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Exercises for pregnant and postpartum women with diastasis recti abdominis – literature review Cover

Exercises for pregnant and postpartum women with diastasis recti abdominis – literature review

Open Access
|Dec 2018

Figures & Tables

The results of the analysis of the studies by other authors

AuthorMaterial and methodResults and summary
Sancho et al., (2015) [7]
  • -

    Abdominal crunch

  • -

    Drawing-in

  • -

    Combination of 1 and 2

Abdominal crunch reduced DRA, drawing-in exercises did not reduce DRA
Mota et al., (2015) [8]
  • -

    Abdominal crunch

  • -

    Drawing-in

Considerable decrease in DRA during abdominal crunch, a slight reduction in DRA during drawing-in exercises
Pascoal et al., (2014) [9]Isometric contraction of abdominal musclesReduction in DRA during contraction
Benerjee et al. (2013) [10]Two groups:group A – antenatal exercises + abdominal strengthening exercisesgroup B – antenatal exercises onlyAbdominal strengthening exercises reduced the risk of DRA in group A. Group A included 53% of the participants who had DRA, while group B included 93% of the women with DRA.
Chiarello et al., (2005) [11]Two groups:
  • 1.

    Exercising before delivery: pelvic ante- and retroflexion, contracting the transversus abdominis muscle and pelvic floor muscles, + strengthening upper and lower limbs,

  • 2.

    Non-exercising before delivery.

Exercising during pregnancy reduced the risk of DRA. In the group of exercising participants, 12.5% of the women exhibited DRA, while in the non-exercising group, 90% had DRA. In the exercising group, DRA was much narrower than in the non-exercising group.
Hsia, Jones, (2000) [12]Comparison of two pregnant women:
  • A – non-exercising, increased pushing during delivery,

  • B – participant of antenatal exercise programme, less demanding delivery

DRA increased considerably during pregnancy in woman A and B. After delivery, DRA in woman A increased, while in woman B it decreased.
Emanuelsson, (2014) [4]Assessment of the effects of the training programme of exercises engaging abdominal muscles.The lack of satisfaction of the study participants caused by the long-lasting pain and bulge in the median line of the body. An improvement in trunk muscle strength.
Litos, (2014) [15]Progressive exercises programme focusing on the activation of the transversus abdominis muscle and pelvic floor muscles, patient education, using braces.The therapy eliminated pain, DRA was reduced completely, the patient returned to physical activity from before delivery, no problems with ADL.
Acharry, Kutty, (2015) [16]The programme of isometric exercises in a supine position:
  • -

    pushing the two parts of the rectus abdominis muscle together towards the median line of the body with one’s hands,

  • -

    stabilising DRA with one’s hands combined with pelvis retroflexion,

  • -

    pelvis movements.

DRA reduced by 71% after two weeks of training.
Sheppard, (1996) [17]Re-education of the transversus abdominis muscle two years after delivery. Contractions of transversus abdominis progressing with the therapy from the supine position to the position on all fours.Reduction in DRA by 88% after 4-month treatment. Eliminating low back pain. Strengthening abdominal muscles.
Sharma, (2014) [18]Comparison of two groups of women exercising:1. during pregnancy, 2. during postpartum period. Exercises of the transversus abdominis muscle, resistance training, cardiovascular exercises.In both groups, DRA decreased considerably, there were no significant differences between the groups.
Language: English
Page range: 27 - 35
Published on: Dec 31, 2018
In partnership with: Paradigm Publishing Services

© 2018 Dominika Gruszczyńska, Aleksandra Truszczyńska-Baszak, published by University of Physical Education in Warsaw
This work is licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License.