It is well known that the abdominal wall plays a key role in function of the trunk and that pregnancy and delivery can have a significant and long lasting impact. Postnatal suboptimal strategies for the transference of loads through the trunk can create pain in a multitude of areas as well as affect the urinary continence mechanism and support of the pelvic organs. These suboptimal strategies are highly variable, individual and task specific and thus require individual assessment and training. For some, the individual muscles of the abdominal wall require attention (release and/or isolation training) prior to training while others do not.
Diastasis rectus abdominis is very common in the obstetric patient. While most women recover both form and function of the abdominal wall in the postnatal period, persistent separation of the rectus abdominis muscles occurs in some. Rehabilitation has traditionally focused on exercises to ‘close the gap’ and reduce this separation. New data, and a controversial new interpretation, (Lee & Hodges 2016 JOSPT) support exercises that increase tension in the linea alba (regardless of what this does to the midline gap) to optimize the transfer of force between sides of the abdominal wall.
During these 2 days you will learn:
- The current evidence pertaining to the functional and postnatal abdominal wall
- The skills necessary for assessment of the abdominal wall (muscle recruitment strategies and behaviour of the linea alba in response to the chosen strategy). This will include tests to understand the relationship between the recruitment strategy and ‘twists’ between the thorax and pelvis
- How to treat and train to restore form and function of the abdominal wall
- To discuss the current clinical theories as to when a surgical consultation should be considered for repair of the linea alba
Dates (2019): Feb 23, 24
Reference text for this course: It is required that each participant obtain a copy of Diastasis Rectus Abdominis – A Clinical Guide for those who are Split Down the Middle – it is your handout for the course
Course size: 24 participants – open to all practitioners who work with peri-partum women
Instructor: Tamarah Nerreter (ISM assistant and associate at Diane Lee & Associates)
To register or for information on this course https://learnwithdianelee.com/course/the-abdominal-wall-after-pregnancy-diastasis-rectus-abdominis/
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