Efficacy and Challenges in the Treatment of Diastasis Recti Abdominis—A Scoping Review on the Current Trends and Future Perspectives
Abstract
:1. Introduction
- To analyze the different diagnostic and treatment procedures associated with DRA.
- To analyze the challenges involved in the assessment of treatment and rehabilitation procedures.
- To highlight the potential research gaps and future trends relating to the treatment of DRA.
2. Search Strategy and Organization of the Review
3. DRA—A Walkthrough
3.1. Anatomy of Rectus Abdominis Muscle
3.2. Morphological Changes in DRA
3.3. Width of the Linea Alba
3.4. Measurement Methods
4. Treatment
4.1. Conservative Treatment
4.1.1. Non-Exercise Physical Therapy
4.1.2. Physical Exercise Therapy
4.2. Surgery
4.2.1. Open Approach
4.2.2. Laparoscopic Approach
4.2.3. Endoscopic Approach
5. Diagnostic Techniques for the Rehabilitation of DRA
5.1. Electromyography
5.2. Ultrasound Imaging
6. Discussion
6.1. Impact of Exercises
6.2. Need for a Biofeedback Device
6.3. Scope of Automation
7. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
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Factor | Inclusion | Exclusion |
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Research outcome |
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Study design and Methodology |
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S.No | Name of the Exercise | Description |
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1. | Sit-Up | The exercise is performed by the subject lying with arms straight, knees bent and feet in a flat position. The abdominal muscles are then engaged, while a slight lift of the head, neck and shoulders is performed. The position is held for 10 s and then a return to the starting position. |
2. | Curl-up | The exercise is performed by the subject lying with arms straight, knees bent and feet in a flat position. The abdominal muscles are then engaged, while a major lift of the head, neck and shoulders is performed. The position is held for 10 s and then a return to the starting position. |
3. | TA Sit-up | The transverse abdominis muscle contraction is done along with sit-up. |
4. | TA Curl-up | Transverse abdominis muscle contraction is done along with curl-up. |
5. | TAPFM Curl-up | The transverse abdominis muscle and pelvic floor muscle contraction is done along with curl-up. |
6. | TASLR | The transverse abdominis muscle contraction is done along with straight leg raise. In the straight leg raise, the subject lies flat initially. One leg is raised above and the position held for 10 s and then relax back to the starting position. |
7. | Reverse Curl-up | In a reverse curl up, the subject initially lies flat. Then both legs are curled up together with knees towards chest. Hold the position for 10 s and then relax back to the starting position. |
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Radhakrishnan, M.; Ramamurthy, K. Efficacy and Challenges in the Treatment of Diastasis Recti Abdominis—A Scoping Review on the Current Trends and Future Perspectives. Diagnostics 2022, 12, 2044. https://doi.org/10.3390/diagnostics12092044
Radhakrishnan M, Ramamurthy K. Efficacy and Challenges in the Treatment of Diastasis Recti Abdominis—A Scoping Review on the Current Trends and Future Perspectives. Diagnostics. 2022; 12(9):2044. https://doi.org/10.3390/diagnostics12092044
Chicago/Turabian StyleRadhakrishnan, Menaka, and Karthik Ramamurthy. 2022. "Efficacy and Challenges in the Treatment of Diastasis Recti Abdominis—A Scoping Review on the Current Trends and Future Perspectives" Diagnostics 12, no. 9: 2044. https://doi.org/10.3390/diagnostics12092044
APA StyleRadhakrishnan, M., & Ramamurthy, K. (2022). Efficacy and Challenges in the Treatment of Diastasis Recti Abdominis—A Scoping Review on the Current Trends and Future Perspectives. Diagnostics, 12(9), 2044. https://doi.org/10.3390/diagnostics12092044