Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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Correlation between Diastasis Rectus Abdominis and Lumbopelvic Pain and Dysfunction


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1 NDMVP College of Physiotherapy, B/15 Ashok Pride, Behind Satyam Sweets, Govind Nagar, Nashik, India
     

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The purpose of this study is to examine the clinical assumption that a Diastasis Rectus Abdominis, when left untreated may leave the woman predisposed to lumbo-pelvic pain. Objective: To find whether there would be a significant difference in some or all of dependant measures for lumbo-pelvic pain&dysfunction between those with Diastasis Rectus Abdominis. It was hypothesized that there would be a greater incidence of DRA among patients seeking physical therapy intervention for any of the specified lumbo-pelvic pain. Method and Measures: Subjects (n=30; PG) included women seeking medical care for lumbar or pelvic area diagnoses (>18 years old) who had delivered at least one child. Subjects completed the Pelvic Floor Distress Inventory, Modified Oswestry Low Back Pain Disability Questionnaire,Visual Analog Scales (VAS) for pain. Diastasis Rectus Abdominis measurement was taken. Correlation test (p ≤ 0.05) was performed to verify the relationship between Diastasis Rectus Abdominis and lumbopelvic pain and dysfunction. Results: The incidence for the DRA was 83.33%. Conclusions: Women with a DRA tend to have a higher degree of lumbo-pelvic pain.

Keywords

Diastasis Rectus Abdominis, Lumbo-Pelvic Pain, Dysfunction
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  • Boissonnault JS, Kotarinos RK. Diastasis Recti. In: Wilder E, ed. Obstetric and Gynaecology Physical Therapy. Edinburgh: Churchill Livingstone; 1988:63-82.

  • Noble E. Essential Exercises for the Childbearing year: A Guide to Health and Comfort Before and After Your Baby is Born. 4th ed. Harwich, MA: New Life Images; 1995.

  • Thornton SL, Thornton SJ. Management of gross divarication of the recti abdominis in pregnancy and labour. Physiother. 1993;79(7):457-458.

  • Candido G, Lo T, Janssen PA. Risk factors for diastasis of the recti abdo-minis. / Assoc Chartered Physiother Womens Health. 2005;97:49-54

  • Lo T, Candido G, Janssen P. Diastasis of the recti abdominis in pregnancy: Risk factors and treatment. Physiother Canada. 1999;51(l):32-37,44

  • Spitznagle T, Leong F, Dillen L. Preva-lence of diastasis recti abdominis in a urogynecological population. Int Urogynecolf. 2007;18(3):321-328.

  • Chiarello CM, Falzone LA, McCa-slin KE, Patel MN, Ulery KR The Effects of an exercise program on diastasis recti abdominis in pregnant women. / Womens Health Phys Ther. 1990;29(1):11-16.

  • Fairbank JC, Couper J, Davies JB, O’Brien JP. The Oswestry Low Back Pain Disability Questionnaire. Physio-ther. 1980;66:271-273.

  • Barber M, Kuchibhada MN, Pieper CF, Bump RC. Psychometric evaluation of 2 comprehensive condition-specific quality of life instruments for women with pelvic floor disorders. AmfObstet Gynecol. 2001;185(6):1388-1395.

  • McGuire DB. The measurement of clini-cal pain. NursRes. 1984;33:152-156.

  • Carolyn Kisner, Lynn Allen Colby. Therapeutic exercise foundation and techniques 5th edition, 2007

  • Ponka JL. Hernias of the Abdominal Wall, Philadelphia, PA: WB Saunders Co; 1980:446


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  • Correlation between Diastasis Rectus Abdominis and Lumbopelvic Pain and Dysfunction

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Authors

Khushboo Dalal
NDMVP College of Physiotherapy, B/15 Ashok Pride, Behind Satyam Sweets, Govind Nagar, Nashik, India
Amrit Kaur
NDMVP College of Physiotherapy, B/15 Ashok Pride, Behind Satyam Sweets, Govind Nagar, Nashik, India
Mahesh Mitra
NDMVP College of Physiotherapy, B/15 Ashok Pride, Behind Satyam Sweets, Govind Nagar, Nashik, India

Abstract


The purpose of this study is to examine the clinical assumption that a Diastasis Rectus Abdominis, when left untreated may leave the woman predisposed to lumbo-pelvic pain. Objective: To find whether there would be a significant difference in some or all of dependant measures for lumbo-pelvic pain&dysfunction between those with Diastasis Rectus Abdominis. It was hypothesized that there would be a greater incidence of DRA among patients seeking physical therapy intervention for any of the specified lumbo-pelvic pain. Method and Measures: Subjects (n=30; PG) included women seeking medical care for lumbar or pelvic area diagnoses (>18 years old) who had delivered at least one child. Subjects completed the Pelvic Floor Distress Inventory, Modified Oswestry Low Back Pain Disability Questionnaire,Visual Analog Scales (VAS) for pain. Diastasis Rectus Abdominis measurement was taken. Correlation test (p ≤ 0.05) was performed to verify the relationship between Diastasis Rectus Abdominis and lumbopelvic pain and dysfunction. Results: The incidence for the DRA was 83.33%. Conclusions: Women with a DRA tend to have a higher degree of lumbo-pelvic pain.

Keywords


Diastasis Rectus Abdominis, Lumbo-Pelvic Pain, Dysfunction

References