Prevalence and risk factors of diastasis recti abdominis from late pregnancy to 6 months postpartum, and relationship with lumbo-pelvic pain

Manual Therapy

Volumn 20, Issue 1, 2015, Pages 200-205

  Mota, Patrícia Gonçalves Fernandes da ^a   Pascoal, Augusto Gil Brites Andrade ^a   Carita, Ana Isabel Andrade Dinis ^a   Bø, Kari ^b  

^a UNIVERSITY OF LISBON   (Portugal)

^b NORWEGIAN SCHOOL OF SPORT SCIENCES   (Norway)

Author keywords

Abdominal exercise; Diastasis recti; Pregnancy; Ultrasound

Indexed keywords

ABDOMINAL CIRCUMFERENCE; ABDOMINAL DISEASE; ADULT; ARTICLE; BIRTH WEIGHT; BODY MASS; DIASTASIS RECTI ABDOMINIS; ECHOGRAPHY; EXERCISE; FEMALE; HUMAN; LONGITUDINAL STUDY; LOW BACK PAIN; LUMBOPELVIC PAIN; OBSERVATIONAL STUDY; PELVIC PAIN; PREVALENCE; PRIMIPARA; PUERPERIUM; RECTUS ABDOMINIS MUSCLE; THIRD TRIMESTER PREGNANCY; WEIGHT GAIN; ANTHROPOMETRY; PATHOPHYSIOLOGY; PREGNANCY; PREGNANCY COMPLICATIONS; RISK FACTOR;

ADULT; ANTHROPOMETRY; FEMALE; HUMANS; LONGITUDINAL STUDIES; LOW BACK PAIN; PELVIC PAIN; POSTPARTUM PERIOD; PREGNANCY; PREGNANCY COMPLICATIONS; PREGNANCY TRIMESTER, THIRD; PREVALENCE; RECTUS ABDOMINIS; RISK FACTORS;

EID: 84920176798     PISSN: 1356689X     EISSN: 15322769     Source Type: Journal    
DOI: 10.1016/j.math.2014.09.002     Document Type: Article

References (33)

1. Akram J., Matzen S.H. Rectus abdominis diastasis. JPlast Surg Hand Surg 2014 Jun, 48(3):163-169.
2. Axer H., Keyserlingk D.G., Prescher A. Collagen fibers in linea alba and rectus sheaths. I. General scheme and morphological aspects. JSurg Res 2001 Mar, 96(1):127-134.
3. Beer G.M., Schuster A., Seifert B., Manestar M., Mihic-Probst D., Weber S.A. The normal width of the linea alba in nulliparous women. Clin Anat 2009 Sep, 22(6):706-711.
4. Beighton P., Solomon L., Soskolne C.L. Articular mobility in an African population. Ann Rheum Dis 1973 Sep, 32(5):413-418.
5. Benjamin D.R., van de Water A.T.M., Peiris C.L. Effects of exercise on diastasis of the rectus abdominis muscle in the antenatal and postnatal periods: a systematic review. Physiotherapy 2014 Mar, 100(1):1-8.
6. Bjelland E.K., Stuge B., Engdahl B., Eberhard-Gran M. The effect of emotional distress on persistent pelvic girdle pain after delivery: a longitudinal population study. BJOG 2013 Jan, 120(1):32-40.
7. Bjelland E.K., Stuge B., Vangen S., Stray-Pedersen B., Eberhard-Gran M. Mode of delivery and persistence of pelvic girdle syndrome 6 months postpartum. Am J Obstet Gynecol 2013 Apr, 208(4):298. e1-7.
8. Bø K., Backe-Hansen K.L. Do elite athletes experience low back, pelvic girdle and pelvic floor complaints during and after pregnancy?. Scand J Med Sci Sports 2007 Oct, 17(5):480-487.
9. Boissonnault J.S., Blaschak M.J. Incidence of diastasis recti abdominis during the childbearing year. Phys Ther 1988 Jul, 68(7):1082-1086.
10. Boxer S., Jones S. Intra-rater reliability of rectus abdominis diastasis measurement using dial calipers. Aust J Physiother 1997, 43(2):109-114.
11. Bursch S.G. Interrater reliability of diastasis recti abdominis measurement. Phys Ther 1987 Jul, 67(7):1077-1079.
12. Candido G., Lo T., Janssen P.A. Risk factors for diastasis of the recti abdominis. JAssoc Chart Physiother Womens Health 2005, 97:49-54.
13. Chiarello C.M., Falzone L.A., McCaslin K.E., Patel M.N., Ulery K.R. The effects of an exercise program on diastasis recti abdominis in pregnant women. JWomens Health Phys Ther 2005, 29(1):11.
14. Coldron Y., Stokes M.J., Newham D.J., Cook K. Postpartum characteristics of rectus abdominis on ultrasound imaging. Man Ther 2008 May, 13(2):112-121.
15. Fast A., Weiss L., Ducommun E.J., Medina E., Butler J.G. Low-back pain in pregnancy. Abdominal muscles, sit-up performance, and back pain. Spine 1990 Jan, 15(1):28-30.
16. Gilleard W.L., Brown J.M.M. Structure and function of the abdominal muscles in primigravid subjects during pregnancy and the immediate postbirth period. Physical therapy. Am Phys Ther Assoc 1996 Jul 1, 76(7):750-762.
17. Grotle M., Garratt A.M., Krogstad Jenssen H., Stuge B. Reliability and construct validity of self-report questionnaires for patients with pelvic girdle pain. Phys Ther 2012 Jan, 92(1):111-123.
18. Hsia M., Jones S. Natural resolution of rectus abdominis diastasis. Two single case studies. Aust J Physiother 2000, 46(4):301-307.
19. Liaw L.-J., Hsu M.-J., Liao C.-F., Liu M.-F., Hsu A.-T. The relationships between inter-recti distance measured by ultrasound imaging and abdominal muscle function in postpartum women: a 6-month follow-up study. JOrthop Sports Phys Ther 2011 Jun, 41(6):435-443.
20. Mantle J., Haslam J., Barton S., Cardozo L. Physiotherapy in obstetrics and gynaecology 2004.
21. Marfell-Jones M.J., Stewart A.D., de Ridder J.H. International standards for anthropometric assessment 2012.
22. Mørkved S., Åsmund Salvesen K., Schei B., Lydersen S., Bø K. Does group training during pregnancy prevent lumbopelvic pain? A randomized clinical trial. Acta Obstet Gynecol Scand 2007 Jan, 86(3):276-282.
23. Mota P., Pascoal A.G., Sancho F., Bø K. Test-retest and intrarater reliability of 2-dimensional ultrasound measurements of distance between rectus abdominis in women. JOrthop Sports Phys Ther 2012 Nov, 42(11):940-946.
24. Mota P., Pascoal A.G., Sancho F., Carita A.I., Bø K. Reliability of the inter-rectus distance measured by palpation. Comparison of palpation and ultrasound measurements. Man Ther 2013 Aug, 18(4):294-298.
25. Parker M.A., Millar L.A., Dugan S.A. Diastasis rectus abdominis and - pelvic pain and dysfunction - are they related?. JWomens Health Phys Ther 2009, 33(2):15.
26. Ranney B. Diastasis recti and umbilical hernia causes, recognition and repair. SD J Med 1990 Oct, 43(10):5-8.
27. Rath A.M., Attali P., Dumas J.L., Goldlust D., Zhang J., Chevrel J.P. The abdominal linea alba: an anatomo-radiologic and biomechanical study. Surg Radiol Anat 1996, 18(4):281-288.
28. Remvig L., Jensen D.V., Ward R.C. Are diagnostic criteria for general joint hypermobility and benign joint hypermobility syndrome based on reproducible and valid tests? A review of the literature. JRheumatol 2007 Apr, 34(4):798-803.
29. Robinson H.S., Vøllestad N.K., Veierød M.B. Clinical course of pelvic girdle pain postpartum - impact of clinical findings in late pregnancy. Man Ther 2014 Jun, 19(3):190-196.
30. Spitznagle T.M., Leong F.C., Van Dillen L.R. Prevalence of diastasis recti abdominis in a urogynecological patient population. Int Urogynecol J Pelvic Floor Dysfunct 2007 Mar, 18(3):321-328.
31. Stafne S.N., Salvesen K.Å., Romundstad P.R., Stuge B., Mørkved S. Does regular exercise during pregnancy influence lumbopelvic pain? A randomized controlled trial. Acta Obstet Gynecol Scand 2012 May, 91(5):552-559.
32. Teyhen D.S., Rieger J.L., Westrick R.B., Miller A.C., Molloy J.M., Childs J.D. Changes in deep abdominal muscle thickness during common trunk-strengthening exercises using ultrasound imaging. JOrthop Sports Phys Ther 2008 Oct, 38(10):596-605.
33. Vleeming A., Albert H.B., Östgaard H.C., Sturesson B., Stuge B. European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J 2008 Jun, 17(6):794-819.