Term
|
Definition
| Separation of rectus abdominis muscles at the linea alba |
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Term
| Can valsalva maneuver during pushing cause diastasis recti? Y/N |
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Definition
|
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Term
| What causes connective tissue softening while pregnant? |
|
Definition
| Hormone changes - Estrogen/Relaxen |
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Term
| What causes diastasis recti in pregnancy? |
|
Definition
1. Abs stretched to elastic limit = stretch weakness
2. Hormonal connective tissue softening
3. Excessive strain in late pregnancy when muscles are in lengthened state
4. Valsava maueuver during pushing |
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Term
| Name a few risk factors for diastasis recti. |
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Definition
-Expecting more than one baby
-petite stature
-excessive lordosis and/or poor ab muscle tone |
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Term
| Name a few more risk factors for diastasis recti. |
|
Definition
-Not exercising while pregnant
-Genetics
-Aggressive exercises after 1st trimester |
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Term
| Name a third set of risk factors for diastasis recti. |
|
Definition
-Older than 35
-Obesity
-large baby, more weight during pregnancy |
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Term
| Name the last set of risk factors for diastasis recti. |
|
Definition
-Separation during a past pregnancy
-Parity (higher risk w/each preg)
-Previous c-section |
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Term
| Consequences of diastasis recti |
|
Definition
-reduces the integrity /functional strength of abdominal wall
-Can aggrevate lower back pain and pelvic instability
-Poor posture |
|
|
Term
| diastasis recti relationships w/pelvic floor |
|
Definition
-Weaker floor
-Floor dysfunctions |
|
|
Term
| What percent of urogynecological population has DRA (diastasis recti abdominis) |
|
Definition
|
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Term
| Women with DRA tend to be... |
|
Definition
-Older
-Higher gravity (# pregnant)
-Higher parity (births past 20 weeks)
-Weaker pelvic floor |
|
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Term
| Name three support-related pelvic floor dysfunction....and what % of those with DRA have this issue? |
|
Definition
1. Stress urinary incontinence
2. Fecal incontinence
3. Pelvic organ prolapse
66% |
|
|
Term
| measuring diastasis recti during third trimester |
|
Definition
Palpate soft region > 1"
Measure finger widths at widest point above the umbilicus |
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Term
| Is there a link between diastasis recti and low back/pelvic/abdominal pain? |
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Definition
| Maybe. Case reports show a correlation. |
|
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Term
| What recent study in 2009 compared DRA w/ lumbo-pelvic pain and bowel/bladder issues? |
|
Definition
Parker.
Test (seeking treatment)- 75% had DRA
Control(not seeking treatment) - 51% had DRA |
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|
Term
Intervention for diastasis recti:
Position |
|
Definition
| Supine, knees bent, arms crossed over abdomen, neutral pelvis |
|
|
Term
Intervention for diastasis recti:
Action |
|
Definition
1. Breathe in deeply & set pelvic floor
2. Exhale while raising head until just before gap or bulge appear |
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|
Term
Intervention for diastasis recti:
Frequency - pregnant/postpartum |
|
Definition
Pregnant - 5 reps - 2 per day
Post partum - 10 reps - 5 per day |
|
|
Term
| diastasis recti intervention progression |
|
Definition
|
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Term
| Do not progress in diastasis recti intervention if... |
|
Definition
1. Can't keep a neutral pelvis
2. gap/bulge appears
-continue in previous position
-move slowly |
|
|
Term
| What is critical with diastasis recti intervention |
|
Definition
|
|
Term
| How long after birth should you wait before testing for diastasis recti? |
|
Definition
|
|
Term
|
Definition
Pregnant - gap or bulge
Postpartum - gap only |
|
|
Term
| Progression in posisitoning: supine |
|
Definition
| Supine: head lift only vs head lift with posterior pelvic tilt |
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|
Term
| Progression in positioning: knees bent |
|
Definition
knees bent: Single leg sliding w/pelvic tilt
-stop when tilt posture lost |
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|
Term
| Progression in positioning: chin tuck |
|
Definition
chin tuck:
1. lift head and clear scapulae
2. lift head/clear scapulae & rotate |
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Term
| Positions in diastasis recti correction |
|
Definition
Most common: supine
Can do: quadruped or semi-reclined |
|
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Term
| w/isometric, eccentric, concentric avoid which range of positions |
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Definition
|
|
Term
| If buldge appears w/lifts |
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Definition
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|
Term
| Does exercise prevent diastasis recti? |
|
Definition
Study: Chiarello (2005)
90% non-exercisers have DRA
12% exercisers have DRA |
|
|
Term
| DRA excercise precautions |
|
Definition
1. while gap still open - avoid rotation or lateral bend
b/c obliques pull apart rectus abd.
1. If can't maintain form throughout entire exercise - don't do exercise |
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