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It is well known that the abdominal wall plays a key role in function of the trunk and that pregnancy and delivery can have a significant, and long lasting, impact on both its appearance and function. Widening of the linea alba and separation of the recti, known as diastasis rectus abdominis (DRA), may impact both the appearance of the abdomen and the function of the trunk and many believe that closure of the DRA is a pre-requisite for improving appearance and function.  Women with this condition often ask whether surgery will help them and currently there are no evidence-based guidelines for clinicians to know which patients with DRA are appropriate for conservative treatment and which ones will also require surgery. Who to treat, who to refer and how to close the DRA were the initial questions in 2006 that prompted further study (and ultimately this clinical guide) for this subgroup of postpartum women.

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  • How wide can the linea alba be and still ensure a functional abdominal wall?
  • What is the best way to close the DRA and restore both the appearance and function of the abdominal wall? Is closing a DRA necessary or the best goal?
  • Are there key clinical findings that suggest when surgery should be recommended for postpartum women with DRA?

Clinical Guide Research

After over a decade of clinical and research enquiry on best ways to help postpartum women recover their abdominal wall appearance and function, the answers to these questions are becoming clear. This clinical guide, complete with over 130 online videos, will present an evidence-based approach (current available research combined with clinical expertise) for clinicians and trainers working with postpartum women who aim to improve the function and appearance of their abdominal wall.

Includes access to over 130 online videos!

Scan the QR codes in the book with your phone or tablet to access the related video on this site


Take a look at these example videos to get an idea on what the book holds.

Impact of TrA on distortion of the linea alba in a functional DRA
Video 4.27
Specific release for the intermediate fibres of the internal oblique
Video 6.16
Isolation training for transversus abdominis and the pelvic floor: checking the connect cue in an individual with DRA
Video 6.27
Upper abdominal curls in an individual with DRA
Video 6.31
Seated lower abdominal curls with progressions in an individual with DRA
Video 6.38
Warrior II - Triangle - Half Moon
Video 6.45

About the author – Diane Lee

Diane Lee is a member of the Canadian Physiotherapy Association (CPA), a Lifetime Membership Award recipient and Fellow of the Canadian Academy of Manipulative Therapists and recognized by CPA as a clinical specialist in Women’s Health for her expertise in the thorax, pelvic girdle and abdominal wall. She is the owner, director and practicing physiotherapist at Diane Lee & Associates ( and the lead developer and instructor of an online/in-class education company Learn with Diane Lee ( For over 35 years Diane has been passionate about helping women, and clinicians/trainers who work with women, remain healthy and active through all the challenges of pregnancy, delivery and aging.

Additional information

Weight 0.707 kg
Dimensions 24 x 17.5 x 5 cm


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