{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:37:14Z","timestamp":1753893434470,"version":"3.41.2"},"reference-count":14,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T00:00:00Z","timestamp":1738627200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontierspartnerships.org"],"crossmark-restriction":true},"short-container-title":["J. Abdom. Wall Surg."],"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>This study evaluates the impact of the minimal incision repair of rectus abdominis diastasis (MIRRAD) procedure on physical activity, muscle strength, quality of life, and overall satisfaction in women with postpartum rectus abdominis diastasis (PP-RAD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cohort of 31 female patients, aged 20\u201350\u00a0years, diagnosed with PP-RAD unresponsive to conservative treatment, underwent the MIRRAD procedure. Assessments were conducted preoperatively and 1\u00a0year postoperatively, these included the Modified Abdominal Trunk Function Protocol (MATFP), Disability Rating Index (DRI), and Urinary Disability Index (UDI) questionnaires. Physical activity intensity was monitored using accelerometers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Significant improvements were observed in vigorous physical activities (Z = \u22122.352, <jats:italic>p<\/jats:italic> = 0.019), vector magnitude counts per minute (Z = \u22122.163, <jats:italic>p<\/jats:italic> = 0.031), and steps per minute (Z = \u22123.131, <jats:italic>p<\/jats:italic> = 0.002). DRI showed significant improvements in physical tasks like dressing, walking, and strenuous work (Z ranging from \u22122.705 to \u22124.603, <jats:italic>p<\/jats:italic> &amp;lt; 0.001). UDI indicated significant improvements in urinary symptoms, including reduced frequency (Z = \u22122.984, <jats:italic>p<\/jats:italic> = 0.003) and less urinary leakage (Z = \u22122.357, <jats:italic>p<\/jats:italic> = 0.018). MATFP demonstrated gains in back and abdominal muscle strength (Z = \u22124.321, <jats:italic>p<\/jats:italic> &amp;lt; 0.001) and trunk stability (Z = \u22123.991, <jats:italic>p<\/jats:italic> &amp;lt; 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The MIRRAD procedure significantly improves physical strength, trunk stability, and urinary function, enhancing daily activities and overall physical health in women with PP-RAD. Further research is recommended to evaluate long-term outcomes.<\/jats:p><\/jats:sec>","DOI":"10.3389\/jaws.2024.13830","type":"journal-article","created":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T07:58:11Z","timestamp":1738655891000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Minimal Incision Repair of Rectus Abdominis Diastasis on Quality of Life and Stress Incontinence: A Prospective Study"],"prefix":"10.3389","volume":"3","author":[{"given":"Asmatullah","family":"Katawazai","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00f6ran","family":"Wallin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"\u00c4rleb\u00e4ck","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriel","family":"Sandblom","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,2,4]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1189","DOI":"10.1093\/bjs\/znab128","article-title":"European Hernia Society Guidelines on Management of Rectus Diastasis","volume":"108","author":"Hern\u00e1ndez-Granados","year":"2021","journal-title":"Br J Surg"},{"key":"B2","doi-asserted-by":"publisher","first-page":"518","DOI":"10.1111\/jocn.15568","article-title":"Diastasis Recti Abdominis in Adult Women Based on Abdominal Computed Tomography Imaging: Prevalence, Risk Factors and its Impact on Life","volume":"30","author":"Wu","year":"2021","journal-title":"J Clin Nurs"},{"key":"B3","doi-asserted-by":"publisher","first-page":"891","DOI":"10.1093\/ptj\/pzy083","article-title":"Comparison of Trunk Muscle Function Between Women With and Without Diastasis Recti Abdominis at 1 Year Postpartum","volume":"98","author":"Hills","year":"2018","journal-title":"Phys Ther"},{"key":"B4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.physio.2013.08.005","article-title":"Effects of Exercise on Diastasis of the Rectus Abdominis Muscle in the Antenatal and Postnatal Periods: A Systematic Review","volume":"100","author":"Benjamin","year":"2014","journal-title":"Physiotherapy"},{"key":"B5","doi-asserted-by":"publisher","first-page":"7031","DOI":"10.3390\/ijerph19127031","article-title":"The Effect of Core Exercise Using Online Videoconferencing Platform and Offline-Based Intervention in Postpartum Woman With Diastasis Recti Abdominis","volume":"19","author":"Kim","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"B6","doi-asserted-by":"publisher","first-page":"428","DOI":"10.1186\/s12905-022-02009-0","article-title":"Primiparous Women\u2019s Knowledge of Diastasis Recti Abdominis, Concerns About Abdominal Appearance, Treatments, and Perceived Abdominal Muscle Strength 6\u20138 Months Postpartum. 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