Ab Separation: Should we "Close the Gap"?

Friday, May 31, 2024 06:30 PM - Comment(s) - By Nav Grewal, PT

New insights into how to improve your stomach function

Introduction: Diastasis recti, a separation of the abdominal muscles, is a common concern, especially among postpartum individuals. In our quest to address this condition, understanding the role of the transverse abdominis muscle becomes paramount. In this blog post, we'll explore how engaging the transverse abdominis can aid in reducing bulging and improving core strength, rather than solely focusing on "closing the gap."

Understanding Diastasis Recti: Diastasis recti occurs when the connective tissue between the rectus abdominis muscles stretches, leading to a visible separation or bulge in the abdomen. While traditionally, the focus has been on "closing the gap," recent research suggests a shift towards creating tension in the linea alba to reduce bulging and improve core function.

The Role of Transverse Abdominis Contraction: The transverse abdominis muscle, often dubbed the "corset muscle," plays a crucial role in providing stability and support to the abdomen and pelvis. While it may not directly "close the gap" in diastasis recti, engaging the transverse abdominis can help flatten the linea alba and reduce bulging by creating tension across the abdominal wall.

How Transverse Abdominis Contraction Helps: By contracting the transverse abdominis, individuals can:

  1. Flatten the Linea Alba: Engaging the transverse abdominis helps create tension in the linea alba, the connective tissue between the rectus abdominis muscles. This tension reduces bulging and promotes better alignment of the abdominal muscles.
  2. Enhance Core Stability: Strengthening the transverse abdominis improves core stability, reducing the risk of injury and enhancing overall functional movement patterns.
  3. Support Pelvic Floor Health: A strong transverse abdominis can indirectly support pelvic floor function by providing stability to the pelvis and reducing intra-abdominal pressure.

Exercises to Strengthen the Transverse Abdominis: To target and strengthen the transverse abdominis, individuals can incorporate the following exercises into their routine:

  • Transverse abdominis activation drills
  • Belly breathing with a focus on engaging the transverse abdominis
  • Pelvic floor-friendly core exercises such as bird dogs and modified planks
  • Incorporating transverse abdominis engagement into daily activities like lifting and carrying

Seeking Professional Guidance: As with any exercise program, it's essential to seek guidance from a qualified healthcare professional, such as a physical therapist specializing in pelvic health. They can provide personalized recommendations and ensure that exercises are performed correctly and safely.

Conclusion: In addressing diastasis recti, the focus should shift from solely "closing the gap" to creating tension in the linea alba and reducing bulging. By engaging the transverse abdominis muscle through targeted exercises and seeking professional guidance, individuals can strengthen their core, improve abdominal function, and enhance overall well-being.

Nav Grewal, PT