RECTUS ABDOMINIS DIASTASIS

RECTUS ABDOMINIS DIASTASIS

Rectus abdominis diastasis is a conventional term used to define the split between the two rectus abdominis muscles (Polden and Mantle 1990). However, as the two Recti muscles are attached in the middle by the linea Alba, the widening actually occurs as a result of stretching and thinning of the linea alba. It commonly occurs in childbearing women, third trimester. (Boissonnault and Blaschak 1988). It can persist in 30-60% of women during the post partum period at different sites along the linea alba. (Boissonnault and Blaschak 1988; Bursch 19987).

This can vary between a small vertical gap 2-3cm wide and 12-15cm long to a space measuring 12-20cm in width and extending nearly the whole length of the recti muscles.

Investigation

Checking for Diastasis recti should be done in the,

Beginning of second trimester and continue throughout the rest of pregnancy.

Post partum phase.

Patient Position

Supine Hook lying.

Procedure

Chin should be tucked

Arm extended to knees

Patient should raise her head, shoulders until the scapulae clear the Surface

Therapist check for Central budge in abdomen and with fingers placed Cephalo Caudally, measure the amount of seperation between the Rectus abdominis Muscles 2 inches above, below, al the level of umbilicus.

Common treatment given for diastasis recti includes Binder, Exercise and Rest. Binder helps to hold the abdomen tight and maintain the muscle length properly. Abdominal exercises helps to strengthen the abdominals and helps in maintain the posture