Abdominal Muscles Recovery Response to Kinesiotaping in Women With Postnatal Diastasis

Not Applicable

• Conditions: Diastasis Recti
• Interventions: Other: Kinesiotaping; Other: Abdominal Exercises

• Registration Number: NCT04932772
• Lead Sponsor: October 6 University

Brief Summary

This study aims to investigate abdominal muscle recovery in response to KT by using objective method for assessment as digital caliper, and waist circumference. KT technique will include rectus abdominis, internal and external oblique muscles among females after normal vaginal delivery.

Detailed Description

Not available

Study Timeline

• Study Start: 2021-05-15
• Status Verified: 2021-06
• Study First Submitted: 2021-06-04
• Study First Submitted QC: 2021-06-12
• Study First Posted: 2021-06-21
• Last Update Submitted: 2021-06-26
• Last Update Posted: 2021-06-29
• Primary Completion: 2022-03-15
• Study Completion: 2022-03-15

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: Female
• Target Recruitment: 24

Inclusion Criteria

1. Age will range from 25-35 years.
2. All women give birth by normal vaginal delivery.
3. Diastasis recti more than 2.5 cm at any point along linea alba.
4. Body mass index (BMI) less than 30 kg/m2.
5. After the end of Puerperium period i.e. after eight weeks postnatal.

Exclusion Criteria

1. Women with skin over sensitivity to tape.
2. Women with abdominal skin diseases.
3. Abdominal hernia.
4. Previous cesarean section.
5. Multiple pregnancies more than 3 times.
6. Other abdominal or back operation.
7. Pregnancy related complications such as polyhydramnios, fetal macrostomia, diabetes, and hypertension.
8. Spinal disorders.
9. Lower limbs deformities.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group A (kinesiotaping group)	Kinesiotaping	include 24 women will receive kinesiotaping combined with abdominal exercise (2sessions /week for eight weeks).
Group A (kinesiotaping group)	Abdominal Exercises	include 24 women will receive kinesiotaping combined with abdominal exercise (2sessions /week for eight weeks).
Group B (abdominal exercise group)	Abdominal Exercises	include 24 women will receive abdominal exercise only.

Primary Outcome Measures

Name	Time	Method
Change from Abdominal Caliper at 8 weeks	Baseline and after 8 Weeks	A nylon digital caliper (ISS carbon digital caliper, 0-75 / 0.01 mm) will be used to measure the inter-recti distance. The subject is positioned in a crook lying position on a portable floor mat without a pillow under her head, knees flexed to 90 degrees and hands relaxed on her thigh. Before the measurement the investigator marks the reference points with a tape measure and a removable pen on the abdominal wall: at the superior border of the umbilicus; 5 cm and 10 cm above the umbilicus; 2.5 cm and 5 cm below the umbilicus. Then while the subject was exhaling, she is instructed to lift her head and shoulders up, slide her hands towards her knees, until the inferior angle of scapulae are just off the mat. She maintains the curl-up for three seconds while the measurement was taken. Meanwhile the instructor palpated the medial borders of the rectus abdominis muscle, put the caliper to the measurement point and measured the inter-rectum diastasis (IRD).

Secondary Outcome Measures

Name	Time	Method
Change from The Oswestry Low Back Pain Disability Questionnaire at 8 weeks	Baseline and after 8 Weeks of training	The Oswestry Disability Index (also known as the Oswestry Low Back Pain Disability Questionnaire) is an extremely important tool that researchers and disability evaluator's use to measure a patient's permanent functional disability. The test is considered the 'gold standard' of low back functional outcome tools. The questionnaire include 10 sections. results will be calculated from the sum of the scores in each of 10 sections. Each section includes ratings from ZERO (no problem) to FIVE (complete disability). Section 1, pain intensity, section 2, personal care (washing, dressing etc.), section 3, lifting, section 4, walking, section 5, sitting, section 6, standing, section 7, sleeping, section 8, sex life (if applicable), section 9, social life, section 10, travelling. The score is calculated as: 100 x (sum of the scores in each section / number of sections scored X5). Minimum = 0, maximum = 100. Higher scores mean a worse outcome.
Change from Waist circumference at 8 weeks	Baseline and after 8 Weeks of training	It will be used for evaluating the recovery of the abdominal muscles by using tape measurement according to the standard set out by the world health organization when women in standing position at end of normal expiration without compression on skin.
Change from Abdominal strength and endurance test one minute sit-up test at 8 weeks	Baseline and after 8 Weeks of training	For assessment abdominal muscles endurance women will be lie down on exercise mat with knees bent and hand placed across the chest or on ears. The women feet are held by one physiotherapist. The examiner will ask the participant to go and simultaneously start stop watch. On listening the command the women will be lifting her upper body and touch knees with elbows and perform the same as many times as possible for next one minute. This procedure includes three trails of sit-ups test each for one minute, the final score will be the best of three attempts for assessment abdominal muscles strength. A 70° wood support was placed at the back of the patient.

Trial Locations

Locations (1)

October 6 University Hospital; 🇪🇬 Al Ḩayy Ath Thāmin, Giza, Egypt