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PHYSIOTHERAPY OF RECTUS ABDOMINIS MUSCLE DISTENTION

PHYSIOTHERAPY OF RECTUS ABDOMINIS MUSCLE DISTENTION

During pregnancy, due to the growing uterus, the abdominal integuments (i.e. the peritoneum, fascial tissue, transversus abdominis muscle, oblique muscles, linea alba, semilunar folds and skin) undergo changes. The rectus abdominis muscles physiologically move away from each other and lengthen to give space to the growing baby in the mother’s womb. The distancing of the rectus abdominis muscles from each other is a natural process during pregnancy. After giving birth, they should physiologically return to their pre-pregnancy state. However, there are numerous factors that can disrupt the process of contracting the muscles, the linea and restoring them to their pre-pregnancy state. In cases of abdominal disorders, physiotherapy becomes helpful and is based on:

  • palpation to assess the degree of abdominal wall dysfunction,
  • the use of ultrasound thanks to which the functioning of particular muscles within the abdominal integuments, the width of the linea alba and semilunar folds, or even their possible damage are visualised,
  • assessing the patient’s posture – the functioning and appearance of the abdominal wall is influenced by the whole body (contractures, reduced mobility, restrictions, previous injuries),
  • performing functional tests – which allow to show the degree and quality of muscle work,
  • initiating a therapy adapted to the patient’s needs (manual therapy, taping),
  • implementation of breathing exercises, hypopressure activities,
  • home assignments for patient,
  • educating the patient in daily activities to support the therapy process.
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