The impact of exercise therapy and abdominal binding in the management of diastasis recti abdominis in the early post-partum period: a pilot randomized controlled trial

References

• Acharry N, Kutty R 2015 Abdominal exercise with bracing, a therapeutic efficacy in reducing diastasis-recti among postpartal females. International Journal of Physiotherapy and Research 3: 999–1005.
   Google Scholar
• Akram J, Matzen S 2014 Rectus abdominis diastasis. Journal of Plastic Surgery and Hand Surgery 48: 163–169.
   PubMed Web of Science ®Google Scholar
• Baker J, Gamborg M, Heitmann B, Lissner L, Sorensen T, Rasmussen K 2008 Breastfeeding reduces postpartum weight retention. The American Journal of Clinical Nutrition 88: 1543–1551.
   PubMed Web of Science ®Google Scholar
• Barber M, Chen Z, Lukacz E, Markland A, Wai C, Brubaker L, Nygaard I, Weidner A, Janz N, Spino C 2011 Further validation of the short form versions of the Pelvic Floor Distress Inventory (PFDI) and Pelvic Floor Impact Questionnaire (PFIQ). Neurourology and Urogynamics 30: 541–546.
   PubMed Web of Science ®Google Scholar
• Barber M, Kuchibhatla M, Pieper C, Bump R 2001 Psychometric evaluation of 2 comprehensive condition-specific quality of life instruments for women with pelvic floor disorders. American Journal of Obstetrics and Gynecology 185: 1388–1395.
   PubMed Web of Science ®Google Scholar
• Barber M, Walters M, Bump R 2005 Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). American Journal of Obstetrics and Gynecology 193: 103–113.
   PubMed Web of Science ®Google Scholar
• Barton A, Serrao C, Thompson J, Briffa K 2015 Transabdominal ultrasound to assess pelvic floor muscle performance during abdominal curl in exercising women. International Urogynecology Journal 26: 1789–1795.
   PubMed Web of Science ®Google Scholar
• Beamish N, Green N, Nieuwold E, McLean L 2019 Differences in linea alba stiffness and linea alba distortion between women with and without diastasis recti abdominis: The impact of measurement site and task. The Journal of Orthopaedic and Sports Physical Therapy 49: 656–665.
   PubMed Web of Science ®Google Scholar
• Benjamin D, van de Water A, Peiris C 2014 Effects of exercise on diastasis of the rectus abdominis muscle in the antenatal and postnatal periods: A systematic review. Physiotherapy 100: 1–8.
   PubMed Web of Science ®Google Scholar
• Bø K, Hilde G, Tennfjord M, Sperstad J, Engh M 2017 Pelvic floor muscle function, pelvic floor dysfunction and diastasis recti abdominis: Prospective cohort study. Neurourology and Urodynamics 36: 716–721.
   PubMed Web of Science ®Google Scholar
• Bolton M, Pruzinsky T, Cash T, Persing J 2003 Measuring outcomes in plastic surgery: Body image and quality of life in abdominplasty patients. Plastic and Reconstructive Surgery 11: 619–625.
   Google Scholar
• Boonstraa A, Schiphorst Preuper H, Reneman M, Posthumusa J, Stewart R 2008 Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain. International Journal of Rehabilitation Research 31: 165–169.
   PubMed Web of Science ®Google Scholar
• Braekken I, Majida M, Ellström Engh MH,I, Bø K 2009 Pelvic floor function is independently associated with pelvic organ prolapse. BJOG: an International Journal of Obstetrics and Gynaecology 116: 1706–1714.
   PubMed Web of Science ®Google Scholar
• Brown T, Cash T, Mikulka P 1990 Attitudinal body-image assessment: Factor analysis of the Body-Self Relations Questionnaire. Journal of Personality Assessments 55: 135–144.
   PubMed Web of Science ®Google Scholar
• Buckwalter J, Grodzinsky A 1997 Loading of healing bone, fibrous tissue, and muscle: Implications for orthopaedic practice. Journal of the American Academy of Orthopaedic Surgeons 7: 291–299.
   Google Scholar
• Cash T 2000 The multidimensional body-self relations questionnaire users’ manual (3rd ed). http://www.body-images.com/assessments/mbsrq.html.
   Google Scholar
• Childs J, Piva S 2005 Psychometric properties of the functional rating index in patients with low back pain. European Spine Journal 14: 1008–1012.
   PubMed Web of Science ®Google Scholar
• Cho KH, Beom JW, Lee TS, Lim JH, Lee TH, Yuk JH 2014 Trunk muscles strength as a risk factor for nonspecific low back pain: A pilot study. Annals of Rehabilitation Medicine 38: 234–240.
   PubMedGoogle Scholar
• Coldron Y, Stokes M, Newham D, Cook K 2008 Postpartum characteristics of rectus abdominis on ultrasound imaging. Manual Therapy 13: 112–121.
   PubMedGoogle Scholar
• Cooper P, Taylor M, Cooper Z, Fairburn C 1987 The development and validation of the Body Shape Questionnaire. International Journal of Eating Disorders 6: 485–494.
   Web of Science ®Google Scholar
• Craig C, Marshall A, Sjostrom M, Bauman A, Booth M, Ainsworth B, Pratt M, Ekelund U, Yngve A, Sallis J, et al. 2003 International Physical Activity Questionnaire: 12-country reliability and validity. Medicine and Science in Sports and Exercise 195: 1381–1395.
   Google Scholar
• Dalal K, Kaur A, Mitra M 2014 Correlation between diastasis rectus abominis and lumbopelvic pain and dysfunction. Indian Journal of Physiotherapy and Occupational Therapy 8: 210–214.
   Google Scholar
• Davidson M 2008 Rasch analysis of three versions of the Oswestry Disability Questionnaire. Manual Therapy 13: 222–231.
   PubMed Web of Science ®Google Scholar
• de Brito M, Nahas F, Barbosa M, Dini G, Kimura A, Farah A, Ferreira L 2010 Abdominoplasty and its effect on body image, self-esteem, and mental health. Annals of Plastic Surgery 65: 5–10.
   PubMed Web of Science ®Google Scholar
• de Brito M, Nahas F, Bussolaro R, Shinmyo L, Barbosa M, Ferreira L 2012 Effects of abdominoplasty on female sexuality: A pilot study. The Journal of Sexual Medicine 9: 918–926.
   PubMed Web of Science ®Google Scholar
• El-Mekawy H, Eldeeb A, El- Lythy M, El-Begawy A 2013 Effect of abdominal exercises versus abdominal supporting belt on post-partum abdominal efficiency and rectus separation. World Academy of Science, Engineering and Technology 73: 44–48.
   Google Scholar
• Emanuelsson P, Gunnarsson U, Dahlstrand U, Strigard K, Stark B 2016 Operative correction of abdominal rectus diastasis (ARD) reduces pain and improves abdominal wall muscle strength: A randomized, prospective trial comparing retromuscular mesh repair to double-row, self-retaining sutures. Surgery 160: 1367–1375.
   PubMed Web of Science ®Google Scholar
• Emanuelsson P, Gunnarsson U, Strigard K, Stark B 2014 Early complications, pain, and quality of life after reconstructive surgery for abdominal rectus muscle diastasis: A 3-month follow-up. Journal of Plastic, Reconstructive, and Aesthetic Surgery 67: 1082–1088.
   PubMed Web of Science ®Google Scholar
• Escamilla RF, Lewis C, Bell D, Bramblet G, Daffron J, Lambert S, Pecson A, Imamura R, Paulos L, Andrews JR 2010 Core muscle activation during swiss ball and traditional abdominal exercises. The Journal of Orthopaedic and Sports Physical Therapy 40: 265–276.
   PubMed Web of Science ®Google Scholar
• Fawcett J, Tulman L, Myers S 1988 Development of the inventory of functional status after childbirth. Journal of Nurse-Midwifery 33: 252–259.
   PubMedGoogle Scholar
• Field A 2009 Discovering Statistics Using SPSS (3rd ed). London, UK: Sage Publications.
   Google Scholar
• Fozzatti C, Riccetto C, Herrmann V, Brancalion M, Raimondi M, Nascif C, Marques L, Palma P 2012 Prevalence study of stress urinary incontinence in women who perform high-impact exercises. International Urogynecology Journal 23: 1687–1691.
   PubMed Web of Science ®Google Scholar
• Fritz J, Irrgang J 2001 A comparison of a modified oswestry low back pain disability questionnaire and the quebec back pain disability scale. Physical Therapy 81: 776–788.
   PubMed Web of Science ®Google Scholar
• Gallagher E, Bijur P, Latimer C, Silver W 2002 Reliability and validity of a visual analog scale for acute abdominal pain in the ED. The American Journal of Emergency Medicine 20: 287–290.
   PubMed Web of Science ®Google Scholar
• Hagg O, Fritzell P, Nordwall A; Swedish Lumbar Spine Study G 2003 The clinical importance of changes in outcome scores after treatment for chronic low back pain. European Spine Journal 12: 12–20.
   PubMed Web of Science ®Google Scholar
• Hills N, Graham R, McLean L 2018 Comparison of trunk muscle function between women with and without diastasis recti abdominis at 1 year postpartum. Physical Therapy 98: 891–901.
   PubMed Web of Science ®Google Scholar
• Hislop H, Avers D, Brown M 2013 Daniels and worthingham’s muscle testing. Techniques of manual examination and performance testing (9th ed). St. Louis: Elsevier.
   Google Scholar
• Keeler J, Albrecht M, Eberhardt L, Horn L, Donnelly C, Lowe D 2012 Diastasis recti abdominis: A survey of women’s health specialists for current physical therapy clinical practice for postpartum women. Journal of Women’s Health Physical Therapy 36: 131–142.
   Google Scholar
• Keely A, Swanson V, Denison F 2012 Pilot study: Do obese compared to lean women experience greater body image satisfaction in the postnatal period? Archives of Disease in Childhood Fetal and Neonatal Edition 97: A116–117.
   Google Scholar
• Keshwani N, Mathur S, McLean L 2015 Validity of inter-rectus distance measurement in postpartum women using extended field of view ultrasound imaging techniques. The Journal of Orthopaedic and Sports Physical Therapy 45: 808–813.
   PubMed Web of Science ®Google Scholar
• Keshwani N, McLean L 2015 Ultrasound imaging in postpartum women with diastasis recti: Intrarater, betwen-session reliability. The Journal of Orthopaedic and Sports Physical Therapy 45: 713–718.
   PubMed Web of Science ®Google Scholar
• Keshwani N, McLean L, Mathur S 2018 Relationship between interrectus distance and symptom severity in women with diastasis recti abdominis in the early postpartum period. Physical Therapy 98: 182–190.
   PubMed Web of Science ®Google Scholar
• Kjaer M, Langberg H, Heinemeier K, Bayer ML, Hansen M, Holm L, Doessing S, Kongsgaard M, Krogsgaard M, Magnusson S 2009 From mechanical loading to collagen synthesis, structural changes and function in human tendon. Scandinavian Journal of Medicine and Science in Sports 19: 500–510.
   PubMed Web of Science ®Google Scholar
• Lee D, Hodges P 2016 Behavior of the linea alba during a curl-up task in diastasis rectus abdominis: An observational study. The Journal of Orthopaedic and Sports Physical Therapy 46: 580–589.
   PubMed Web of Science ®Google Scholar
• Lee J, Hoshino Y, Nakamura K, Kariya Y, Saita K, Ito K 1999 Trunk muscle weakness as a risk factor for low back pain. A 5-year prospective study. Spine 24: 54–57.
   PubMed Web of Science ®Google Scholar
• Liaw L, Hsu M, Liao C, Liu M, Hsu A 2011 The relationships between inter-recti distance measured by ultrasound imaging and abdominal muscle function in postpartum women: A 6-month follow-up study. The Journal of Orthopaedic and Sports Physical Therapy 41: 435–443.
   PubMed Web of Science ®Google Scholar
• Litos K 2014 Progressive therapeutic exercise program for successful treatment of a postpartum woman with a severe diastasis recti abdominis. Journal of Women’s Health Physical Therapy 38: 58–73.
   Google Scholar
• Mahony K, Hunt A, Daley D, Sims S, Adams R 2009 Inter-tester reliability and precision of manual muscle testing and hand-held dynamometry in lower limb muscles of children with spina bifida. Physical and Occupational Therapy in Pediatrics 29: 44–59.
   PubMed Web of Science ®Google Scholar
• Mendes D, Nahas F, Veiga F, Mendes F, Figueiras R, Gomes H, Ely P, Novo N, Ferreira L 2007 Ultrasonography for measuring rectus abdominis muscles diastasis. Acta Cirurgica Brasileira 22: 182–186.
   PubMed Web of Science ®Google Scholar
• Moreland J, Finch E, Stratford P, Balsor B, Gill C 1997 Interrater reliability of six tests of trunk muscle function and endurance. The Journal of Orthopaedic and Sports Physical Therapy 26: 200–208.
   PubMed Web of Science ®Google Scholar
• Mota P, Pascoal A, Carita A, Bø K 2015a The immediate effects on inter-rectus distance of abdominal crunch and drawing-in exercises during pregnancy and the postpartum period. Journal of Orthopaedic and Sports Physical Therapy 45: 781–788.
   PubMed Web of Science ®Google Scholar
• Mota P, Pascoal A, Carita A, Bø K 2015b Prevalence and risk factors of diastasis recti abdominis from late pregnancy to 6 months postpartum, and relationship with lumbo-pelvic pain. Manual Therapy 20: 200–205.
   PubMedGoogle Scholar
• Nahas F, Ferreira L, Mendes Jde A 2004 An efficient way to correct recurrent rectus diastasis. Aesthetic Plastic Surgery 28: 189–196.
   PubMed Web of Science ®Google Scholar
• Noble E 1945 Essential exercises for the childbearing year: a guide to health and comfort before and after your baby is born. Boston: Houghton Mifflin.
   Google Scholar
• Oneal R, Mulka J, Shapiro P, Hing D, Cavaliere C 2011 Wide abdominal rectus plication abdominoplasty for the treatment of chronic intractable low back pain. Plastic and Reconstructive Surgery 127: 225–231.
   PubMed Web of Science ®Google Scholar
• Parker M 2009 Diastasis rectus abdominis and lumbo-pelvic pain and dysfunction - Are they related? Journal of Women’s Health Physical Therapy 32: 15–22.
   Google Scholar
• Rett M, Braga M, Bernardes N, Andrade S 2009 Prevalence of diastasis of the rectus abdominis muscles immediately postpartum: A comparison between primiparae and multiparae. Revista Brasileira De Fisioterapia 13: 275–280.
   Google Scholar
• Rizk N 1980 A new description of the anterior abdominal wall in man and mammals. Journal of Anatomy 131: 373–385.
   PubMed Web of Science ®Google Scholar
• Rosin D 2015 Sutured repair of primary small umbilical and epigastric hernia: Concomitant rectus diastasis is a significant risk-factor for recurrence. World Journal of Surgery 39: 127.
   Web of Science ®Google Scholar
• Santos M, Silva R, Vicente M, Palmezoni V, de Carvalho E, Resende A 2016 Does abdominal diastasis influence lumbar pain during gestation? Revista Dor 17: 43–46.
   Google Scholar
• Scott-Conner C, Dawson D 2009 Operative anatomy (3rd ed). Philadelphia: Lippincott Williams & Wilkins.
   Google Scholar
• Simpson S, Deeble M, Thompson J, Andrews A, Briffa K 2016 Should women with incontinence and prolapse do abdominal curls? International Urogynecology Journal 27: 1507–1512.
   PubMed Web of Science ®Google Scholar
• Sperry S 2011 Predictors of body dissatisfaction, eating disturbance and depressive symptoms in mothers. Scholar Commons, University of South Florida. https://pdfs.semanticscholar.org/b39e/a75381cd66910a7b108a5c82b1359dc19b9d.pdf.
   Google Scholar
• Sperstad JB, Tennfjord MK, Hilde G, Ellstrom-Engh M, Bø K 2016 Diastasis recti abdominis during pregnancy and 12 months after childbirth: Prevalence, risk factors and report of lumbopelvic pain. British Journal of Sports Medicine 50: 1092–1096.
   PubMed Web of Science ®Google Scholar
• Spitznagle T, Leong F, Van Dillen L 2007 Prevalence of diastasis recti abdominis in a urogynecological patient population. International Urogynecology Journal and Pelvic Floor Dysfunction 18: 321–328.
   PubMed Web of Science ®Google Scholar
• Stark B, Emanuelsson P, Gunnarsson U, Strigard K 2012 Validation of Biodex system 4 for measuring the strength of muscles in patients with rectus diastasis. Journal of Plastic Surgery and Hand Surgery 46: 102–105.
   PubMed Web of Science ®Google Scholar
• Stratford P, Gill C, Westaway M, Binkley J 1995 Assessing disability and change on individual patients: A report of a patient specific measure. Physiotherapy Canada 47: 258–263.
   Google Scholar
• Taylor DA, Merten SL, Sandercoe GD, Gahankari D, Ingram SB, Moncrieff NJ, Ho K, Sellars GD, Magnusson MR 2018 Abdominoplasty improves low back pain and urinary incontinence. Plastic and Reconstructive Surgery 141: 637–645.
   PubMed Web of Science ®Google Scholar
• Toranto I 1988 Resolution of back pain with the wide abdominal rectus plication abdominoplasty. Journal of Plastic and Reconstructive Surgery 81: 777–779.
   PubMed Web of Science ®Google Scholar
• Toranto I 1990 The relief of low back pain with the WARP abdominoplasty: A preliminary report. Journal of Plastic and Reconstructive Surgery 85: 545–555.
   PubMed Web of Science ®Google Scholar
• Turan V, Colluoglu C, Turkyilmaz E, Korucuoglu U 2011 Prevalence of diastasis recti abdominis in the population of young multiparous adults in Turkey. Ginekologia Polska 82: 817–821.
   PubMed Web of Science ®Google Scholar
• Tuttle LJ, Fasching J, Keller A, Patel M, Saville C, Schlaff R, Walker A, Mason M, Gombatto SP 2018 Noninvasive treatment of postpartum diastasis recti abdominis. Journal of Womenʼs Health Physical Therapy 42: 65–75.
   Google Scholar
• Verissimo P, Nahas F, Barbosa M, de Carvalho Gomes H, Ferreira L 2014 Is it possible to repair diastasis recti and shorten the aponeurosis at the same time? Aesthetic Plastic Surgery 38: 379–386.
   PubMed Web of Science ®Google Scholar
• Walton L, Costa A, LaVanture D, McIlrath S, Stebbins B 2016 The effects of a 6 week dynamic core stability plank exercise program compared to a traditional supine core stability strengthening program on diastasis recti abdominis closure, pain, oswestry disability index (ODI) and pelvic floor disability index scores (PFDI). Physical Therapy and Rehabilitation 3: 3.
   Google Scholar
• Young KW, Kuo BP, O’Connor SM, Radic S, Lieber RL 2017 In vivo sarcomere length measurement in whole muscles during passive stretch and twitch contractions. Biophysical Journal 112: 805–812.
   PubMed Web of Science ®Google Scholar
• Zappile-Lucis M 2009 Quality of life measurements and physical therapy management of a female diagnosed with diastasis recti abdominis. Journal of Women’s Health Physical Therapy 33: 22.
   Google Scholar
• Zhang H, Liu D, Tang H, Sun S, Ai S, Yang W, Jiang D, Zhang L 2016 The effect of different types of abdominal binders on intra-abdominal pressure. Saudi Medical Journal 37: 66–72.
   PubMedGoogle Scholar