Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Diastasis recti abdominis, or rectus diastasis, is the separation of the two parts of the rectus abdominis muscle along the midline of the linea alba, without any visible defect in the fascia.
Diastasis recti abdominis is most frequent during pregnancy and postpartum especially, after cesarean birth.
Cesarean births were linked to significant post-operative changes in the thickness of abdominal fasciae and muscles when compared to vaginal births and these changes may be involved in the higher rates of diastasis recti post-cesarean births.
Managing diastasis recti abdominis begins with its diagnosis, followed by targeted interventions.
Diagnosis usually involves manual palpation to estimate the gap between the rectus abdominis muscles along the tendinous sheet of the linea alba. Updated imaging techniques, such as magnetic resonance imaging (MRI) and ultrasound, are now more frequently used for diagnosis.
Treatment either surgical or conservative; emphasizes physical therapy and personalized exercise programs. This method targets strengthening specific core muscles, such as the transverse abdominis and the pelvic floor.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Experimental | 20 first-time mothers participated in a mobile app-guided exercise program focusing on abdominal muscles. The app was downloaded during their initial visit to supplement their treatment, which they conducted at home three times a week for eight weeks. They also attended follow-up sessions once a week. |
|
| Group B | Experimental | 20 first-time mothers participated in a specific abdominal exercise program that included static abdominal exercises, head lifts with posterior pelvic tilting, and progressive curl-up exercises. The exercises were performed for 30 minutes, three times a week, for eight weeks as part of a home routine, along with a weekly follow-up session. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mobile app-directed exercise program | Other | The mobile app-guided exercise program initially asks the mother questions to collect information. These questions were about their motivation for exercise, the main exercise goal, and the area of focus in the exercise program |
| Measure | Description | Time Frame |
|---|---|---|
| Inter-recti Separation | The distance between the medial borders of the rectus abdominis muscles measured in Centimeters (cm) by the diagnostic Ultrasound. | Assessment was done pre treatment sessions and immediately after 8 weeks of treatment sessions |
| Measure | Description | Time Frame |
|---|---|---|
| Abdominal muscle strength | A manual muscle test was used to assess the strength of rectus abdominis and abdominal obliques measured as an ordinal scale by a grading system of: Grade 0: No movement and no palpable contractions are evident.
|
Not provided
Inclusion Criteria:
Exclusion Criteria:
This study targeted the mothers who have a diastasis recti after cesarean birth
Not provided
Not provided
Not provided
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of physical therapy, South Valley University | Qina | Qena Governorate | 83523 | Egypt |
Not provided
| ID | Term |
|---|---|
| C567402 | Diastasis Recti And Weakness Of The Linea Alba |
Not provided
Not provided
Not provided
Two-arms Randomized Controlled Trial
Not provided
Not provided
Not provided
| Traditional Abdominal Exercises | Other | The traditional abdominal exercises program consisted of simple static abdominal exercises, graduated curl-ups, and corrected abdominal crunches with posterior pelvic tilting |
|
| Assessment was done pre treatment sessions and immediately after 8 weeks of treatment sessions |
| Girth measurements | A tape measure examined waist, Umbilical, and Hip circumferences in centimeters (cm). | Assessment was done pre treatment sessions and immediately after 8 weeks of treatment sessions |
| Satisfaction level | A Questionnaire was used to assess the level of patient satisfaction with each treatment (grade 0; non-satisfaction for those have less than 9-10 on the Measure Yourself Medical Outcome Profile (MYMOP), and 1; satisfaction for those who have 9-10 on the MYMOP. | Assessment was done immediately after 8 weeks of treatment sessions |