o estudo de Fei et al [20] Apesar de a maioria dos estudos não correlacionarem a dor lombopélvica com DRA [33], os músculos abdominais estão em continuidade com a fáscia toracolombar e AP, e trabalham sinérgica e simultaneamente e, por isso, a dor lombar também pode ser atribuída a fraqueza da MAP [23]. A DRA trata-se de uma disfunção do tecido conjuntivo, e não está relacionada apenas a fatores perinatais, como muitas vezes é assumido [23].…”

Section: Resultsunclassified

“…No entanto, o estudo de Harada et al[23] descreveu que a diástase mostrou ser um fator preditivo para DAP em mulheres na pré e pós-menopausa.Check list Downs and Black, dos dez artigos avaliados, seis obtiveram escore acima de 80% sendo considerados metodologicamente fortes, três com escore moderado e, apenas um foi considerado fraco. No que se refere aos indicadores de qualidade que As DAPs representam um conjunto de desordens funcionais que incluem incontinência urinária e fecal, prolapsos de órgãos pélvicos, disfunções sexuais e dor[20]. De forma geral, dentre os estudos elencados nesta revisão, não houve significância estatística na relação da DRA com disfunções do AP em uma série de resultados contraditórios.…”

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Diástase dos retos abdominais pode levar a disfunções do assoalho pélvico?

Silveira¹,

Silva

Furlanetto³

2022

Fisioter Bras

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Introdução: A disfunção do assoalho pélvico é definida como qualquer desvio da função normal dos músculos do assoalho pélvico: prolapsos, incontinência, dor pélvica, disfunções sexuais. Dentre as diversas condições, a diástase dos retos abdominais é recorrente, definida como um comprometimento com a separação da linha média dos dois músculos retos abdominais ao longo da linha alba. Objetivo: Revisar a literatura dos estudos dos últimos 10 anos, a fim de responder se a diástase dos retos pode estar envolvida em alguma disfunção do assoalho pélvico. Métodos: Trata-se de uma revisão integrativa de literatura realizada através de busca em artigos científicos publicados no período compreendido entre os anos de 2011 e 2021, nas bases de dados eletrônicas Pubmed, BVS e Google Acadêmico. Resultados: Majoritariamente os estudos foram realizados em mulheres até 12 meses pós-parto e não encontraram relação das disfunções de assoalho pélvico associadas à presença de diástase dos retos abdominais. Contudo, um estudo realizado em mulheres na pré e pós-menopausa descreve que a diástase mostrou ser um fator preditivo para disfunção do assoalho pélvico. Conclusão: A variabilidade entre os protocolos aplicados dificultou a comparação entre os estudos, sendo necessários estudos com maior qualidade metodológica a fim de preencher as lacunas do conhecimento.

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“…They found that the prevalence of DRA decreased from 100% at gestational week 35 to 39% at 6 months postpartum [ 4 ]. In a recent study, Fei et al reported 82.6% as the prevalence rate in their retrospective study conducted among women in their first year of postpartum [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Efficacy and Challenges in the Treatment of Diastasis Recti Abdominis—A Scoping Review on the Current Trends and Future Perspectives

Radhakrishnan

Ramamurthy

2022

Diagnostics

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Diastasis recti abdominis (DRA) is more prevalent in women during pregnancy and postpartum. However, there is a lack of awareness regarding this condition among women. The prevalence of DRA is high in late pregnancy and reduces during postpartum. The purpose of this study is to provide an overview of the treatment strategies for DRA and to discuss the significance of the technology towards better diagnosis and treatment. This work investigated 77 research articles published in the recognized research databases. The study aims to analyze the diagnostic and treatment procedures and the role of technology within them. The management strategy for DRA can either be conservative or surgical. Exercise therapy has been shown to improve functional impairments. These exercises focus on recruiting the abdominal muscles. Electromyography and Ultrasound imaging have been employed as useful tools in assessing the abdominal muscles effectively. This study has examined the treatment methods for DRA to obtain a better understanding of the existing methods. Further investigation and experimentation into therapeutic exercises is strongly recommended to identify the best set of exercises for a faster resolution. Further studies regarding the role of technology to assess therapeutic exercises would be worthwhile.

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The relationship of severity in diastasis recti abdominis and pelvic floor dysfunction: a retrospective cohort study

Cited by 27 publications

References 28 publications

Dynamic Evaluation of the Rectus Abdominis Muscle before and after Delivery by Ultrasonography

Dynamic Evaluation of the Rectus Abdominis Muscle before and after Delivery by Ultrasonography

Diástase dos retos abdominais pode levar a disfunções do assoalho pélvico?

Efficacy and Challenges in the Treatment of Diastasis Recti Abdominis—A Scoping Review on the Current Trends and Future Perspectives

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