[en] Introduction: Abdominal diastasis is the separation of the rectus abdominis muscles as a consequence of connective tissue damage. This tissue lesion can occur supra or infraumbilical, being more common at the umbilical level. Diastasis of the rectus abdominis is present in both men and women, being more frequent the appearance of this clinical picture during pregnancy, since 52% of women at 8 weeks after delivery and 39% at 6 months after delivery present diastasis. The increase in the interrectal distance generates various functional and psychosocial alterations, which diminish the quality of life of the patients. Currently, there is no reference treatment for the conservative approach to this pathology. Objective: To compare the efficacy of a protocol of hypopressive abdominals vs. classic abdominals with pre-activation of the transversus abdominis in women with postpartum abdominal diastasis by means of ultrasound. Material and methods: A randomized controlled clinical trial with blinded explorer was designed. The study is performed in primiparous women between 25 and 40 years of age, diagnosed with diastasis of the rectus abdominis, and who have had a vaginal delivery with a single baby after more than 32 weeks of gestation. The hypopressive exercise protocol consists of 4 exercises while performing an adequate breathing pattern with good postural work. On the other hand, the classical abdominal protocol with transverse pre-activation consists of 3 exercises while performing transverse activation. To objectively measure whether both exercise protocols reduce diastasis of the rectus abdominis, ultrasound measurements will be taken in the first session and at the end of the study. On the other hand, the sensation of difficulty perceived by the patient, the time elapsed from delivery to the beginning of the treatment and whether there is visceral protrusion will also be taken into account.

[gl] Introdución: A diástase abdominal é a separación dos músculos do recto do abdome como resultado dun dano no tecido conxuntivo. Esta lesión pódese presentar supra ou infraumbilical, sendo máis común a nivel umbilical. A diástase do recto abdominal está presente tanto en homes como en mulleres, sendo máis frecuente a aparición deste cadro clínico durante o embarazo, xa que o 52% das mulleres ás 8 semanas do parto e o 39% aos 6 meses pasado o paristallo teñen diástase. O aumento da distancia entre os rectos abdominais xera varias alteracións funcionais e psicosociais, estas diminúen a calidade de vida dos pacientes. Actualmente, non hai tratamento de referencia para o enfoque conservador desta patoloxía. Obxectivo: comparar a eficacia dun protocolo de abdominais hipopresivos vs. abdominais clásicos con preacción de transverso en mulleres con diástase abdominal posparto mediante ecografía. Material e métodos: Deseñouse un ensaio clínico controlado aleatorizado, con explorador cego. O estudo realízase en mulleres primíparas entre 25 e 40 anos, diagnosticadas de diástase do recto abdominal e que tiveron un parto vaxinal cun bebé único despois de máis de 32 semanas de xestación. O protocolo de exercicio de hipopresivos consta de 4 exercicios, mentres se realiza un patrón respiratorio adecuado cun bo traballo postural. Doutra banda, o protocolo abdominal clásico con preactivación do transverso do abdome consta de 3 exercicios, mentres se realiza a activación do transverso. Para medir obxectivamente, se os dous protocolos de exercicios reducen a diástase do recto abdominal, realizaranse medidas ecográficas na primeira sesión e ao final do estudo. Non obstante, tamén se terá en conta a sensación de dificultade percibida polo paciente, tempo transcorrido dende o parto ao inicio do tratamento e se hai protrusión visceral.