Conference 2018: Diastasis rectus abdominis: physiotherapy management

Author(s): G. Donnelly, Private Practice, Maguiresbridge, County Fermanagh, Northern Ireland - Pages: 15-19

Abstract

Diastasis rectus abdominis (DRA) refers to thinning and widening of the linea alba, and is associated with increased laxity of the anterior abdominal wall. It is currently diagnosed in relation to inter-recti distance; however, no definitive consensus currently exists about either relevant diagnostic criteria or the prevalence of the condition. Developments in the limited research base have highlighted the importance of considering other factors beyond the gap, including the function of the abdominal wall. In order to assist clinicians in evaluating and managing DRA, a proforma has been developed that is called PPP-RR-LD. This acronym stands for “person, patterns, posture, respiration, ribcage, load and defect”, and represents the different aspects of assessment and management that must be addressed in individuals with DRA. There is also a need for physiotherapists to increase their profile in order to: become better recognized for what they can offer in the conservative management of this condition; and develop services that will establish the role of physiotherapy in the pre- and postoperative rehabilitation of individuals who undergo surgical repair of DRA.

Keywords: diastasis rectus abdominis, inter-recti distance, linea alba, proforma, rehabilitation.