@article{MTMT:34794759, title = {Australian women’s experiences of post-partum rectus diastasis: A qualitative study}, url = {https://m2.mtmt.hu/api/publication/34794759}, author = {Fitzpatrick, S.E. and Foley, K. and Crittenden, T. and Watson, D. and Dean, N.R.}, doi = {10.1177/17455057241233123}, journal-iso = {WOMEN'S HEALTH (LONDON)}, journal = {WOMEN'S HEALTH (LONDON)}, volume = {20}, unique-id = {34794759}, issn = {1745-5057}, abstract = {Background: Post-partum rectus diastasis, or the separation of the abdominal muscles after pregnancy, occurs in conjunction with physical symptoms and impaired quality of life. In Australia, health funding for surgery to treat diastasis was ceased in 2016, but reinstated in mid-2022, providing a unique context from which women’s experiences of this condition can be analysed. Objectives: The objective is to examine the experiences of Australian women with post-partum rectus diastasis. Design: This is an interview-style study with qualitative content analysis. Methods: Women diagnosed with rectus diastasis were recruited to complete a baseline questionnaire (n = 45). Twenty-three responded to invitation for one-on-one interview via Zoom® between November 2021 and May 2022. Interviews were recorded, transcribed, and analysed using qualitative content analysis to identify key themes. Results: Eighteen women had undergone caesarean section and eight had twins. Thirteen had private health insurance. Women were most often diagnosed by a physiotherapist (n = 10). Key themes identified included changed physical appearance and function; issues with self-esteem and intimacy; barriers to treatment; lack of recognition as a medical condition; and overall frustration. The impact of rectus diastasis extended beyond physical and psychological symptoms to affect women’s social functioning, child rearing, and return to work. There was a complex interaction between healthcare providers’ knowledge of rectus the removal of funding for surgical treatment, and limitations of conservative therapy, with women’s lived experiences and symptoms. The lack of an established medical definition also influenced the experiences of these women and their engagement with treatment. Conclusion: This study contextualizes women’s experience of post-partum rectus diastasis with respect to the unique landscape of Australia’s healthcare economy and provides evidence of women’s absorption of health policy surrounding this condition. Our qualitative analysis provides critical knowledge for future quantitative studies, the results of which in combination could advance the definition of rectus diastasis and inform healthcare policy surrounding treatment. © The Author(s) 2024.}, keywords = {Aged; Adult; Female; ARTICLE; KNOWLEDGE; human; Quality of Life; questionnaire; controlled study; diagnosis; clinical article; pregnancy; surgery; Cesarean Section; content analysis; qualitative analysis; Social interaction; conservative treatment; FRUSTRATION; Australia; health care personnel; quantitative study; interview; personal experience; child rearing; self esteem; Qualitative Research; abdominal wall musculature; Return to work; Qualitative; private health insurance; Physical appearance; abdominoplasty; abdominoplasty; physiotherapist; rectus diastasis}, year = {2024}, eissn = {1745-5065} } @article{MTMT:33862746, title = {Association between distance from the medial edges of the rectus abdominis and low back pain in college students}, url = {https://m2.mtmt.hu/api/publication/33862746}, author = {Custodio, N.M.S. and Córdova, L.A.S. and Cucci, S.B.}, journal-iso = {Rev Cubana Ortop Traumatol}, journal = {REVISTA CUBANA ORTOPEDIA Y TRAUMATOLOGIA}, volume = {37}, unique-id = {33862746}, issn = {0864-215X}, abstract = {Introduction: Chronic low back pain in university students ranges between 12.4 and 75 %. It was initially evidenced that the alteration of the musculature of the rectus abdominis may be associated with low back pain. Objective: To evaluate the association between the distance from the medial edges of the rectus abdominis muscle and the presence of low back pain. Methods: A case-control study was conducted in students of a private university in the city of Lima. Low back pain and the distance between the medial edges of the rectus abdominis muscle were assessed using the numerical pain scale, the waist-hip index, the Nordic questionnaire and the Oswestry scale. The distance between the medial edges of the rectus abdominis muscle was measured with a digital Caliper. Results: The mean and standard deviation of the distance from the rectus abdominis was 21.9 ± 3.5. This and abdominal diastasis were associated with low back pain. Conclusions: The distance between the medial edges of the rectus abdominis muscle and low back pain in university students was shown to be related. © 2023, Editorial Ciencias Medicas. All rights reserved.}, keywords = {Students; Lumbar pain; abdominal diastasis; distance between the rectus abdominis}, year = {2023}, eissn = {1561-3100} } @article{MTMT:33785614, title = {Relationship between diastasis recti abdominis and back pain in postpartum women}, url = {https://m2.mtmt.hu/api/publication/33785614}, author = {Hagovská, M. and Dudič, R. and Švihra, J. and Urdzík, P. and Vaská, E.}, doi = {10.48095/ccrhfl202318}, journal-iso = {REHAB FYZIKAL LEKAR}, journal = {REHABILITACE A FYZIKALNI LEKARSTVI}, volume = {30}, unique-id = {33785614}, issn = {1211-2658}, abstract = {Aim: The aim of the work was to monitor the relationship between rectus abdominis diastasis and back pain in women after childbirth. Study design: observational prospective study. The final cohort consisted of 118 postpartum women with diastasis m. rectus abdominis (DRA) with a mean age of 33.11 years. Methods: Examination of diastasis – inter recti distance (IRD) measured with a linear 2D ultrasound probe, 4.5 cm above the navel, in its area and 4.5 cm below the navel. Lying on the back at rest, and during the stress test (elevation of the lower limbs), back pain was assessed by the Oswestry Disability Index (ODI). Results: We correlated diastasis m. rectus abdominis above the umbilicus, in the area of the umbilicus and below it with and without weight with individual sections of the ODI questionnaire for the assessment of pain during activities of daily living. In the sitting, standing, sex life, social life, travel and total score sections, we identified several moderate significant correlations; mostly with diastasis above the navel during weight bearing, and subsequently with diastasis above the navel without weight. One significant correlation was recorded for diastasis in the navel area. Conclusion: Pain intensity and pain during activities of daily living in the observed group was minimal. It has been confirmed that women with diastasis have negative feelings about diastasis in their sexual life, but also in travel and social life due to the fact that it is also a problem of aesthetic nature. © 2023, Czech Medical Association J.E. Purkyne. All rights reserved.}, keywords = {Back Pain; Diastasis; m. rectus abdominis}, year = {2023}, pages = {18-23} } @article{MTMT:33730128, title = {Is Diastasis Recti Abdominis Associated With Low Back Pain? A Systematic Review}, url = {https://m2.mtmt.hu/api/publication/33730128}, author = {Sokunbi, Gbolabo and Camino-Willhuber, Gaston and Paschal, Philip K. and Olufade, Oluseun and Hussain, Farah S. and Shue, Jennifer and Abjornson, Celeste and Zelenty, William D. and Lebl, Darren R. and Cammisa, Frank P. and Girardi, Federico P. and Hughes, Alexander P. and Sama, Andrew A.}, doi = {10.1016/j.wneu.2023.03.014}, journal-iso = {WORLD NEUROSURG}, journal = {WORLD NEUROSURGERY}, volume = {174}, unique-id = {33730128}, issn = {1878-8750}, year = {2023}, eissn = {1878-8769}, pages = {119-125} } @article{MTMT:33808236, title = {Analysis on the level of knowledge, attitude and practice of rehabilitationfor postpartum diastasis recti abdominisinpuerperaeand the influencing factors of behavior}, url = {https://m2.mtmt.hu/api/publication/33808236}, author = {Deng, Y. and Dao, T. and Zhang, M. and Tang, Y. and He, Q. and Huang, H.}, doi = {10.3760/cma.j.cn211501-20210818-02346}, journal-iso = {CHINESE JOURNAL OF PRACTICAL NURSING}, journal = {CHINESE JOURNAL OF PRACTICAL NURSING}, volume = {38}, unique-id = {33808236}, issn = {1672-7088}, abstract = {Objective To explore the current level of knowledge, attitude and practice of rehabilitation for postpartum diastasis recti abdominis inpuerperae, and analysis the influencing factors of behavior, in order to provide a reference frame for nursing staff to formulate effective health education programs. Methods From November 2020 to April 2021, a self- designed questionnaire was used to investigate 522 puerperae from 4 tertiary hospitals in Guangdong province, Jiangsu province and Zhejiang province, to explore their level of knowledge, attitude and behavior of rehabilitation for postpartum diastasis recti abdominis. Mann-Whitney Utest or Kruskal-Wallis Htest was used for univariate analysis, Binary Logistic regression analysis was used to analysis the influencing factors of rehabilitative behavior. Results The median score of knowledgedimension, attitude dimension and behavior dimension of rehabilitation for postpartum diastaisis recti abdominis in puerperae respectively were 47.0 (36.0, 55.0), 26.0 (24.0, 31.0), 15.0 (10.0, 18.0) points. The results show that the main factors influencing of rehabilitation behaviorfor postpartum diastaisis recti abdominis in puerperae were knowledge (χ2 = 87.78, P＜0.05), attitude (χ2 = 4.77, P＜0.05), number of deliveries (χ2 = 3.94, P＜0.05) and family personal monthly income (χ2 = 4.88, P＜0.05). Conclusions At present, puerperae have a positive attitude towards rehabilitation for postpartum diastasis recti abdominis, but the level of knowledge and practice of rehabilitation for postpartum diastasis recti abdominisneed to be improved.Nursing staff should focus on puerperae with incomplete knowledge, negative attitude, multiple deliveries and low family personal monthly income. © 2022 Chinese Medical Journals Publishing House Co.Ltd. All Rights Reserved.}, keywords = {rehabilitation; Influencing factor; Diastasis recti abdominis; Knowledge attitude practice; Puerpera}, year = {2022}, pages = {1816-1822} } @article{MTMT:33808260, title = {Diastasis recti in the Beninese population: Cross-sectional study from normal values to diagnosis}, url = {https://m2.mtmt.hu/api/publication/33808260}, author = {Djivoh, Y.S. and Kpadonou, T. and Puttemans, T. and De, Jaeger D.}, doi = {10.4102/sajp.v78i1.1776}, journal-iso = {South African Journal of Physiotherapy}, journal = {South African Journal of Physiotherapy}, volume = {78}, unique-id = {33808260}, issn = {0379-6175}, abstract = {Background: Diastasis recti is diagnosed when the interrecti distance (IRD) is larger than a threshold value. Published thresholds were measured at rest with ultrasound while in Benin physiotherapists use calipers during abdominal contraction. Objectives: The aim was to define IRD threshold values measured with calipers in Beninese participants in order to diagnose diastasis recti in a clinical environment and identify women needing abdominal rehabilitation. Method: Interrecti distance was measured using ultrasound and calipers. Linea alba stiffness was assessed by palpation, abdominal strength and endurance by manual testing. In men and nulliparous women, IRD threshold values were defined as IRD P90. In postpartum women, IRD P80 and a threshold defined with a receiver operating characteristics (ROC) curve based on linea alba stiffness were used. In these women, abdominal strength and endurance were compared depending on IRD threshold and linea alba stiffness with a Mann Whitney test. Results: In 391 Beninese participants, the IRD threshold measured with calipers was 17 mm in men, 15 mm in nulliparous and 18 mm (15 mm with ROC curve) in postpartum women. Postpartum women with an IRD above 18 mm had significantly lower abdominal strength. Those with a slack linea alba had significantly lower abdominal strength and endurance. Conclusion: The defined IRD threshold values can be used in a Beninese clinical environment. Future studies should confirm whether they can be applied to other African populations. Clinical implications: Abdominal rehabilitation should be recommended to postpartum women whose IRD is above the threshold values but also in cases of slack linea alba and poor abdominal function. © 2022. The Authors. Licensee: AOSIS.}, keywords = {Abdominal Muscles; Diastasis recti; African population; interrecti distance; linea alba}, year = {2022} } @article{MTMT:34776181, title = {Normal width of the linea alba, prevalence, and risk factors for diastasis recti abdominis in adults, a cross-sectional study}, url = {https://m2.mtmt.hu/api/publication/34776181}, author = {Kaufmann, R.L. and Reiner, C.S. and Dietz, U.A. and Clavien, P.A. and Vonlanthen, R. and Käser, S.A.}, doi = {10.1007/s10029-021-02493-7}, journal-iso = {HERNIA}, journal = {HERNIA}, volume = {26}, unique-id = {34776181}, issn = {1265-4906}, year = {2022}, eissn = {1248-9204}, pages = {609-618} } @article{MTMT:32945959, title = {DIASTASIS RECTI ABDOMINIS: PROBLEMS OF DIAGNOSIS AND TREATMENT OF FALSE HERNIA}, url = {https://m2.mtmt.hu/api/publication/32945959}, author = {Sergatskiy, Konstantin Igorevich and Nikol'skiy, Valeriy Isaakovich and Titova, Ekaterina Valer'evna and Pulotova, Parastu Ravshanovna and Korobov, Artem Vladimirovich and Ivachev, Aleksandr Semenovich}, doi = {10.34014/2227-1848-2022-2-22-37}, journal-iso = {ULYANOVSK MED BIOL J}, journal = {ULYANOVSK MEDICO-BIOLOGICAL JOURNAL}, volume = {12}, unique-id = {32945959}, issn = {2227-1848}, year = {2022}, eissn = {2687-1637}, pages = {22-37}, orcid-numbers = {Sergatskiy, Konstantin Igorevich/0000-0002-3334-8244; Titova, Ekaterina Valer'evna/0000-0002-7674-2057; Pulotova, Parastu Ravshanovna/0000-0001-6025-5839; Korobov, Artem Vladimirovich/0000-0001-7311-6715; Ivachev, Aleksandr Semenovich/0000-0003-1939-7514} } @article{MTMT:32845484, title = {Ultrasonic Characteristics of Diastasis Recti Abdominis in Early Postpartum}, url = {https://m2.mtmt.hu/api/publication/32845484}, author = {Tan, Lina and Ran, Suzhen and Dong, Hongmei and Wei, Jun and Ran, Haitao and Koundal, Deepika}, doi = {10.1155/2022/3273911}, journal-iso = {COMPUT MATH METHOD M}, journal = {COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE}, volume = {2022}, unique-id = {32845484}, issn = {1748-670X}, abstract = {Objective. Explore the ultrasound characteristics of early postpartum Diastasis Recti Abdominis (DRA) and provide effective data support for its clinical diagnosis and treatment. Method. A total of 458 parturients who were diagnosed with DRA in the Chongqing Maternal and Child Health Hospital from December 2017 to September 2020 underwent postpartum ultrasound examinations. All of which were located at four points: 6 cm above the umbilicus (point 1), 3 cm above the umbilicus (point 2), umbilicus (point 3), and 3 cm below the umbilicus (point 4) to detect the interrectus distance (IRD) in the resting and sit-up state of the parturients postpartum and to study the differences in maternal age, weight, and ultrasound diagnosis of IRD at different stages after delivery. Results. The IRD values of the four measurement points in the resting state of the parturient were significantly greater than the IRD values in the sit-up state. And in the resting state, the IRD value (4.31 & PLUSMN;1.07 cm) of the point 3 region was the largest, and there were significant differences at different stages of the postpartum women. At the same time, the IRD values of points 3 and 4 have significant differences in parturient of different ages. In addition, the IRD values of the four measurement points of overweight women were higher than those of nonoverweight women. Conclusion. The umbilicus is the best ultrasound evaluation point for early postpartum DRA. The IRD value at this point in the resting state can be used as reference data for evaluating early postpartum DRA, which provides a useful reference for rapid postpartum recovery of parturients.}, year = {2022}, eissn = {1748-6718}, orcid-numbers = {Ran, Haitao/0000-0001-6930-3665} } @article{MTMT:34776155, title = {The prevalence and consequences of abdominal rectus muscle diastasis among Finnish women: an epidemiological cohort study}, url = {https://m2.mtmt.hu/api/publication/34776155}, author = {Tuominen, R. and Jahkola, T. and Saisto, T. and Arokoski, J. and Vironen, J.}, doi = {10.1007/s10029-021-02484-8}, journal-iso = {HERNIA}, journal = {HERNIA}, volume = {26}, unique-id = {34776155}, issn = {1265-4906}, year = {2022}, eissn = {1248-9204}, pages = {599-608} } @article{MTMT:33170850, title = {Evaluación de las consecuencias físicas y psicosociales de la diástasis de rectos abdominales y su interferencia en la salud: un estudio mixto}, url = {https://m2.mtmt.hu/api/publication/33170850}, author = {Vicente-Campos, V. and Fuentes-Aparicio, L. and Rejano-Campo, M.}, doi = {10.1016/j.rh.2022.03.006}, journal-iso = {Rehabilitacion}, journal = {Rehabilitacion}, volume = {1}, unique-id = {33170850}, issn = {0048-7120}, abstract = {Introduction: Diastasis rectus abdominis (DRA) is defined as the separation of the rectus abdominis along the linea alba. This condition can occur in both sexes, being frequent in women during pregnancy and pospartum. There is little evidence on the consequences of DRA on the quality of life of women. Objective: The analysis of the perception of the symptoms of and its repercussion on a physical, psychological and social level in women affected by this condition. Patients and methods: Observational study through a semi-structured online survey, composed of 30 closed questions and 2 open ones. The inclusion criteria were adult Spanish-speaking women who had given birth and who presented abdominal diástasis. The data were analyzed quantitatively and the qualitative information was obtained through a content analysis of the open questions. Results: 319 women with DRA were included. The results showed a negative effect of DRA on quality of life, functional capacities, and urogynecological and digestive health. Likewise, a negative impact was evidenced at an emotional level, on body image and poor self-perceived health. Conclusion: DRA has a negative impact on women's health. Women with DRA present an impairment of the quality of life and functional capacities, an alteration in body image, feelings of abandonment by health institutions, shame, sadness, powerlessness, lack of self-esteem, resignation and social pressure. © 2022 Sociedad Española de Rehabilitación y Medicina Física}, year = {2022}, pages = {1} } @article{MTMT:34794760, title = {Clinical effects of early postpartum static contraction training combined with neuromuscular electrical stimulation in the treatment of postpartum diastasis recti abdominis}, url = {https://m2.mtmt.hu/api/publication/34794760}, author = {Xie, D. and Gong, Z. and Fan, H. and Zhang, C.}, doi = {10.3877/cma.j.issn.1673-5250.2022.03.016}, journal-iso = {Chinese J. Obstet. Gynecol. Pediatr.}, journal = {Chinese Journal of Obstetrics and Gynecology and Pediatrics}, volume = {18}, unique-id = {34794760}, issn = {1673-5250}, abstract = {Objective To explore therapeutic ellects ol early postpartum (4-6 weeks postpartum) static contraction training (SCT) combined with neuromuscular electrical stimulation (NES) in the treatment of parturients with postpartum diastasis recti abdominis (DRA). Methods A total of 90 cases of postpartum DRA parturients who were admitted to Huai an Maternal and Child Health Care Hospital from January 2018 to October 2021 were selected into this study. They were randomly divided into study group (« = 45) and control group (n = 45) by random number table method. At 4-6 weeks of early postpartum, parturients in study group were treated with SCT combined with NES, while parturients in control group were only treated with NES. Abdominal circumference, bilateral inter-recti distance (IRD), voltage values of type I and JJ muscle fiber of pelvic floor and visual analogue scale (VAS) scores of waist and back pain in two groups at the 2nd, 4th and 6 th week of treatment were compared by variance of repeated measurement data method. Least significant difference (LSD)-t test was used for pairwise comparison of the above indicators at different time points. This study was approved by the ethics committee of Huai an Maternal and Child Health Care Hospital (Approval No.201806), and informed consent for clinical research was signed with all subjects. Results (T) There were no significant differences between two groups in general clinical data, such as gestational age of delivery, proportion of cesarean section, weight gain during pregnancy, duration of the first and second stage of labor, proportion of neonatal birth weight S& 4 000 g, parity, proportion of cesarean section more than twice, and proportion of body mass index (BMI) S* 24 kg/m2, abdominal circumference and bilateral IRD before treatment (P > 0.05). ® Analysis of variance of repeated measurement data of abdominal circumference and bilateral IRD of two groups at the 4th and 6th weeks of treatment showed that there were no statistical difference in interaction effects between different treatment measures and time factors (F1„almemXlime = 4.214, 2.193, Ptreatmentxtime = 0.062, 0.241). Further analysis of main effect of DRA treatment measures showed that main effects of different DRA treatment measures on abdominal circumference and bilateral IRD at different treatment time points of postpartum DRA parturients were statistically significant (FtreItme„t = 6. 874, 8. 291; P,r,„„„„, = 0.032, 0.012). Abdominal circumference and bilateral IRD in study group were 4.1 cm (95%C7: 1. 2-5. 3 cm, P<0.05) and 0.17 cm (95%C7: 0.06-0.31 cm, P < 0.05) smaller and shorter than those in control group, respectively. Main effect analysis results of time factors showed that main effects of time factors on abdominal circumference and bilateral IRD of postpartum DRA parturients at different treatment time points were statistically significant (Fdm« = 14. 286, 9.574; P < 0.001, = 0.004). Further pairwise analysis showed that abdominal circumference and bilateral IRD at the 4th and 6th week of treatment were significantly smaller and shorter than those at the 2nd week of treatment, and abdominal circumference and bilateral IRD at the 6th week of treatment were also significantly smaller and shorter than those at the 4th week of treatment, all differences were statistically significant (P<0.05). © Analysis of variance of repeated measurement data of voltage values of type T and JJ muscle fiber of pelvic floor and VAS scores of waist and back pain in two groups at the 2nd, 4th and 6th weeks of treatment showed that there were statistical difference in interactive effects between different treatment measures and time factors (F,«„me„,x,,me = 6. 721, 7. 284, 8. 277; Ptr„tmeMxsm« = 0.024, 0.017, 0.012). Further analysis of individual effects of treatment measures showed that voltage values of type I muscle fiber of pelvic floor at the 4th and 6th weeks of treatment in study group were higher than those in control group, and voltage value of type II muscle fiber of pelvic floor in study group was significantly higher than that in control group, and all differences were statistically significant (t~2.075, 4. 336, 7. 798; P = 0.008, <0.001, <0.001). Further analysis of individual effects of time factors in study group and control group respectively showed that there were statistical differences in voltage values of type T muscle fiber of pelvic floor at the 2nd, 4th and 6th week of treatment both of study group and control group (study group: F= 155. 488, 229.732, 598.316, all P<0.001; control group: F = 83. 498, 92.179, 765. 398, all P<0.001). Further pairwise comparison within study group and control group showed that voltage values of type I muscle fiber of pelvic floor at the 4th and 6th week of treatment of two groups were statistically higher than those at the 2nd week of treatment within group, VAS scores of waist and back pain were statistically lower than those at the 2nd week of treatment within group, and voltage values of type I muscle fiber of pelvic floor at the 6th week of treatment of two groups were statistically higher than those at the 4th week of treatment within group, VAS scores of waist and back pain were statistically lower than those at the 4th week of treatment within group, and all differences were statistically significant (P< 0.001). Conclusions Early postpartum SCT combined with NES in the treatment of postpartum DRA parturients can promote recovery of abdominal circumference and bilateral IRD, improve pelvic floor muscle strength and relieve lumbar and back pain. © 2022 Chinese Medical Journals Publishing House Co.Ltd.. All rights reserved.}, keywords = {Female; Postpartum Period; Electric Stimulation Therapy; neuromuscular electrical stimulation; Rectus abdominis; abdominal circumference; Diastasis recti abdominis; Static contraction training}, year = {2022}, pages = {357-365} } @article{MTMT:32845491, title = {Prevalence and risk factors of low back and pelvic pain in women with rectus abdominis diastasis: a multicenter retrospective cohort study}, url = {https://m2.mtmt.hu/api/publication/32845491}, author = {Yuan, Sue and Wang, Honghong and Zhou, Jie}, doi = {10.3344/kjp.2022.35.1.86}, journal-iso = {KOREAN J PAIN}, journal = {KOREAN JOURNAL OF PAIN}, volume = {35}, unique-id = {32845491}, issn = {2005-9159}, year = {2022}, eissn = {2093-0569}, pages = {86-96}, orcid-numbers = {Yuan, Sue/0000-0001-7120-4869; Wang, Honghong/0000-0002-3484-8929; Zhou, Jie/0000-0001-7701-234X} } @article{MTMT:32845337, title = {Differences in Inter-Rectus Distance and Abdominopelvic Function between Nulliparous, Primiparous and Multiparous Women}, url = {https://m2.mtmt.hu/api/publication/32845337}, author = {Balasch-Bernat, Mercè and Pérez-Alenda, Sofía and Carrasco, Juan J. and Valls-Donderis, Begoña and Dueñas, Lirios and Fuentes-Aparicio, Laura}, doi = {10.3390/ijerph182312396}, journal-iso = {INT J ENV RES PUB HE}, journal = {INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH}, volume = {18}, unique-id = {32845337}, issn = {1661-7827}, year = {2021}, eissn = {1660-4601}, orcid-numbers = {Balasch-Bernat, Mercè/0000-0002-0216-0628; Pérez-Alenda, Sofía/0000-0002-0841-5767; Carrasco, Juan J./0000-0002-0740-3772; Dueñas, Lirios/0000-0001-8592-1738} } @article{MTMT:32432469, title = {Prevalence and risk factors for diastasis recti abdominis: a review and proposal of a new anatomical variation}, url = {https://m2.mtmt.hu/api/publication/32432469}, author = {Cavalli, M. and Aiolfi, A. and Bruni, P. G. and Manfredini, L. and Lombardo, F. and Bonfanti, M. T. and Bona, D. and Campanelli, G.}, doi = {10.1007/s10029-021-02468-8}, journal-iso = {HERNIA}, journal = {HERNIA}, volume = {25}, unique-id = {32432469}, issn = {1265-4906}, abstract = {Purpose Diastasis recti abdominis (DRA) or rectus diastasis is an acquired condition in which the rectus muscles are separated by an abnormal distance along their length, but with no fascia defect. To data there is no consensus about risk factors for DRA. The aim of this article is to critically review the literature about prevalence and risk factor of DRA. Method A total of 13 papers were identified. Results The real prevalence of DRA is unknown because the prevalence rate varies with measurement method, measurement site and judgment criteria, but it is certainly an extremely frequent condition. Numbers of parity, BMI, diabetes are the most plausible risk factors. We identified a new anatomical variation in cadaveric dissection and in abdominal CT image evaluation: along the semilunar line the internal oblique aponeurosis could join the rectus sheath with only a posterior layer, so without a double layer (anterior and posterior) as usually described. We conducted a retrospective review of abdominal CT images and the presence of the posterior insertion only could be considered as a risk factor for DRA. Conclusion Further studies with large sample size, including nulliparous, primiparous, pluriparous and men too, are necessary for identify the real prevalence}, keywords = {risk factor; Diastasis recti abdominis; Intra-rectus distance; Abdominal rectus muscle; Semilunar line}, year = {2021}, eissn = {1248-9204}, pages = {883-890} } @article{MTMT:32432467, title = {Self-reported symptoms in women with diastasis rectus abdominis: A systematic review}, url = {https://m2.mtmt.hu/api/publication/32432467}, author = {Fuentes Aparicio, Laura and Rejano-Campo, Montserrat and Donnelly, Grainne Marie and Vicente-Campos, Victoria}, doi = {10.1016/j.jogoh.2020.101995}, journal-iso = {J GYNECOL OBSTET HUM REPROD}, journal = {JOURNAL OF GYNECOLOGY OBSTETRICS AND HUMAN REPRODUCTION}, volume = {50}, unique-id = {32432467}, issn = {2468-7847}, abstract = {Introduction: Diastasis rectus abdominis (DRA) diagnosis via clinical examination is well defined, however, the assessment of symptoms has been less investigated. Currently, there is also scant knowledge on the consequences of DRA. The aim of this review is to identify the relevant self-reported variables in the study of DRA in women.Methods: We performed a systematic review of observational studies through Medline, Embase, and Cochrane Library databases. Studies evaluating the link between DRA and self-reported symptoms were searched using the following terms: "Diastasis rectus abdominis", "Diastasis recti", "Abdominis Rectus Muscle Diastasis", "Questionnaire", "Scale", "Survey", "Interview", "Index" and "Inventory". The methodological quality was assessed independently by two evaluators using the NIH Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies.Results: Fourteen observational studies met the eligibility criteria and were included in the qualitative analysis. Most of the studies were of low to fair quality. Different categories of symptoms were analyzed: quality of life, body image, lumbopelvic pain, other types of pain and pelvic floor dysfunction. A significant positive correlation was found between the presence of DRA and physical health and functioning, abdominal discomfort and body image. Heterogenous data were identified in relation to disability related with low back pain. No correlation has been found between DRA and urinary incontinence, severity and presence of low back pain, voiding symptoms, vaginal symptoms or sexual matters.Conclusions: DRA presents with reduced quality of life due to compromised physical health and functioning; poorer physical perception; lower body image satisfaction; and higher degrees of abdominal pain that is frequently perceived as discomfort or bloating. (C) 2020 Elsevier Masson SAS. All rights reserved.}, keywords = {Quality of Life; pregnancy; postpartum; body image; disability; Diastasis recti}, year = {2021}, eissn = {1773-0430} } @article{MTMT:32845357, title = {Efficacy of Standardized Rehabilitation in the Treatment of Diastasis Rectus Abdominis in Postpartum Women}, url = {https://m2.mtmt.hu/api/publication/32845357}, author = {Hu, Jing and Gu, Juanfen and Yu, Zhiyan and Yang, Xianxu and Fan, Jian and You, Lingying and Hua, Qinyan and Zhao, Yuting and Yan, Yuerong and Bai, Weiwei and Xu, Zipeng and You, Lina and Chen, Chaobo}, doi = {10.2147/IJGM.S348135}, journal-iso = {INT J GEN MED}, journal = {INTERNATIONAL JOURNAL OF GENERAL MEDICINE}, volume = {14}, unique-id = {32845357}, year = {2021}, eissn = {1178-7074}, pages = {10373-10383}, orcid-numbers = {Chen, Chaobo/0000-0001-5963-5295} } @misc{MTMT:32845538, title = {Efficacy of standardized rehabilitation in the treatment of diastasis rectus abdominis in postpartum women in Eastern China}, url = {https://m2.mtmt.hu/api/publication/32845538}, author = {Jing, Hu and Juanfen, Gu and Zhiyan, Yu and Xianxu, Yang and Jian, Fan and Lingying, You and Qinyan, Hua and Yuting, Zhao and Yuerong, Yan and Weiwei, Bai and Zipeng, Xu and Lina, You and Chaobo, Chen}, unique-id = {32845538}, year = {2021}, pages = {1-13} } @article{MTMT:32432471, title = {Management of the post-pregnancy abdomen: the plastic surgical perspective}, url = {https://m2.mtmt.hu/api/publication/32432471}, author = {Mughal, M. and Ross, D.}, doi = {10.1007/s10029-021-02478-6}, journal-iso = {HERNIA}, journal = {HERNIA}, volume = {25}, unique-id = {32432471}, issn = {1265-4906}, year = {2021}, eissn = {1248-9204}, pages = {929-938} } @article{MTMT:32432472, title = {An ultrasound observation study on the levator hiatus with or without diastasis recti abdominis in postpartum women}, url = {https://m2.mtmt.hu/api/publication/32432472}, author = {Tian, Peng and Liu, Dong Mei and Wang, Chao and Gu, Yu and Du, Guo Qing and Tian, Jia Wei}, doi = {10.1007/s00192-021-04783-1}, journal-iso = {INT UROGYNECOL J}, journal = {INTERNATIONAL UROGYNECOLOGY JOURNAL}, volume = {32}, unique-id = {32432472}, issn = {0937-3462}, abstract = {Introduction and hypothesis We hypothesized that differences in post-partum levator hiatus (LH) measurements, as well as the area of urethra and bladder (AUB), viewed under ultrasound, correlate with diastasis rectus abdominis (DRA) occurrence. The primary objective of this study is to determine ultrasound parameters available for diagnosing DRA in post-partum women. We compared LH and AUB measurements under ultrasound in primiparous women, with and without DRA, at 24-26 weeks postpartum. Methods One hundred ninety-four women underwent routine examination, including a self-made clinical symptoms questionnaire, DRA evaluation, and LH and AUB measurements. Independent samples t- and chi-squared tests were used to compare the differences between women with and without DRA. Results DRA incidence was significantly higher among those who underwent cesarean section (CS) than for vaginal delivery (VD) (P = 0.038). DRA patients could potentially have urinary urgency, frequency, pain, dysuria, and perineal tears. Additionally, statistically significant differences were found between VD patients, with or without DRA, in the resting LH transverse diameter (TrD) (P = 0.032) and the area of the levator hiatus (ALH) (P = 0.048) as well as AUB at Valsalva (P = 0.049). No differences, however, were found between the DRA and no DRA groups for all those measurements among women who had cesarean deliveries. Conclusions DRA was more likely in post-CS women. Furthermore, the results showed a plausible association between DRA occurrence and LH expansion, especially in women with VD under rest and Valsalva. This could be useful for developing therapeutic plans based on these parameters for post-partum rehabilitation of women with DRA to avoid long-term complications.}, keywords = {ultrasound; Mode of delivery; Levator hiatus; Diastasis recti abdominis}, year = {2021}, eissn = {1433-3023}, pages = {1839-1846} } @article{MTMT:31724124, title = {Diastasis of the rectus abdominis muscles in postpartum: Concordance of patient and clinician evaluations, prevalence, associated pelvic floor symptoms and quality of life}, url = {https://m2.mtmt.hu/api/publication/31724124}, author = {Cardaillac, Claire and Vieillefosse, Sarah and Oppenheimer, Anne and Joueidi, Yolaine and Thubert, Thibault and Deffieux, Xavier}, doi = {10.1016/j.ejogrb.2020.06.038}, journal-iso = {EUR J OBSTET GYN R B (EJOG)}, journal = {EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY}, volume = {252}, unique-id = {31724124}, issn = {0301-2115}, abstract = {Objectives: The main objective was to assess the reliability of the patient's measurement of diastasis. The secondary aims were the estimation postpartum diastasis prevalence, of diastasis-associated pelvic floor symptoms and quality of life immediately after childbirth and at 3-6 months postpartum.Study design: Using a prospective observational design, women who gave birth in a French university hospital were eligible. After a learning phase, both clinician and patient conducted a clinical evaluation of diastasis. Then, patients were asked to complete the HerQLes, the FPFQ and a general questionnaire. Three to 6 months later, patients completed the same questionnaires online and performed a clinical evaluation of diastasis at home, as learned previously.Results: Of 253 patients included in the study, 139 (54.9 %) completed the questionnaires at 3-6 months of follow-up. There was good correlation between clinician and patient evaluations of diastasis (kappa coefficient 0.76 [95 % CI, 0.5-0.7]). Immediately after childbirth, 210 (83 %) of the women presented diastasis including 116/210 (55 %) cases of severe diastasis and 51 (42 %) of those had persistent diastasis at 3-6 months of follow-up. Cesarean section (p = 0.05) and multiparity (p = 0.04) were factors of persistent diastasis. Severe diastasis had a significant impact on quality of life (HerQLes score) at birth (p = 0.001) and at 3-6 months (p = 0.01), but no effect on pelvic floor symptoms according the FPFQ. The occurrence and severity of diastasis did not significantly impact lumbar or pubic symphysis pain. Furthermore, the aesthetic discomfort felt by patients was significantly increased by the presence of diastasis on a numerical scale at 3-6 months (p = 0.03).Conclusion: Good agreement between clinician and patient evaluations of postpartum diastasis indicated that the evaluation method is reliable. Persistent diastasis was associated with impaired quality of life. (C) 2020 Elsevier B.V. All rights reserved.}, keywords = {Quality of Life; postpartum; Diastasis; Rectus abdominis muscles}, year = {2020}, eissn = {1872-7654}, pages = {228-232} } @article{MTMT:34794761, title = {Prevalence, risk factors and outcomes of diastasis recti abdominis in multiparas after the second delivery}, url = {https://m2.mtmt.hu/api/publication/34794761}, author = {Gu, Y. and Xu, H. and Wu, L. and Dong, P. and Gu, Y. and Niu, P. and Luo, J. and Ye, Z. and Gu, Y.}, doi = {10.3760/cma.j.cn114798-20200521-00609}, journal-iso = {CHIN J GEN PRACT}, journal = {CHINESE JOURNAL OF GENERAL PRACTITIONERS}, volume = {19}, unique-id = {34794761}, issn = {1671-7368}, abstract = {Objective: To investigate the prevalence, risk factors and outcomes of diastasis recti abdominis (DRA) in multiparas after the second delivery. Methods: From June 2017 to September 2019, 300 multiparas with an average age of (31.7±4.0) years (26 to 43 years) after the second delivery were recruited at 6 weeks postpartum from two hospitals in Wenzhou. There were 171 multiparas with two natural births,36 multiparas with one natural birth and one caesarean delivery, and 93 multiparas with two caesarean deliveries. The interrectus distance (IRD) was measured with palpation at 6 weeks, 6 months and 12 months after delivery. Data on age, height, weight before pregnancy and delivery, baby's birth weight, abdominal circumference before pregnancy and delivery, fetus number, delivery mode and occupation type were collected. Strength and endurance of abdominal muscle was assessed using manual muscle testing and curl-ups, low back pain was assessed using Oswestry disability index(ODI), urinary incontinence was assessed with International Consultation on Incontinence guestionnaire-incontinentia urinae (ICIQ-UI) short form (ICIQ-SF), and quality of life was assessed using 36-item short form health survey (SF-36). Results: Prevalence of DRA was 51.7%(155/300), 39.3%(116/295) and 27.7%(80/289) 6 weeks, 6 months and 12 months after delivery, respectively. Logistic regression analysis indicated that age (OR=1.39, 95%CI:1.02-1.91, P=0.38), abdominal circumference ratio (OR=2.31, 95%CI:1.23-4.33, P=0.01), twins (OR=11.41, 95%CI:2.15-60.76, P<0.01), and cesarean section (OR=1.44, 95%CI:1.06-1.95, P=0.02) were the risk factors of DRA at 12 months after delivery. At 12 months after delivery, the multiparas with DRA had weaker strength and endurance of abdominal muscle (Z=-3.62, P<0.01;Z=-8.91, P<0.01), more serious low back pain (Z=-2.10, P=0.04), and lower quality of life on physical health (t=-3.34, P<0.01) than the multiparas without DRA. No difference in prevalence and severity of urinary incontinence and quality of life on psychological health was found when comparing multiparas with and without DRA (χ2=0.66, P=0.42; Z=-1.18, P=0.24; t=0.91, P=0.36). Conclusion: Multipara after the second delivery has great likelihood for DRA.Age, abdominal circumference ratio, twins, and cesarean section are the risk factors of DRA. DRA is related to abdominal muscle dysfunction, low back pain, and quality of life. © 2020 Chinese Medical Association}, keywords = {Pregnancy, Multiple; Maternity; diastasis rectus abdominis}, year = {2020}, pages = {1157-1163} } @book{MTMT:32204181, title = {Szülészet-nőgyógyászati fizioterápia}, url = {https://m2.mtmt.hu/api/publication/32204181}, isbn = {9789634295396}, author = {Hock, Márta}, publisher = {PTE ETK}, unique-id = {32204181}, year = {2020} } @article{MTMT:32845486, title = {Diastasis recti abdominis in adult women based on abdominal computed tomography imaging: Prevalence, risk factors and its impact on life}, url = {https://m2.mtmt.hu/api/publication/32845486}, author = {Wu, Lina and Gu, Yechun and Gu, Yanlan and Wang, Yawen and Lu, Xueqin and Zhu, Cong and Lu, Zhongqiu and Xu, Hongbo}, doi = {10.1111/jocn.15568}, journal-iso = {J CLIN NURS}, journal = {JOURNAL OF CLINICAL NURSING}, volume = {30}, unique-id = {32845486}, issn = {0962-1067}, year = {2020}, eissn = {1365-2702}, pages = {518-527}, orcid-numbers = {Wu, Lina/0000-0002-7322-0675; Wang, Yawen/0000-0002-3518-3631} } @article{MTMT:31348872, title = {Prevalence of Diastasis Recti and Associated Factors among Women Attending Antenatal and Postnatal Careatmekelle City Health Facilities, Tigray, Ethiopia}, url = {https://m2.mtmt.hu/api/publication/31348872}, author = {Abayneh, Alamer and Gebresilassie, Kahsay and Hariharasudhan, Ravichandran}, journal = {World Journal of Physical Medicine and Rehabilitation}, volume = {1}, unique-id = {31348872}, issn = {2688-9382}, year = {2019}, pages = {17-21} } @misc{MTMT:31357095, title = {Sambandet mellan vidden på rektusdiastas och ländryggs- och bäckensmärta samt rörelserädsla. En kvantitativ tvärsnittsstudie}, url = {https://m2.mtmt.hu/api/publication/31357095}, author = {Ärlebäck, A and Maineborn, C}, unique-id = {31357095}, year = {2019} } @article{MTMT:31148049, title = {An Overview of the Studies on Diastasis Recti Abdominis in Postpartum Women}, url = {https://m2.mtmt.hu/api/publication/31148049}, author = {Aswini, D and Srihari, Sharma KN}, journal-iso = {JOURNAL OF GYNECOLOGY AND WOMEN’S HEALTH}, journal = {JOURNAL OF GYNECOLOGY AND WOMEN’S HEALTH}, volume = {14}, unique-id = {31148049}, issn = {2474-7602}, year = {2019}, pages = {1-5} } @article{MTMT:31148122, title = {Relationship between diastasis of the rectus abdominis muscle (DRAM) and musculoskeletal dysfunctions, pain and quality of life: a systematic review}, url = {https://m2.mtmt.hu/api/publication/31148122}, author = {Deenika, R.Benjamina and Helena, C.Frawleyb and Nora, Shieldsa and Alexander, T. M. van de Waterd and Nicholas, F. Taylora}, doi = {10.1016/j.physio.2018.07.002}, journal-iso = {PHYSIOTHERAPY}, journal = {PHYSIOTHERAPY}, volume = {105}, unique-id = {31148122}, issn = {0031-9406}, year = {2019}, eissn = {1873-1465}, pages = {24-34} } @article{MTMT:31357023, title = {Impact du diastasis des muscles droits de l’abdomen sur les symptômes pelvi-périnéaux : revue de la littérature}, url = {https://m2.mtmt.hu/api/publication/31357023}, author = {Joueidi, Yolaine and Vieillefosse, Sarah and Cardaillac, Claire and Mortier, Anaïs and Oppenheimer, Anne and Deffieux, Xavier and Thubert, Thibault}, doi = {10.1016/j.purol.2019.05.002}, journal-iso = {PROG UROL}, journal = {PROGRES EN UROLOGIE}, volume = {29}, unique-id = {31357023}, issn = {1166-7087}, year = {2019}, eissn = {2405-5131}, pages = {544-559} } @article{MTMT:31148140, title = {Inter-Rectal Distance and Abdominal Wall Muscles in Nulligravidous Women at Rest and During Valsalva Manoeuvre. A Prospective Cohort Study}, url = {https://m2.mtmt.hu/api/publication/31148140}, author = {Kimmich, N and Schwarzenbach, E and Zimmermann, R and Kreft, M}, journal-iso = {BIOMED J SCI TECH RES}, journal = {BIOMEDICAL JOURNAL OF SCIENTIFIC AND TECHNICAL RESEARCH}, volume = {21}, unique-id = {31148140}, issn = {2574-1241}, year = {2019}, pages = {15626-15633} } @article{MTMT:30872921, title = {Cohort study of the effect of surgical repair of symptomatic diastasis recti abdominis on abdominal trunk function and quality of life}, url = {https://m2.mtmt.hu/api/publication/30872921}, author = {Olsson, A. and Kiwanuka, O. and Wilhelmsson, S. and Sandblom, G. and Stackelberg, O.}, doi = {10.1002/bjs5.50213}, journal-iso = {BJS OPEN}, journal = {Bjs Open}, volume = {3}, unique-id = {30872921}, issn = {2474-9842}, abstract = {Background During pregnancy, women are at risk of developing persistent symptomatic diastasis recti abdominis (DRA), which may have a detrimental effect on their physical function and quality of life (QoL). The aim of this prospective cohort study was to determine the effect of surgical repair of DRA on abdominal trunk function, urinary incontinence and QoL in postpartum women with trunk instability symptoms resistant to training. Methods Postpartum women with diagnosed DRA and training-resistant symptoms underwent double-row plication of the linea alba. Abdominal trunk function was evaluated as the primary endpoint using a multimodal examination tool, the Abdominal Trunk Function Protocol. Recurrence was assessed by CT, urinary incontinence was evaluated using the Urogenital Distress Inventory (UDI-6) and Incontinence Impact Questionnaire (IIQ-7), and QoL was assessed with the Short Form 36 (SF-36 (R)) questionnaire. All subjects were examined before and 1 year after surgery. Results Sixty women were recruited. There was no DRA recurrence at the 1-year follow-up. Self-reported abdominal trunk function had improved in 98 per cent of patients, with a mean score improvement of 79 center dot 1 per cent. In the physiological tests monitored by a physiotherapist, 76 per cent performed better and endured exercise tests longer than before surgery. All SF-36 (R) subscales improved significantly compared with preoperative scores and reached levels similar to, or higher than, the normative Swedish female population. For the UDI-6 and IIQ-7, 47 and 37 per cent respectively reported fewer symptoms at follow-up than before surgery, and 13 and 8 per cent respectively reported more symptoms. Conclusion In this series of postpartum women presenting with DRA and symptoms of trunk instability resistant to training, surgical reconstruction resulted in a significant improvement in abdominal trunk function, urinary incontinence and QoL.}, year = {2019}, eissn = {2474-9842}, pages = {750-758} } @article{MTMT:31148097, title = {Case series of a novel open plication supported by mesh(PSUM)‑technique for symptomatic abdominal rectus diastasis repair with or without concomitant midline hernia. Early results and a review of the literature}, url = {https://m2.mtmt.hu/api/publication/31148097}, author = {Reetta, Tuominen and Jaana, Vironen and Tiina, Jahkola}, journal-iso = {ZHONGHUA SHAN HE FUBI WAIKE ZAZHI / CHINESE JOURNAL OF HERNIA AND ABDOMINAL WALL SURGERY (ELECTRONIC EDITION)}, journal = {ZHONGHUA SHAN HE FUBI WAIKE ZAZHI / CHINESE JOURNAL OF HERNIA AND ABDOMINAL WALL SURGERY (ELECTRONIC EDITION)}, volume = {2}, unique-id = {31148097}, issn = {1674-392X}, year = {2019}, pages = {142-148} } @article{MTMT:27341705, title = {Diastasis of rectus abdominis muscles in low back pain patients}, url = {https://m2.mtmt.hu/api/publication/27341705}, author = {Doubkova, Lucie and Andel, Ross and Palascakova-Springrova, Ingrid and Kolar, Pavel and Kriz, Jiri and Kobesova, Alena}, doi = {10.3233/BMR-169687}, journal-iso = {J BACK MUSCULOSKELET}, journal = {JOURNAL OF BACK AND MUSCULOSKELETAL REHABILITATION}, volume = {31}, unique-id = {27341705}, issn = {1053-8127}, year = {2018}, eissn = {1878-6324}, pages = {107-112} } @misc{MTMT:31357105, title = {Rectus diastase etter fødsel: Effekt av en fire måneders treningsintervensjon på forekomst av rectus diastase hos førstegangsfødende kvinner etter fødsel. En randomisert kontrollert studie}, url = {https://m2.mtmt.hu/api/publication/31357105}, author = {Lødeng, Gluppe S}, unique-id = {31357105}, year = {2017} }