TY - JOUR AU - Fitzpatrick, S.E. AU - Foley, K. AU - Crittenden, T. AU - Watson, D. AU - Dean, N.R. TI - Australian women’s experiences of post-partum rectus diastasis: A qualitative study JF - WOMEN'S HEALTH (LONDON) J2 - WOMEN'S HEALTH (LONDON) VL - 20 PY - 2024 SN - 1745-5057 DO - 10.1177/17455057241233123 UR - https://m2.mtmt.hu/api/publication/34794759 ID - 34794759 N1 - College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia Department of Plastic and Reconstructive Surgery, Flinders Medical Centre, Adelaide, SA, Australia Centre for Public Health, Equity and Human Flourishing, Torrens University, Adelaide, SA, Australia Department of Surgery, Flinders Medical Centre, Adelaide, SA, Australia Export Date: 17 April 2024 Correspondence Address: Fitzpatrick, S.E.; College of Medicine and Public Health, Australia; email: siobhanefitzpatrick@gmail.com AB - 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. LA - English DB - MTMT ER - TY - JOUR AU - González-Muñoz, Ana AU - Pruimboom, Leo AU - Navarro-Ledesma, Santiago TI - The Relationship between Abdominal Diastasis and Lumbar Pain Pressure Threshold in Women Who Have Given Birth between the Ages of 30 and 45 Years—An Observational Pilot Study JF - MEDICINA-LITHUANIA J2 - MED LITH VL - 60 PY - 2024 IS - 4 SP - 591 SN - 1010-660X DO - 10.3390/medicina60040591 UR - https://m2.mtmt.hu/api/publication/34816228 ID - 34816228 AB - Background and Objectives: Current evidence confirms that the magnitude of the inter-rectus distance (IRD) is associated with the severity of abdominal pain. Furthermore, evidence exists in the literature about the impact abdominal muscles have on low back pain, lumbopelvic pain, breathing and lumbar abdominal strength; however, no studies analysing the level of association between abdominal diastasis and lumbar pain pressure threshold (PPT) exist. The aim of this study was to analyse the level of association between the rectus abdominis distance and pain pressure threshold in the lumbar spinous processes in women who have given birth between the ages of 30 and 45 years. Secondly, it was to study the level of association between the time elapsed since the last delivery and low back pain in women who have given birth between 30 and 45 years of age. Material and Methods: This was a pilot observational study in which 21 females participated. The abdominal diastasis was measured by ultrasound, the pain pressure threshold was assessed by an algometer and the pain perception by the Mc Gill questionnaire. Results: There was no significant relationship between increased abdominal distance and increased lumbopelvic pain in women who gave birth between the ages of 30 and 45 years. However, there was a correlation between the time that had elapsed since the last delivery and low back pain. Conclusions: there was a correlation between the time that had elapsed since the last delivery and low back pain. Further studies analysing factors that may perpetuate the chronicity of symptoms, such as lifestyle and intrinsic factors, are needed. LA - English DB - MTMT ER - TY - CHAP AU - Antonina, Kaczorowska AU - Agata, Mroczek ED - Agata, Mroczek ED - Antonina, Kaczorowska TI - Diastasis recti abdomins therapy T2 - A variety of preventive and therapeutic methods in the pre- and postnatal period PB - Studio IMPRESO CY - Opole SN - 9788366430365 PY - 2023 SP - 96 EP - 103 PG - 8 UR - https://m2.mtmt.hu/api/publication/34816371 ID - 34816371 LA - English DB - MTMT ER - TY - JOUR AU - Custodio, N.M.S. AU - Córdova, L.A.S. AU - Cucci, S.B. TI - Association between distance from the medial edges of the rectus abdominis and low back pain in college students JF - REVISTA CUBANA ORTOPEDIA Y TRAUMATOLOGIA J2 - Rev Cubana Ortop Traumatol VL - 37 PY - 2023 IS - 1 SN - 0864-215X UR - https://m2.mtmt.hu/api/publication/33862746 ID - 33862746 N1 - Export Date: 24 May 2023 Correspondence Address: Cucci, S.B.; Universidad Peruana de Ciencias AplicadasPeru; email: prof.sbravo@gmail.com AB - 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. LA - Spanish DB - MTMT ER - TY - JOUR AU - Damor, Vinal AU - Charpot, Sunil TI - Prevalence of Diastasis of Rectus Abdominis Muscles in Young Adult with Back Pain: A Pilot Study JF - International Journal of Healths Sciences and Research J2 - International Journal of Healths Sciences and Research VL - 13 PY - 2023 IS - 4 SP - 35 EP - 38 PG - 4 SN - 2249-9571 DO - 10.52403/ijhsr.20230404 UR - https://m2.mtmt.hu/api/publication/34820298 ID - 34820298 AB - Background: Diastasis recti abdominis (DRA) diagnosis via clinical examination is well defined. Abdominal muscles are important spinal stabilizers and its poor coordination, as seen in diastasis of rectus abdominis (DRA), may contribute to low back painObjectives: This pilot study to find out the prevalence of DRA in young adults with Back pain.Methods: Using a finger width palpation method. Standard clinical DRA measurement was performed in 213 participants with or without low back pain in both genders.Results: Out of 268 subjects (219 female, 49 male) only 2.98% had complain of back pain. So back pain is not correlate with DRA and BMI significantly. Only 17.74 % adults had 1 cm inter-rectus distance which is normal at umbilical levelConclusion: The result of this study shows that young adult gets affected by back pain but not significantly.This study concludes that there is equal IRD measurement in both genders irrespective of age sex and BMI and no significant prevalence of DRA in young adults.Key words: Diastasis Rectus Abdominis, inter-rectus distance, body mass index, low back pain LA - English DB - MTMT ER - TY - JOUR AU - Hagovská, M. AU - Dudič, R. AU - Švihra, J. AU - Urdzík, P. AU - Vaská, E. TI - Relationship between diastasis recti abdominis and back pain in postpartum women JF - REHABILITACE A FYZIKALNI LEKARSTVI J2 - REHAB FYZIKAL LEKAR VL - 30 PY - 2023 IS - 1 SP - 18 EP - 23 PG - 6 SN - 1211-2658 DO - 10.48095/ccrhfl202318 UR - https://m2.mtmt.hu/api/publication/33785614 ID - 33785614 N1 - Klinika fyziatrie, balneológie a liečebnej rehabilitácie, Univerzita Pavla Jozefa Šafárika, Lekárska fakulta a UNLP, Košice, Slovakia Gynekologicko-pôrodnícka klinika, Univerzita Pavla Jozefa Šafárika, Lekárska fakulta a UNLP, Košice, Slovakia Urologická klinika, Univerzita Komenského v Bratislave, Jesseniova lekárska fakulta v Martine, Slovakia Katedra fyzioterapie, Fakulta zdravotníckych vied, Univerzita Sv. Cyrila a Metoda v Trnave, Slovakia Export Date: 2 May 2023 CODEN: RFLEF Correspondence Address: Dudič, R.; Gynekologicko-pôrodnícka klinika UPJŠ LF a UNLP, Trieda SNP 1, Slovakia; email: rastislav.dudic@upjs.sk AB - 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. LA - Czech DB - MTMT ER - TY - JOUR AU - Pacheco, Fernanda Cristina AU - Espíndola, Késsia Magalhães AU - Rezende, Jéssica Rosa AU - Diniz, Júlia Souki AU - Aquino, Cecília Ferreira de TI - Contribution of the practice of resistance exercises and the type of delivery to the diastasis of the rectus abdominis muscles in primiparous women JF - FISIOTERAPIA E PESQUISA J2 - FISIOTERAPIA E PESQUISA VL - 30 PY - 2023 SN - 1809-2950 DO - 10.1590/1809-2950/e22006523pt UR - https://m2.mtmt.hu/api/publication/34819351 ID - 34819351 AB - RESUMO O organismo materno sofre alterações fisiológicas e biomecânicas durante a gestação, dentre elas o afastamento dos músculos retos do abdome (MRAs). Os objetivos deste estudo transversal foram: comparar a distância entre os MRAs entre primíparas treinadas e sedentárias que realizaram parto vaginal e cesárea; correlacionar o afastamento dos MRAs com variáveis materno-infantis; e comparar essas variáveis entre primíparas com e sem diástase dos MRAs. Foram avaliadas 56 mulheres na nona semana pós-parto, divididas em quatro grupos de acordo com o tipo de parto e a prática de exercício resistido. A distância entre os MRAs foi mensurada com paquímetro nas regiões supraumbilical, umbilical e infraumbilical. Os dados foram submetidos à análise de variância (Anova), correlação de Pearson e teste t independente. Não houve efeito do tipo de parto, da prática de exercício resistido ou da interação tipo de parto e prática de exercício resistido (p≥0,118) para a distância entre os MRAs. Houve correlação significativa entre peso antes da gestação e distância entre os MRAs (p<0,001). Não houve associação entre ganho de peso na gestação e peso do bebê com a distância entre os MRAs (p≥0,132). Houve diferença significativa no peso antes da gestação entre primíparas com e sem diástase dos MRAs (p<0,005). Não houve diferença entre grupos no ganho de peso na gestação e no peso do bebê (p≥0,122). Conclui-se que a prática de exercício resistido e o tipo de parto não têm impacto no afastamento entre os MRAs nas regiões supraumbilical, umbilical e infraumbilical em primíparas. LA - English DB - MTMT ER - TY - JOUR AU - Sokunbi, Gbolabo AU - Camino-Willhuber, Gaston AU - Paschal, Philip K. AU - Olufade, Oluseun AU - Hussain, Farah S. AU - Shue, Jennifer AU - Abjornson, Celeste AU - Zelenty, William D. AU - Lebl, Darren R. AU - Cammisa, Frank P. AU - Girardi, Federico P. AU - Hughes, Alexander P. AU - Sama, Andrew A. TI - Is Diastasis Recti Abdominis Associated With Low Back Pain? A Systematic Review JF - WORLD NEUROSURGERY J2 - WORLD NEUROSURG VL - 174 PY - 2023 SP - 119 EP - 125 PG - 7 SN - 1878-8750 DO - 10.1016/j.wneu.2023.03.014 UR - https://m2.mtmt.hu/api/publication/33730128 ID - 33730128 N1 - Orthopaedic Surgery, Spine Care Institute, Hospital for Special Surgery, New York, NY, United States Hospital for Special Surgery Research Institute, Hospital for Special Surgery, New York, NY, United States Department of Orthopedics, Emory University, Atlanta, GA, United States Export Date: 10 May 2023 Correspondence Address: Sokunbi, G.; Orthopaedic Surgery, United States; email: sokunbig@hss.edu LA - English DB - MTMT ER - TY - JOUR AU - Deng, Y. AU - Dao, T. AU - Zhang, M. AU - Tang, Y. AU - He, Q. AU - Huang, H. TI - Analysis on the level of knowledge, attitude and practice of rehabilitationfor postpartum diastasis recti abdominisinpuerperaeand the influencing factors of behavior JF - CHINESE JOURNAL OF PRACTICAL NURSING J2 - CHINESE JOURNAL OF PRACTICAL NURSING VL - 38 PY - 2022 IS - 23 SP - 1816 EP - 1822 PG - 7 SN - 1672-7088 DO - 10.3760/cma.j.cn211501-20210818-02346 UR - https://m2.mtmt.hu/api/publication/33808236 ID - 33808236 N1 - School of Nursing, Southern Medical University, Guangzhou, 510515, China Shantou University Medical College, Shantou, 515041, China Hospital Administrative Office, Guangdong Provincial People′s Hospital, Guangdong Academy of Medical Sciences), Guangzhou, 510080, China Export Date: 10 May 2023 Correspondence Address: Huang, H.; School of Nursing, China; email: 13822221628@163.com AB - 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. LA - Chinese DB - MTMT ER - TY - JOUR AU - Djivoh, Y.S. AU - Kpadonou, T. AU - Puttemans, T. AU - De, Jaeger D. TI - Diastasis recti in the Beninese population: Cross-sectional study from normal values to diagnosis JF - South African Journal of Physiotherapy J2 - South African Journal of Physiotherapy VL - 78 PY - 2022 IS - 1 SN - 0379-6175 DO - 10.4102/sajp.v78i1.1776 UR - https://m2.mtmt.hu/api/publication/33808260 ID - 33808260 N1 - Institute of NeuroSciences (IoNS), Laboratory of Biomechanics and Physiology of Locomotion, Faculty of Motor Sciences, Catholic University of Louvain, Louvain-la-neuve, Belgium University Clinic of Physical Medicine and Rehabilitation of CNHU-HKM, Faculty of Health Sciences, National University of Abomey-Calavi, Cotonou, Benin Department of Radiology, St-Pierre Clinic, Ottignies, Belgium Export Date: 10 May 2023 CODEN: SAJPA Correspondence Address: Djivoh, Y.S.; Institute of NeuroSciences (IoNS), Belgium; email: yollande.djivoh@uclouvain.be AB - 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. LA - English DB - MTMT ER - TY - JOUR AU - Kaufmann, R.L. AU - Reiner, C.S. AU - Dietz, U.A. AU - Clavien, P.A. AU - Vonlanthen, R. AU - Käser, S.A. TI - Normal width of the linea alba, prevalence, and risk factors for diastasis recti abdominis in adults, a cross-sectional study JF - HERNIA J2 - HERNIA VL - 26 PY - 2022 IS - 2 SP - 609 EP - 618 PG - 10 SN - 1265-4906 DO - 10.1007/s10029-021-02493-7 UR - https://m2.mtmt.hu/api/publication/34776181 ID - 34776181 N1 - Department of Visceral and Transplantation Surgery, University Hospital of Zurich, Zurich, Switzerland Institute of Diagnostic and Interventional Radiology, University Hospital of Zurich, Zurich, Switzerland Department of General, Visceral and Plastic Surgery, Cantonal Hospital of Olten, Olten, Switzerland Department of General, Visceral, Thoracic and Vascular Surgery, Buergerspital Solothurn, Schöngrünstrasse 42, Solothurn, 4500, Switzerland Faculty of Medicine, University of Zurich, Zurich, Switzerland Export Date: 08 April 2024; Cited By: 19; Correspondence Address: S.A. Käser; Department of General, Visceral, Thoracic and Vascular Surgery, Buergerspital Solothurn, Solothurn, Schöngrünstrasse 42, 4500, Switzerland; email: sakaeser@swissonline.ch; CODEN: HERNF LA - English DB - MTMT ER - TY - JOUR AU - Sergatskiy, Konstantin Igorevich AU - Nikol'skiy, Valeriy Isaakovich AU - Titova, Ekaterina Valer'evna AU - Pulotova, Parastu Ravshanovna AU - Korobov, Artem Vladimirovich AU - Ivachev, Aleksandr Semenovich TI - DIASTASIS RECTI ABDOMINIS: PROBLEMS OF DIAGNOSIS AND TREATMENT OF FALSE HERNIA JF - ULYANOVSK MEDICO-BIOLOGICAL JOURNAL J2 - ULYANOVSK MED BIOL J VL - 12 PY - 2022 IS - 2 SP - 22 EP - 37 PG - 16 SN - 2227-1848 DO - 10.34014/2227-1848-2022-2-22-37 UR - https://m2.mtmt.hu/api/publication/32945959 ID - 32945959 N1 - TT:[ДИАСТАЗ ПРЯМЫХ МЫШЦ ЖИВОТА: ИСТИННЫЕ ВОПРОСЫ ДИАГНОСТИКИ И ЛЕЧЕНИЯ НЕИСТИННОЙ ГРЫЖИ] LA - Russian DB - MTMT ER - TY - JOUR AU - Tan, Lina AU - Ran, Suzhen AU - Dong, Hongmei AU - Wei, Jun AU - Ran, Haitao AU - Koundal, Deepika TI - Ultrasonic Characteristics of Diastasis Recti Abdominis in Early Postpartum JF - COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE J2 - COMPUT MATH METHOD M VL - 2022 PY - 2022 PG - 5 SN - 1748-670X DO - 10.1155/2022/3273911 UR - https://m2.mtmt.hu/api/publication/32845484 ID - 32845484 N1 - RETRACTED / VISSZAVONT AB - 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. LA - English DB - MTMT ER - TY - JOUR AU - Tuominen, R. AU - Jahkola, T. AU - Saisto, T. AU - Arokoski, J. AU - Vironen, J. TI - The prevalence and consequences of abdominal rectus muscle diastasis among Finnish women: an epidemiological cohort study JF - HERNIA J2 - HERNIA VL - 26 PY - 2022 IS - 2 SP - 599 EP - 608 PG - 10 SN - 1265-4906 DO - 10.1007/s10029-021-02484-8 UR - https://m2.mtmt.hu/api/publication/34776155 ID - 34776155 N1 - Department of Plastic Surgery, Helsinki University Hospital and University of Helsinki, PL 266, Helsinki, 00029 HUS, Finland Abdominal Center, Helsinki University Hospital and University of Helsinki, Helsinki, Finland Department of Obstetrics and Gynecology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland Department of Physical and Rehabilitation Medicine, Helsinki University Hospital and University of Helsinki, Helsinki, Finland Export Date: 08 April 2024; Cited By: 6; Correspondence Address: R. Tuominen; Department of Plastic Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, PL 266, 00029 HUS, Finland; email: reetta.tuominen@hus.fi; CODEN: HERNF LA - English DB - MTMT ER - TY - JOUR AU - Vicente-Campos, V. AU - Fuentes-Aparicio, L. AU - Rejano-Campo, M. TI - Evaluación de las consecuencias físicas y psicosociales de la diástasis de rectos abdominales y su interferencia en la salud: un estudio mixto JF - Rehabilitacion J2 - Rehabilitacion VL - 1 PY - 2022 IS - 2 SP - 1 SN - 0048-7120 DO - 10.1016/j.rh.2022.03.006 UR - https://m2.mtmt.hu/api/publication/33170850 ID - 33170850 N1 - Export Date: 2 May 2023 CODEN: RHTNA Correspondence Address: Fuentes-Aparicio, L.; Grupo investigación Multiespecialidad (PTinMOTION), Spain; email: laura.fuentes@uv.es AB - 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 LA - Spanish DB - MTMT ER - TY - JOUR AU - Xie, D. AU - Gong, Z. AU - Fan, H. AU - Zhang, C. TI - Clinical effects of early postpartum static contraction training combined with neuromuscular electrical stimulation in the treatment of postpartum diastasis recti abdominis JF - Chinese Journal of Obstetrics and Gynecology and Pediatrics J2 - Chinese J. Obstet. Gynecol. Pediatr. VL - 18 PY - 2022 IS - 3 SP - 357 EP - 365 PG - 9 SN - 1673-5250 DO - 10.3877/cma.j.issn.1673-5250.2022.03.016 UR - https://m2.mtmt.hu/api/publication/34794760 ID - 34794760 N1 - The Second Clinical Medical College of Xuzhou Medical University, Jiangsu Province ¦, Xuzhou, 221000, China Department of Postpartum Health Care, Huai an Maternal and Child Health Care Hospital, Jiangsu Province, Huaian, 223001, China Export Date: 17 April 2024 Correspondence Address: Gong, Z.; The Second Clinical Medical College of Xuzhou Medical University, Jiangsu Province ¦, China; email: gongzunke@l63.com AB - 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. LA - Chinese DB - MTMT ER - TY - JOUR AU - Yuan, Sue AU - Wang, Honghong AU - Zhou, Jie TI - Prevalence and risk factors of low back and pelvic pain in women with rectus abdominis diastasis: a multicenter retrospective cohort study JF - KOREAN JOURNAL OF PAIN J2 - KOREAN J PAIN VL - 35 PY - 2022 IS - 1 SP - 86 EP - 96 PG - 11 SN - 2005-9159 DO - 10.3344/kjp.2022.35.1.86 UR - https://m2.mtmt.hu/api/publication/32845491 ID - 32845491 N1 - Export Date: 3 August 2022 LA - English DB - MTMT ER - TY - JOUR AU - Balasch-Bernat, Mercè AU - Pérez-Alenda, Sofía AU - Carrasco, Juan J. AU - Valls-Donderis, Begoña AU - Dueñas, Lirios AU - Fuentes-Aparicio, Laura TI - Differences in Inter-Rectus Distance and Abdominopelvic Function between Nulliparous, Primiparous and Multiparous Women JF - INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH J2 - INT J ENV RES PUB HE VL - 18 PY - 2021 IS - 23 SN - 1661-7827 DO - 10.3390/ijerph182312396 UR - https://m2.mtmt.hu/api/publication/32845337 ID - 32845337 N1 - Export Date: 3 August 2022 LA - English DB - MTMT ER - TY - JOUR AU - Cavalli, M. AU - Aiolfi, A. AU - Bruni, P. G. AU - Manfredini, L. AU - Lombardo, F. AU - Bonfanti, M. T. AU - Bona, D. AU - Campanelli, G. TI - Prevalence and risk factors for diastasis recti abdominis: a review and proposal of a new anatomical variation JF - HERNIA J2 - HERNIA VL - 25 PY - 2021 IS - 4 SP - 883 EP - 890 PG - 8 SN - 1265-4906 DO - 10.1007/s10029-021-02468-8 UR - https://m2.mtmt.hu/api/publication/32432469 ID - 32432469 AB - 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 LA - English DB - MTMT ER - TY - JOUR AU - Fuentes Aparicio, Laura AU - Rejano-Campo, Montserrat AU - Donnelly, Grainne Marie AU - Vicente-Campos, Victoria TI - Self-reported symptoms in women with diastasis rectus abdominis: A systematic review JF - JOURNAL OF GYNECOLOGY OBSTETRICS AND HUMAN REPRODUCTION J2 - J GYNECOL OBSTET HUM REPROD VL - 50 PY - 2021 IS - 7 PG - 12 SN - 2468-7847 DO - 10.1016/j.jogoh.2020.101995 UR - https://m2.mtmt.hu/api/publication/32432467 ID - 32432467 AB - 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. LA - English DB - MTMT ER - TY - JOUR AU - Hu, Jing AU - Gu, Juanfen AU - Yu, Zhiyan AU - Yang, Xianxu AU - Fan, Jian AU - You, Lingying AU - Hua, Qinyan AU - Zhao, Yuting AU - Yan, Yuerong AU - Bai, Weiwei AU - Xu, Zipeng AU - You, Lina AU - Chen, Chaobo TI - Efficacy of Standardized Rehabilitation in the Treatment of Diastasis Rectus Abdominis in Postpartum Women JF - INTERNATIONAL JOURNAL OF GENERAL MEDICINE J2 - INT J GEN MED VL - 14 PY - 2021 IS - 1 SP - 10373 EP - 10383 PG - 11 SN - 1178-7074 DO - 10.2147/IJGM.S348135 UR - https://m2.mtmt.hu/api/publication/32845357 ID - 32845357 N1 - Export Date: 3 August 2022 LA - English DB - MTMT ER - TY - GEN AU - Jing, Hu AU - Juanfen, Gu AU - Zhiyan, Yu AU - Xianxu, Yang AU - Jian, Fan AU - Lingying, You AU - Qinyan, Hua AU - Yuting, Zhao AU - Yuerong, Yan AU - Weiwei, Bai AU - Zipeng, Xu AU - Lina, You AU - Chaobo, Chen TI - Efficacy of standardized rehabilitation in the treatment of diastasis rectus abdominis in postpartum women in Eastern China PY - 2021 SP - 1 EP - 13 PG - 13 UR - https://m2.mtmt.hu/api/publication/32845538 ID - 32845538 N1 - .researchsquare.com LA - English DB - MTMT ER - TY - JOUR AU - Mughal, M. AU - Ross, D. TI - Management of the post-pregnancy abdomen: the plastic surgical perspective JF - HERNIA J2 - HERNIA VL - 25 PY - 2021 IS - 4 SP - 929 EP - 938 PG - 10 SN - 1265-4906 DO - 10.1007/s10029-021-02478-6 UR - https://m2.mtmt.hu/api/publication/32432471 ID - 32432471 LA - English DB - MTMT ER - TY - JOUR AU - Tian, Peng AU - Liu, Dong Mei AU - Wang, Chao AU - Gu, Yu AU - Du, Guo Qing AU - Tian, Jia Wei TI - An ultrasound observation study on the levator hiatus with or without diastasis recti abdominis in postpartum women JF - INTERNATIONAL UROGYNECOLOGY JOURNAL J2 - INT UROGYNECOL J VL - 32 PY - 2021 IS - 7 SP - 1839 EP - 1846 PG - 8 SN - 0937-3462 DO - 10.1007/s00192-021-04783-1 UR - https://m2.mtmt.hu/api/publication/32432472 ID - 32432472 AB - 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. LA - English DB - MTMT ER - TY - JOUR AU - Cardaillac, Claire AU - Vieillefosse, Sarah AU - Oppenheimer, Anne AU - Joueidi, Yolaine AU - Thubert, Thibault AU - Deffieux, Xavier TI - Diastasis of the rectus abdominis muscles in postpartum: Concordance of patient and clinician evaluations, prevalence, associated pelvic floor symptoms and quality of life JF - EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY J2 - EUR J OBSTET GYN R B (EJOG) VL - 252 PY - 2020 SP - 228 EP - 232 PG - 5 SN - 0301-2115 DO - 10.1016/j.ejogrb.2020.06.038 UR - https://m2.mtmt.hu/api/publication/31724124 ID - 31724124 AB - 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. LA - English DB - MTMT ER - TY - JOUR AU - Gu, Y. AU - Xu, H. AU - Wu, L. AU - Dong, P. AU - Gu, Y. AU - Niu, P. AU - Luo, J. AU - Ye, Z. AU - Gu, Y. TI - Prevalence, risk factors and outcomes of diastasis recti abdominis in multiparas after the second delivery JF - CHINESE JOURNAL OF GENERAL PRACTITIONERS J2 - CHIN J GEN PRACT VL - 19 PY - 2020 IS - 12 SP - 1157 EP - 1163 PG - 7 SN - 1671-7368 DO - 10.3760/cma.j.cn114798-20200521-00609 UR - https://m2.mtmt.hu/api/publication/34794761 ID - 34794761 N1 - Department of General Surgery, Wenzhou Integrated Traditional Chinese and Western Medicine Hospital, Wenzhou, 325000, China Section of Clinical Teaching and Research, The Nursing School of Wenzhou Medical University, Wenzhou, 325035, China Department of Obstetrics, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325035, China Department of Obstetrics, Wenzhou Integrated Traditional Chinese and Western Medicine Hospital, Wenzhou, 325000, China Cited By :2 Export Date: 17 April 2024 Correspondence Address: Gu, Y.; Section of Clinical Teaching and Research, China; email: xhb@wmu.edu.cn AB - 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 LA - Chinese DB - MTMT ER - TY - BOOK AU - Hock, Márta TI - Szülészet-nőgyógyászati fizioterápia PB - Pécsi Tudományegyetem Egészségtudományi Kar (PTE ETK) CY - Pécs PY - 2020 SP - 50 SN - 9789634295396 UR - https://m2.mtmt.hu/api/publication/32204181 ID - 32204181 LA - Hungarian DB - MTMT ER - TY - JOUR AU - Wu, Lina AU - Gu, Yechun AU - Gu, Yanlan AU - Wang, Yawen AU - Lu, Xueqin AU - Zhu, Cong AU - Lu, Zhongqiu AU - Xu, Hongbo TI - Diastasis recti abdominis in adult women based on abdominal computed tomography imaging: Prevalence, risk factors and its impact on life JF - JOURNAL OF CLINICAL NURSING J2 - J CLIN NURS VL - 30 PY - 2020 IS - 3-4 SP - 518 EP - 527 PG - 10 SN - 0962-1067 DO - 10.1111/jocn.15568 UR - https://m2.mtmt.hu/api/publication/32845486 ID - 32845486 N1 - Export Date: 3 August 2022 CODEN: JCCNE LA - English DB - MTMT ER - TY - JOUR AU - Abayneh, Alamer AU - Gebresilassie, Kahsay AU - Hariharasudhan, Ravichandran TI - Prevalence of Diastasis Recti and Associated Factors among Women Attending Antenatal and Postnatal Careatmekelle City Health Facilities, Tigray, Ethiopia JF - World Journal of Physical Medicine and Rehabilitation VL - 1 PY - 2019 IS - 1 SP - 17 EP - 21 PG - 5 SN - 2688-9382 UR - https://m2.mtmt.hu/api/publication/31348872 ID - 31348872 LA - English DB - MTMT ER - TY - GEN AU - Ärlebäck, A AU - Maineborn, C TI - Sambandet mellan vidden på rektusdiastas och ländryggs- och bäckensmärta samt rörelserädsla. En kvantitativ tvärsnittsstudie TS - En kvantitativ tvärsnittsstudie PY - 2019 PG - 26 UR - https://m2.mtmt.hu/api/publication/31357095 ID - 31357095 LA - Swedish DB - MTMT ER - TY - JOUR AU - Aswini, D AU - Srihari, Sharma KN TI - An Overview of the Studies on Diastasis Recti Abdominis in Postpartum Women JF - JOURNAL OF GYNECOLOGY AND WOMEN’S HEALTH J2 - JOURNAL OF GYNECOLOGY AND WOMEN’S HEALTH VL - 14 PY - 2019 IS - 5 SP - 1 EP - 5 PG - 5 SN - 2474-7602 UR - https://m2.mtmt.hu/api/publication/31148049 ID - 31148049 LA - English DB - MTMT ER - TY - JOUR AU - Deenika, R.Benjamina AU - Helena, C.Frawleyb AU - Nora, Shieldsa AU - Alexander, T. M. van de Waterd AU - Nicholas, F. Taylora TI - Relationship between diastasis of the rectus abdominis muscle (DRAM) and musculoskeletal dysfunctions, pain and quality of life: a systematic review JF - PHYSIOTHERAPY J2 - PHYSIOTHERAPY VL - 105 PY - 2019 IS - 1 SP - 24 EP - 34 PG - 11 SN - 0031-9406 DO - 10.1016/j.physio.2018.07.002 UR - https://m2.mtmt.hu/api/publication/31148122 ID - 31148122 LA - English DB - MTMT ER - TY - JOUR AU - Joueidi, Yolaine AU - Vieillefosse, Sarah AU - Cardaillac, Claire AU - Mortier, Anaïs AU - Oppenheimer, Anne AU - Deffieux, Xavier AU - Thubert, Thibault TI - Impact du diastasis des muscles droits de l’abdomen sur les symptômes pelvi-périnéaux : revue de la littérature JF - PROGRES EN UROLOGIE J2 - PROG UROL VL - 29 PY - 2019 IS - 11 SP - 544 EP - 559 PG - 16 SN - 1166-7087 DO - 10.1016/j.purol.2019.05.002 UR - https://m2.mtmt.hu/api/publication/31357023 ID - 31357023 LA - French DB - MTMT ER - TY - JOUR AU - Kimmich, N AU - Schwarzenbach, E AU - Zimmermann, R AU - Kreft, M TI - Inter-Rectal Distance and Abdominal Wall Muscles in Nulligravidous Women at Rest and During Valsalva Manoeuvre. A Prospective Cohort Study TS - A Prospective Cohort Study JF - BIOMEDICAL JOURNAL OF SCIENTIFIC AND TECHNICAL RESEARCH J2 - BIOMED J SCI TECH RES VL - 21 PY - 2019 IS - 1 SP - 15626 EP - 15633 PG - 8 SN - 2574-1241 UR - https://m2.mtmt.hu/api/publication/31148140 ID - 31148140 LA - English DB - MTMT ER - TY - JOUR AU - Olsson, A. AU - Kiwanuka, O. AU - Wilhelmsson, S. AU - Sandblom, G. AU - Stackelberg, O. TI - Cohort study of the effect of surgical repair of symptomatic diastasis recti abdominis on abdominal trunk function and quality of life JF - Bjs Open J2 - BJS OPEN VL - 3 PY - 2019 IS - 6 SP - 750 EP - 758 PG - 9 SN - 2474-9842 DO - 10.1002/bjs5.50213 UR - https://m2.mtmt.hu/api/publication/30872921 ID - 30872921 N1 - Export Date: 12 October 2021 AB - 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. LA - English DB - MTMT ER - TY - JOUR AU - Reetta, Tuominen AU - Jaana, Vironen AU - Tiina, Jahkola TI - 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 TS - Early results and a review of the literature JF - ZHONGHUA SHAN HE FUBI WAIKE ZAZHI / CHINESE JOURNAL OF HERNIA AND ABDOMINAL WALL SURGERY (ELECTRONIC EDITION) J2 - ZHONGHUA SHAN HE FUBI WAIKE ZAZHI / CHINESE JOURNAL OF HERNIA AND ABDOMINAL WALL SURGERY (ELECTRONIC EDITION) VL - 2 PY - 2019 IS - 4 SP - 142 EP - 148 PG - 7 SN - 1674-392X UR - https://m2.mtmt.hu/api/publication/31148097 ID - 31148097 LA - English DB - MTMT ER - TY - JOUR AU - Doubkova, Lucie AU - Andel, Ross AU - Palascakova-Springrova, Ingrid AU - Kolar, Pavel AU - Kriz, Jiri AU - Kobesova, Alena TI - Diastasis of rectus abdominis muscles in low back pain patients JF - JOURNAL OF BACK AND MUSCULOSKELETAL REHABILITATION J2 - J BACK MUSCULOSKELET VL - 31 PY - 2018 IS - 1 SP - 107 EP - 112 PG - 6 SN - 1053-8127 DO - 10.3233/BMR-169687 UR - https://m2.mtmt.hu/api/publication/27341705 ID - 27341705 LA - English DB - MTMT ER - TY - GEN AU - Lødeng, Gluppe S TI - Rectus diastase etter fødsel: Effekt av en fire måneders treningsintervensjon på forekomst av rectus diastase hos førstegangsfødende kvinner etter fødsel. En randomisert kontrollert studie TS - En randomisert kontrollert studie PY - 2017 PG - 120 UR - https://m2.mtmt.hu/api/publication/31357105 ID - 31357105 LA - Norwegian DB - MTMT ER -