Effect of Pilates Exercises on Diastasis Recti Abdominis in Postpartum Women
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Measurement of separation between the two-rectus abdominis muscles below the umbilicus during contraction
研究概览
简要总结
The purpose of the study was to investigate the effect of Pilates exercises on diastasis recti abdominis in postpartum women.
详细描述
Rectus diastasis is relatively common having negative health consequences for women during and after pregnancy (ante-and postnatal periods). Varying estimates of incidence of rectus diastasis have been reported ranging from 66% to 100% during the third trimester of pregnancy, and up to 53% immediately after delivery. Among patients with urogynecological disorders, 52% were found to have a rectus diastasis and 66% had at least one type of pelvic floor dysfunction.
A diastasis can contribute to lower back pain and strain due to other muscles being overworked or compensating for the lack of integrity of abdominals, unstable core, pelvic and back muscles, poor posture, shallow breathing and uterine prolapse. This may result in altered trunk mechanics, impaired pelvic stability and changed posture, which leave the lumbar spine and pelvis more vulnerable to injury.
Facilitation, concentric activation, and stabilization of the abdominal muscles occurred during core stability exercise are used to correct diastasis recti. Pilates has been known to improve the strength and flexibility of muscles, particularly the abdominal muscles, lower back, hip and buttocks i.e. the core musculature thus helping in improving core stability.
Uptill now, there was no previous studies have examined the impact of Pilates training on rectus abdominis diastasis in postpartum women. So, this study will be valuable benefits for medical services organizations and will increase body of knowledge of physical therapists in scientific field.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- 20 Years 至 35 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Postpartum women (7 days after delivery) having diastasis recti (separation between the two recti more than 2.5cm at the level of umbilicus).
- •Multiparous women (2-3) times delivered vaginally with or without episiotomy.
- •Their age ranged from 20 -35 years old.
- •Their BMI was less than 30 kg/cm2.
排除标准
- •Abdominal or back surgery.
- •Abdominal hernia.
- •History of abnormal pregnancy, uterine fibroid or polyhydraminos during pregnancy.
- •Neurological disorders as multiple sclerosis, stroke and spinal lesion.
- •Musculoskeletal diseases such as fractures muscle strains, severe knee osteoarthritis which may affect their physical activity.
研究组 & 干预措施
Abdominal belt
It consisted of 25 postpartum women who wore abdominal belt for 8 weeks.
干预措施: Abdominal belt (Other)
Abdominal belt + Pilates exercises
It consisted of 25 postpartum women who followed Pilates training program, 3 times/week for 1 hour the session in addition to wearing abdominal belt, for 8 weeks
干预措施: Abdominal belt (Other)
Abdominal belt + Pilates exercises
It consisted of 25 postpartum women who followed Pilates training program, 3 times/week for 1 hour the session in addition to wearing abdominal belt, for 8 weeks
干预措施: Pilates exercises (Other)
结局指标
主要结局
Measurement of separation between the two-rectus abdominis muscles below the umbilicus during contraction
时间窗: 8 weeks
The distance between the recti muscles was measured 4.5 cm below the umbilicus during contraction at the beginning and again at the end of the study duration.
Assessment of static trunk flexion endurance
时间窗: 8 weeks
It was tested before and after the end of the study program by adopting the most challenging position that was achieved in the strength test, and instructing the participating women to hold that position as long as possible. Standardized verbal encouragement was provided by the assessor, and the holding time was determined using a stopwatch. Three repetitions of the static endurance test were performed with at least 3 minutes of rest between trials; the best (longest holding time) of the three trials was used to represent the participant's endurance. The same position used to evaluate trunk flexion endurance at the initial evaluation was used in subsequent evaluations, even if the woman's strength grade improved between evaluations.
Measurement of separation between the two-rectus abdominis muscles above the umbilicus at rest
时间窗: 8 weeks
The distance between the recti muscles was measured 4.5 cm above the umbilicus at rest at the beginning and again at the end of the study duration.
Measurement of separation between the two-rectus abdominis muscles at level of the umbilicus during contraction
时间窗: 8 weeks
The distance between the recti muscles was measured at level of the umbilicus during contraction at the beginning and again at the end of the study duration.
Assessment of trunk flexion strength
时间窗: 8 weeks
Trunk flexion strength was graded from 0 to 5 using Daniels and Worthingham's procedure before and after the end of the study program. For grades 3-5, the patient curled up through the full range of motion until the scapulae cleared the table. For grade 2, the patient just lifted their head off the table. For grades 0 and 1, the therapist used assisted forward lean or coughing techniques while palpating the rectus abdominis.
Measurement of separation between the two-rectus abdominis muscles above the umbilicus during contraction
时间窗: 8 weeks
The distance between the recti muscles was measured 4.5 cm above the umbilicus during contraction at the beginning and again at the end of the study duration.
Measurement of separation between the two-rectus abdominis muscles at level of the umbilicus at rest
时间窗: 8 weeks
The distance between the recti muscles was measured at level of the umbilicus at rest at the beginning and again at the end of the study duration.
Measurement of separation between the two-rectus abdominis muscles below the umbilicus at rest
时间窗: 8 weeks
The distance between the recti muscles was measured 4.5 cm below the umbilicus at rest at the beginning and again at the end of the study duration.
次要结局
- Assessment of functional status(8 weeks)
研究者
Asmaa Esam Ghareeb Hasan
Principal Investigator
Cairo University