THE EFFECTS OF PHYSICALTHERAPY APPROACH IN POST PARTUM DIASTASIS RECTI ABDOMINIS:
Literature Integrative Review
DOI:
https://doi.org/10.64956/gm-unifacol.v1i3.19Keywords:
Physical therapy, Diastasis recti, TreatmentAbstract
Diastasis recti abdominis (DRA) is defined as the vertical separation in the recti abdominis muscle due to increase of the elasticity of the linea alba, found above the umbilicus. In women, DRA does not decrease spontaneously, resulting in physical consequences. The study aim is to highlight through literature the effects of physical therapy approaches in DRA. The study is a literature integrative review. The data collection was made through the search of scientific articles in the main health databases: PubMed, SciELO e Lilacs, using the MeSH terms: “Treatment”, “Exercise”, “Diastasis” and “Physical therapy” using the Boolean connector AND. Reading through the selected articles, it was noticed that abdominal exercises are statistically relevant to reducing DRA and in the strengthening of the abdominal muscles (p < 0,001). Due to the treatment, it was also noticed benefits in the patients’ quality of life. Despite the lack of a physical therapy protocol for this pathology and the divergency between some studies, therefore abdominal exercises, in an isolated way or associated with other approaches, can be beneficial in quality of life, abdominal muscular function and in reducing of the separation caused by DRA.
References
CARLSTEDT, Anders et al. MANAGEMENT OF DIASTASIS OF THE RECTUS ABDOMINIS MUSCLES: RECOMMENDATIONS FOR SWEDISH NATIONAL GUIDELINES. Scandinavian Journal of Surgery, v. 110, n. 3, p. 452-459, 2021.
FEI, Hui et al. THE RELATIONSHIP OF SEVERITY IN DIASTASIS RECTI ABDOMINIS AND PELVIC FLOOR DYSFUNCTION: A RETROSPECTIVE COHORT STUDY. BMC Women’s Health, v. 21, n. 1, p. 68, 2021.
GLUPPE, Sandra B. et al. IMMEDIATE EFFECT OF ABDOMINAL AND PELVIC FLOOR MUSCLE EXERCISES ON INTERRECTI DISTANCE IN WOMEN WITH DIASTASIS RECTI ABDOMINIS WHO WERE PAROUS. Physical Therapy, v. 100, n. 8, p. 1372–1383, 2020
GLUPPE, Sandra B. et al. PRIMIPAROUS WOMEN’S KNOWLEDGE OF DIASTASIS RECTI ABDOMINIS, CONCERNS ABOUT ABDOMINAL APPEARANCE, TREATMENTS, AND PERCEIVED ABDOMINAL MUSCLE STRENGTH 6–8 MONTHS POSTPARTUM: A CROSS SECTIONAL COMPARISON STUDY. BMC Women’s Health, v. 22, n. 1, p. 428–439, 2022.
KAMEl, Dalia M.; YOUSIF, Amel M. NEUROMUSCULAR ELECTRICAL STIMULATION AND STRENGTH RECOVERY OF POSTNATAL DIASTASIS RECTI ABDOMINIS MUSCLES. Annals of Rehabilitation Medicine, v. 41, n. 3, p. 465–474, 2017
KESHWANI, Nadia; MATHUR, Sunita; MCLEAN, Linda. 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. Physiotherapy Theory and Practice, v. 37, n. 9, p. 1018–1033, 2021.
LAFRAMBOISE, Faith C.; SCHLAFF, Rebecca A.; BARUTH, Meghan.
POSTPARTUM EXERCISE INTERVENTION TARGETING DIASTASIS RECTI ABDOMINIS. International Journal of Exercise Science, v. 14, n. 3, p. 400–409, 2021.
MICHALSKA, Agata et al. DIASTASIS RECTI ABDOMINIS — A REVIEW OF TREATMENT METHODS. Ginekologia Polska, v. 89, n. 2, p. 97–101, 2018.
PAMPOLIM, Gracielle et al. ATUAÇÃO FISIOTERAPÊUTICA NA REDUÇÃO DA DIÁSTASE ABDOMINAL NO PUERPÉRIO IMEDIATO. Revista de Pesquisa Cuidado é Fundamental, v. 13, p. 856–860, 2021.
RADHAKRISHNAN, Menaka; RAMAMURTHY, Karthik. EFFICACY AND CHALLENGES IN THE TREATMENT OF DIASTASIS RECTI ABDOMINIS — A SCOPING REVIEW ON THE CURRENT TRENDS AND FUTURE PERSPECTIVES. Diagnostics, v. 12, n. 9, p. 2044, 2022.
THABET, Ali A.; ALSHEHRI, Mansour A. EFFICACY OF DEEP CORE STABILITY EXERCISE PROGRAM IN POSTPARTUM WOMEN WITH DIASTASIS RECTI ABDOMINIS: A RANDOMISED CONTROLLED TRIAL. Journal of Musculoskeletal & Neuronal Interactions, v. 19, n. 1, p. 62–68, 2019.
