Diastasis recti in the Beninese population: Cross-sectional study from normal values to diagnosis

South African Journal of Physiotherapy

Field Value
Title Diastasis recti in the Beninese population: Cross-sectional study from normal values to diagnosis
Creator Djivoh, Yollande S. Kpadonou, Toussaint Puttemans, Thierry De Jaeger, Dominique
Subject physiotherapy; musculoskeletal; Diagnosis; Measurement; Post-partum interrecti distance; African population; abdominal muscles; diastasis recti; linea alba
Description Background: Diastasis recti is diagnosed when the interrecti distance (IRD) is larger than a threshold value. Published thresholds were measured at rest with ultrasound while in Benin physiotherapists use calipers during abdominal contraction.Objectives: The aim was to define IRD threshold values measured with calipers in Beninese participants in order to diagnose diastasis recti in a clinical environment and identify women needing abdominal rehabilitation.Method: Interrecti distance was measured using ultrasound and calipers. Linea alba stiffness was assessed by palpation, abdominal strength and endurance by manual testing. In men and nulliparous women, IRD threshold values were defined as IRD P90. In postpartum women, IRD P80 and a threshold defined with a receiver operating characteristics (ROC) curve based on linea alba stiffness were used. In these women, abdominal strength and endurance were compared depending on IRD threshold and linea alba stiffness with a Mann Whitney test.Results: In 391 Beninese participants, the IRD threshold measured with calipers was 17 mm in men, 15 mm in nulliparous and 18 mm (15 mm with ROC curve) in postpartum women. Postpartum women with an IRD above 18 mm had significantly lower abdominal strength. Those with a slack linea alba had significantly lower abdominal strength and endurance.Conclusion: The defined IRD threshold values can be used in a Beninese clinical environment. Future studies should confirm whether they can be applied to other African populations.Clinical implications: Abdominal rehabilitation should be recommended to postpartum women whose IRD is above the threshold values but also in cases of slack linea alba and poor abdominal function.
Publisher AOSIS
Contributor -
Date 2022-11-15
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — quasi-experimental
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajp.v78i1.1776
Source South African Journal of Physiotherapy; Vol 78, No 1 (2022); 9 pages 2410-8219 0379-6175
Language eng
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://sajp.co.za/index.php/sajp/article/view/1776/3071 https://sajp.co.za/index.php/sajp/article/view/1776/3072 https://sajp.co.za/index.php/sajp/article/view/1776/3073 https://sajp.co.za/index.php/sajp/article/view/1776/3074
Coverage Benin - 18 to 40; male and female; african
Rights Copyright (c) 2022 Yollande S. Djivoh, Toussaint Kpadonou, Thierry Puttemans, Dominique De Jaeger https://creativecommons.org/licenses/by/4.0