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Self-reported symptoms in women with diastasis rectus abdominis: A systematic review - 20/11/20

Doi : 10.1016/j.jogoh.2020.101995 
Laura Fuentes Aparicio a, Montserrat Rejano-Campo b, , Gráinne Marie Donnelly c, d, Victoria Vicente-Campos e
a Faculty of Physiotherapy, University of Valencia Carrer de Gascó Oliag, 5, 46010 Valencia, Spain 
b University Hospital of Caen Normandy, Avenue de la Côte de Nacre, 14000, Caen, France 
c Physiotherapy Department, South West Acute Hospital, Western Health and Social Care Trust, N. Ireland, UK 
d ABSOLUTE.PHYSIO, 7 Drumadagarve, Maguiresbridge, N. Ireland, UK 
e Haro&Campos fisioterapia, Avenida Calvo Sotelo, 23, 10600, Plasencia, Spain 

Corresponding author at: Montserrat Rejano-Campo, University Hospital of Caen Normandy, Avenue de la Côte de Nacre, 14000, Caen, France.Montserrat Rejano-CampoUniversity Hospital of Caen NormandyAvenue de la Côte de NacreCaen14000France
Sous presse. Manuscrit accepté. Disponible en ligne depuis le Friday 20 November 2020

Highlights

Outcomes such as quality of life, physical perception, image satisfaction and abdominal pain seem to be related to the presence of diastasis rectus abdominis.
It seems that no correlation exists between diastasis rectus abdominis and urinary incontinence, severity and presence of low back pain, voiding symptoms, vaginal symptoms or sexual matters.
Due to the heterogenicity among studies regarding study design and population, these results should be interpreted with caution and healthcare professionals should remain alert to the developing evidence in this field.

Le texte complet de cet article est disponible en PDF.

Abstract

Introduction

Diastasis rectus abdominis (DRA) diagnosis via clinical examination is well defined, however, the assessment of symptoms has been less investigated. Currently, there is also scant knowledge on the consequences of DRA. The aim of this review is to identify the relevant self-reported variables in the study of DRA in women.

Methods

We performed a systematic review of observational studies through Medline, Embase, and Cochrane Library databases. Studies evaluating the link between DRA and self-reported symptoms were searched using the following terms: "Diastasis rectus abdominis", "Diastasis recti", "Abdominis Rectus Muscle Diastasis", "Questionnaire", "Scale", "Survey", "Interview", "Index" and "Inventory”. The methodological quality was assessed independently by two evaluators using the NIH Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies.

Results

Fourteen observational studies met the eligibility criteria and were included in the qualitative analysis. Most of the studies were of low to fair quality. Different categories of symptoms were analyzed: quality of life, body image, lumbopelvic pain, other types of pain and pelvic floor dysfunction. A significant positive correlation was found between the presence of DRA and physical health and functioning, abdominal discomfort and body image. Heterogenous data were identified in relation to disability related with low back pain. No correlation has been found between DRA and urinary incontinence, severity and presence of low back pain, voiding symptoms, vaginal symptoms or sexual matters.

Conclusions

DRA presents with reduced quality of life due to compromised physical health and functioning; poorer physical perception; lower body image satisfaction; and higher degrees of abdominal pain that is frequently perceived as discomfort or bloating.

Le texte complet de cet article est disponible en PDF.

Abbreviations : DRA, IRD, QoL, LBP, FI, POP, UI

Keywords : Diastasis recti, Postpartum, Pregnancy, Body image, Quality of life, Disability


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