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Diastasis of muscle

MedGen UID:
510527
•Concept ID:
C0158364
•
Anatomical Abnormality
Synonyms: Diastases, Muscle; Diastasis, Muscle; Muscle Diastases; Muscle Diastasis; Myodiastases; Myodiastasis
SNOMED CT: Diastasis of muscle (111248006)

Definition

Abnormal separation of muscles. [from MeSH]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVDiastasis of muscle

Professional guidelines

PubMed

European Hernia Society guidelines on management of rectus diastasis.
Hernández-Granados P, Henriksen NA, Berrevoet F, Cuccurullo D, López-Cano M, Nienhuijs S, Ross D, Montgomery A
Br J Surg 2021 Oct 23;108(10):1189-1191. doi: 10.1093/bjs/znab128. PMID: 34595502Free PMC Article
Management of diastasis of the rectus abdominis muscles: recommendations for swedish national guidelines.
Carlstedt A, Bringman S, Egberth M, Emanuelsson P, Olsson A, Petersson U, Pålstedt J, Sandblom G, Sjödahl R, Stark B, Strigård K, Tall J, Theodorsson E
Scand J Surg 2021 Sep;110(3):452-459. Epub 2020 Sep 28 doi: 10.1177/1457496920961000. PMID: 32988320Free PMC Article
Update of Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS))-Part A.
Bittner R, Bain K, Bansal VK, Berrevoet F, Bingener-Casey J, Chen D, Chen J, Chowbey P, Dietz UA, de Beaux A, Ferzli G, Fortelny R, Hoffmann H, Iskander M, Ji Z, Jorgensen LN, Khullar R, Kirchhoff P, Köckerling F, Kukleta J, LeBlanc K, Li J, Lomanto D, Mayer F, Meytes V, Misra M, Morales-Conde S, Niebuhr H, Radvinsky D, Ramshaw B, Ranev D, Reinpold W, Sharma A, Schrittwieser R, Stechemesser B, Sutedja B, Tang J, Warren J, Weyhe D, Wiegering A, Woeste G, Yao Q
Surg Endosc 2019 Oct;33(10):3069-3139. Epub 2019 Jun 27 doi: 10.1007/s00464-019-06907-7. PMID: 31250243Free PMC Article

Recent clinical studies

Etiology

European Hernia Society guidelines on management of rectus diastasis.
Hernández-Granados P, Henriksen NA, Berrevoet F, Cuccurullo D, López-Cano M, Nienhuijs S, Ross D, Montgomery A
Br J Surg 2021 Oct 23;108(10):1189-1191. doi: 10.1093/bjs/znab128. PMID: 34595502Free PMC Article
What is the evidence for abdominal and pelvic floor muscle training to treat diastasis recti abdominis postpartum? A systematic review with meta-analysis.
Gluppe S, Engh ME, Bø K
Braz J Phys Ther 2021 Nov-Dec;25(6):664-675. Epub 2021 Jul 21 doi: 10.1016/j.bjpt.2021.06.006. PMID: 34391661Free PMC Article
Update of Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS))-Part A.
Bittner R, Bain K, Bansal VK, Berrevoet F, Bingener-Casey J, Chen D, Chen J, Chowbey P, Dietz UA, de Beaux A, Ferzli G, Fortelny R, Hoffmann H, Iskander M, Ji Z, Jorgensen LN, Khullar R, Kirchhoff P, Köckerling F, Kukleta J, LeBlanc K, Li J, Lomanto D, Mayer F, Meytes V, Misra M, Morales-Conde S, Niebuhr H, Radvinsky D, Ramshaw B, Ranev D, Reinpold W, Sharma A, Schrittwieser R, Stechemesser B, Sutedja B, Tang J, Warren J, Weyhe D, Wiegering A, Woeste G, Yao Q
Surg Endosc 2019 Oct;33(10):3069-3139. Epub 2019 Jun 27 doi: 10.1007/s00464-019-06907-7. PMID: 31250243Free PMC Article
Efficacy of deep core stability exercise program in postpartum women with diastasis recti abdominis: a randomised controlled trial.
Thabet AA, Alshehri MA
J Musculoskelet Neuronal Interact 2019 Mar 1;19(1):62-68. PMID: 30839304Free PMC Article
Effects of exercise on diastasis of the rectus abdominis muscle in the antenatal and postnatal periods: a systematic review.
Benjamin DR, van de Water AT, Peiris CL
Physiotherapy 2014 Mar;100(1):1-8. Epub 2013 Oct 5 doi: 10.1016/j.physio.2013.08.005. PMID: 24268942

Diagnosis

Curl-up exercises improve abdominal muscle strength without worsening inter-recti distance in women with diastasis recti abdominis postpartum: a randomised controlled trial.
Gluppe SB, Ellström Engh M, Bø K
J Physiother 2023 Jul;69(3):160-167. Epub 2023 Jun 5 doi: 10.1016/j.jphys.2023.05.017. PMID: 37286390
European Hernia Society guidelines on management of rectus diastasis.
Hernández-Granados P, Henriksen NA, Berrevoet F, Cuccurullo D, López-Cano M, Nienhuijs S, Ross D, Montgomery A
Br J Surg 2021 Oct 23;108(10):1189-1191. doi: 10.1093/bjs/znab128. PMID: 34595502Free PMC Article
Management of diastasis of the rectus abdominis muscles: recommendations for swedish national guidelines.
Carlstedt A, Bringman S, Egberth M, Emanuelsson P, Olsson A, Petersson U, Pålstedt J, Sandblom G, Sjödahl R, Stark B, Strigård K, Tall J, Theodorsson E
Scand J Surg 2021 Sep;110(3):452-459. Epub 2020 Sep 28 doi: 10.1177/1457496920961000. PMID: 32988320Free PMC Article
Immediate Effect of Abdominal and Pelvic Floor Muscle Exercises on Interrecti Distance in Women With Diastasis Recti Abdominis Who Were Parous.
Gluppe SB, Engh ME, Bø K
Phys Ther 2020 Aug 12;100(8):1372-1383. doi: 10.1093/ptj/pzaa070. PMID: 32302393
Effect of a Postpartum Training Program on the Prevalence of Diastasis Recti Abdominis in Postpartum Primiparous Women: A Randomized Controlled Trial.
Gluppe SL, Hilde G, Tennfjord MK, Engh ME, Bø K
Phys Ther 2018 Apr 1;98(4):260-268. doi: 10.1093/ptj/pzy008. PMID: 29351646Free PMC Article

Therapy

Curl-up exercises improve abdominal muscle strength without worsening inter-recti distance in women with diastasis recti abdominis postpartum: a randomised controlled trial.
Gluppe SB, Ellström Engh M, Bø K
J Physiother 2023 Jul;69(3):160-167. Epub 2023 Jun 5 doi: 10.1016/j.jphys.2023.05.017. PMID: 37286390
What is the evidence for abdominal and pelvic floor muscle training to treat diastasis recti abdominis postpartum? A systematic review with meta-analysis.
Gluppe S, Engh ME, Bø K
Braz J Phys Ther 2021 Nov-Dec;25(6):664-675. Epub 2021 Jul 21 doi: 10.1016/j.bjpt.2021.06.006. PMID: 34391661Free PMC Article
The impact of exercise therapy and abdominal binding in the management of diastasis recti abdominis in the early post-partum period: a pilot randomized controlled trial.
Keshwani N, Mathur S, McLean L
Physiother Theory Pract 2021 Sep;37(9):1018-1033. Epub 2019 Oct 23 doi: 10.1080/09593985.2019.1675207. PMID: 31642725
Efficacy of deep core stability exercise program in postpartum women with diastasis recti abdominis: a randomised controlled trial.
Thabet AA, Alshehri MA
J Musculoskelet Neuronal Interact 2019 Mar 1;19(1):62-68. PMID: 30839304Free PMC Article
Effects of exercise on diastasis of the rectus abdominis muscle in the antenatal and postnatal periods: a systematic review.
Benjamin DR, van de Water AT, Peiris CL
Physiotherapy 2014 Mar;100(1):1-8. Epub 2013 Oct 5 doi: 10.1016/j.physio.2013.08.005. PMID: 24268942

Prognosis

Clinical and Radiological Evaluation of Onlay Mesh Abdominoplasty in Obese Multiparous Patients with Moderate-to-Severe Rectus Diastasis.
Moharaq KA, El Fahar MH, Shouman OO, Hassan AA, El-Shebly AM
Aesthetic Plast Surg 2024 May;48(9):1778-1789. Epub 2023 Nov 17 doi: 10.1007/s00266-023-03743-y. PMID: 37978087
A Systematic Review of Electromagnetic Treatments for Body Contouring.
Swanson E
Ann Plast Surg 2023 Feb 1;90(2):180-188. Epub 2022 Dec 21 doi: 10.1097/SAP.0000000000003387. PMID: 36688862Free PMC Article
Clinical and Radiologic Predictors of Parastomal Hernia Development After End Colostomy.
Pennings JP, Kwee TC, Hofman S, Viddeleer AR, Furnée EJB, van Ooijen PMA, de Haas RJ
AJR Am J Roentgenol 2021 Jan;216(1):94-103. Epub 2020 Oct 29 doi: 10.2214/AJR.19.22498. PMID: 33119406
Surgical Management of Diastasis Recti: A Systematic Review of Insurance Coverage in the United States.
Rosen CM, Ngaage LM, Rada EM, Slezak S, Kavic S, Rasko Y
Ann Plast Surg 2019 Oct;83(4):475-480. doi: 10.1097/SAP.0000000000001694. PMID: 31524746
What global diastolic function is, what it is not, and how to measure it.
Chung CS, Shmuylovich L, Kovács SJ
Am J Physiol Heart Circ Physiol 2015 Nov;309(9):H1392-406. Epub 2015 Aug 28 doi: 10.1152/ajpheart.00436.2015. PMID: 26320035

Clinical prediction guides

Curl-up exercises improve abdominal muscle strength without worsening inter-recti distance in women with diastasis recti abdominis postpartum: a randomised controlled trial.
Gluppe SB, Ellström Engh M, Bø K
J Physiother 2023 Jul;69(3):160-167. Epub 2023 Jun 5 doi: 10.1016/j.jphys.2023.05.017. PMID: 37286390
Comparison of the efficiency of core stabilization exercises and abdominal corset in the treatment of postpartum diastasis recti abdominis.
Kaya AK, Menek MY
Eur J Obstet Gynecol Reprod Biol 2023 Jun;285:24-30. Epub 2023 Apr 1 doi: 10.1016/j.ejogrb.2023.03.040. PMID: 37031572
The Effect of Core Exercise Using Online Videoconferencing Platform and Offline-Based Intervention in Postpartum Woman with Diastasis Recti Abdominis.
Kim S, Yi D, Yim J
Int J Environ Res Public Health 2022 Jun 8;19(12) doi: 10.3390/ijerph19127031. PMID: 35742279Free PMC Article
Preaponeurotic endoscopic repair (REPA) of diastasis recti: a single surgeon's experience.
Cuccomarino S, Bonomo LD, Aprà F, Toscano A, Jannaci A
Surg Endosc 2022 Feb;36(2):1302-1309. Epub 2021 Mar 4 doi: 10.1007/s00464-021-08405-1. PMID: 33661382
The impact of exercise therapy and abdominal binding in the management of diastasis recti abdominis in the early post-partum period: a pilot randomized controlled trial.
Keshwani N, Mathur S, McLean L
Physiother Theory Pract 2021 Sep;37(9):1018-1033. Epub 2019 Oct 23 doi: 10.1080/09593985.2019.1675207. PMID: 31642725

Recent systematic reviews

Conservative interventions may have little effect on reducing diastasis of the rectus abdominis in postnatal women - A systematic review and meta-analysis.
Benjamin DR, Frawley HC, Shields N, Peiris CL, van de Water ATM, Bruder AM, Taylor NF
Physiotherapy 2023 Jun;119:54-71. Epub 2023 Mar 5 doi: 10.1016/j.physio.2023.02.002. PMID: 36934466
Is Diastasis Recti Abdominis Associated With Low Back Pain? A Systematic Review.
Sokunbi G, Camino-Willhuber G, Paschal PK, Olufade O, Hussain FS, Shue J, Abjornson C, Zelenty WD, Lebl DR, Cammisa FP, Girardi FP, Hughes AP, Sama AA
World Neurosurg 2023 Jun;174:119-125. Epub 2023 Mar 8 doi: 10.1016/j.wneu.2023.03.014. PMID: 36894002
What is the evidence for abdominal and pelvic floor muscle training to treat diastasis recti abdominis postpartum? A systematic review with meta-analysis.
Gluppe S, Engh ME, Bø K
Braz J Phys Ther 2021 Nov-Dec;25(6):664-675. Epub 2021 Jul 21 doi: 10.1016/j.bjpt.2021.06.006. PMID: 34391661Free PMC Article
The general surgeon's perspective of rectus diastasis. A systematic review of treatment options.
Mommers EHH, Ponten JEH, Al Omar AK, de Vries Reilingh TS, Bouvy ND, Nienhuijs SW
Surg Endosc 2017 Dec;31(12):4934-4949. Epub 2017 Jun 8 doi: 10.1007/s00464-017-5607-9. PMID: 28597282Free PMC Article
Effects of exercise on diastasis of the rectus abdominis muscle in the antenatal and postnatal periods: a systematic review.
Benjamin DR, van de Water AT, Peiris CL
Physiotherapy 2014 Mar;100(1):1-8. Epub 2013 Oct 5 doi: 10.1016/j.physio.2013.08.005. PMID: 24268942

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