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This course, builds on the level 1 course will provide clinicians with a detailed description of strategies related to prevention of diastasis rectus abdominis through the intra-partum phase of the perinatal care period and advanced consideration for care in the post-partum phase. The role of the rehabilitation professional in relation to childbirth will be explored as will impairments that persist after long after childbirth. All potentional and established relationships with diastasis recti abdominis will be described in terms of the theoretical model of the canister . An overview of the scientific evidence on the principles of muscle and connective tissue remodeling, as well as the physiological and hormonal principles that may alter these during the postnatal period, will be given.
Knowledge on the elements considered in the full assessment method seen in level 1 will be reviewed and expanded two-ways. First, these elements will be assessed using a valid and reliable measurement tool: ultrasound. Also, some of the measurements will be applied in situations of high increases in abdominal pressure, as required in certain tasks or physical activities. Identification of obstacles to progression and considerations in terms of hormonal dysfunctions, umbilical hernias and surgery will be discussed. Finally, modalities beyond therapeutic exercise that support rehabilitation of abdominal wall dysfunction and diastasis recti abdominis in the context of the advanced postpartum period will be explored and reviewed.
Objectives:
- Understand the role of the healthcare professional in the intrapartum phase and strategies for managing abdominal pressure during childbirth.
- Understand the principles of tissue remodeling and the impact of the postpartum period on them.
- To further deepen an integral assessment approach for the abdominal wall and the linea alba through ultrasound measurements and tasks generating high abdominal pressure.
- Recognize barriers limiting rehabilitation and know how to intervene.
- Acquire and master advanced conservative management modalities for persistant diastasis in the advanced postpartum phase.