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Treatment Possibilities for Children with cDRA

Treatment Possibilities for Children with cDRA

Treatment Possibilities for Children with cDRA

This course includes
3:00:00 of Course Material (View)
Lifetime access after purchase
Certificate of completion
This course was recorded in June 2023


This online course will provide updated information and literature that were published since the first Congenital Diastasis of Rectus Abdominis (cDRA) course in November 2021. We strongly recommend that you watch the first webinar ahead of this online course. On checkout, you will be offered the option to purchase both courses at a discount.

In this online course 'Treatment Possibilities for Children with cDRA', we will:

  • Review the signs and symptoms of cDRA (orange and red flags)
  • Discuss the suggested classification and measurements for children
  • Introduce the posture break test specific for patients' problems 
  • Introduce the novel dynamic neuromuscular stabilization test
  • Teach reasoning treatment. This includes:
    • Anatomy and function of the muscles and the trunk
    • The need to close the gap as much as possible
    • Treatment sequence for normal development
    • Awareness of the pressure systems (M. Massery)
    • Various disorders and symptoms
  • Use tape to assess and inform the brain

Treatment goals and suggestions will be presented, including various case examples.

Learning Objectives

In this course, you will learn to:

  1. Describe the signs and symptoms of diastasis
  2. Understand the important roles of the linea alba and rectus abdominis muscle in force transmission
  3. Describe the new classification and assessments used in children
  4. Understand how to use the posture break test
  5. Understand how to use tape as an assessment (and treatment) tool
  6. Be able to apply concepts of exercise sequencing to the variety of patients presenting with cDRA
  7. Apply knowledge of the physiological movement direction of skin and have an understanding of the effects of skin stretch when using tape


There are no prerequisites to join this online course; however, it is strongly recommended that you first take the course Congenital Diastasis Rectus Abdominis by Esther de Ru. On checkout you will be offered the option to purchase both courses at a 20% discount.

The instructors
Esther de Ru

Esther de Ru is a physiotherapist from the Netherlands whose passion and energy for all things related to pediatrics is stunning. Maybe best known for her work in elastic therapeutic taping, she is keenly interested in skin, our outer brain, using skin stretch and massage to enhance movement and address dysfunction. Her other passion is scoliosis management. She is certified in NDT Bobath, NDT/Mueller, pre-logopedia, Vojta, Sports, Orthopedic Manual Therapy, P.N.F., Bugnet, Sensory Motor Therapy & Motor Remedial Teaching. She developed the Skin Approach to Taping method and she has published on this topic.

As past chair of the Committee Practice of the IOPTP (International Organisation of Physical Therapists in Paediatrics) and international instructor and author, Esther emphasizes the need to work very hands-on in our profession.

Semi-retired, Esther travelled the world teaching and sharing her knowledge as a true clinician who values not only the evidence base, but the patient's experience and the intuitive wisdom that comes with real work in the real world. She has gained her experience working in four European countries. She is a respected international speaker, and provides mentoring to therapists world wide through the Clinical Excellence Online CEO WiredOn program.

Course Material included in this course
  • Welcome and Resources
  • Welcome!
  • The DRA protocol
  • Downloadable slides
  • References
  • Secrets of Quadratus Lumborum Muscle Revealed: Learn Integral Anatomy with Gil Hedley
  • Example linea alba and diastasis ultrasound imaging
  • Treatment Possibilities for Children with cDRA
  • Introduction
  • Additional Information (& Possible Relevance) of Research of People with Acquired DRA Since First cRDA Webinar
  • Are Outcome Consensus, Statements and Guidelines for Acquired DRA Relevant?
  • Outcome Polls, Flags and the Signs and Symptoms
  • Introducing Various European Methods; Content and Reasoning
  • Classifying & Assessing (Observe, Palpate, Test) & Explaining the Role of Tape
  • Case Examples: Clinical Reasoning, Goals and Treatment
  • Reflecting on my cRDA Journey so Far
  • Questions and Feedback
  • Feedback
  • Quiz
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