Hypopressive Abdominal Exercise Effectiveness in Postpartum Abdominal Diastasis, Tone of the Transverse Muscle and the Pelvic Floor Muscles - Case Series
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 15
- 试验地点
- 2
- 主要终点
- Abdominal Diastasis - post-intervention 3
研究概览
简要总结
The prevalence of abdominal diastasis is high in postpartum. The abdominal diastasis can impair the body posture, the of lumbo-pelvic stability and movement, or breathing. Exercises focused on the transversus abdominis muscle have been proposed as a therapeutic approach for abdominal diastasis.
Hypopressive abdominal exercises have been used for postpartum recovery, for specific pathologies related to pregnancy (low back pain, pelvic floor dysfunction ...) and even for the rehabilitation of spinal pathologies. However, there is a lack of studies that determine its effectiveness and clinical utility.
The aim of the study will be to analyze the effects of Hypopressive abdominal exercises on postpartum abdominal diastasis, the tone of the transverse abdominal muscle and the pelvic floor musculature.
A case series design will be applied, with weekly assessment of the outcomes after the intervention and two months after the intervention.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 30 Years 至 50 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •primiparous or multiparous
- •abdominal diastasis previously diagnosed
- •commitment to perform, at least, 80% of the exercises
- •signed informed consent
排除标准
- •BMI > 40 Kg/m2
- •pelvic floor disorders before childbirth
- •drugs with effects on continence or functional properties of the pelvic floor muscles
- •treatment for abdominal diastasis in the last 6 months
- •systemic disease that impairs pelvic floor physiology and urination
- •menopause
- •contraindications to the practice of physical exercise and physical therapy
结局指标
主要结局
Abdominal Diastasis - post-intervention 3
时间窗: Two months after the intervention
Supraumbilical distance between the rectus abdominis * Assessment tool: caliper (electronic, calibrated, precision: 1 mm) * Subject position: supine * Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical
Abdominal Diastasis - Baseline
时间窗: Pre-intervention
Supraumbilical distance between the rectus abdominis * Assessment tool: caliper (electronic, calibrated, precision: 1 mm) * Subject position: supine * Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical
Abdominal Diastasis - post-intervention 1
时间窗: Immediately after the intervention
Supraumbilical distance between the rectus abdominis * Assessment tool: caliper (electronic, calibrated, precision: 1 mm) * Subject position: supine * Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical
Abdominal Diastasis - post-intervention 2
时间窗: One month after the intervention
Supraumbilical distance between the rectus abdominis * Assessment tool: caliper (electronic, calibrated, precision: 1 mm) * Subject position: supine * Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical
次要结局
- Perineal tonometry - Baseline(Pre-intervention)
- Waist circumference - Baseline(Pre-intervention)
- Abdominal tonometry - post-intervention 1(Immediately after the intervention)
- Abdominal tonometry - Baseline(Pre-intervention)
- Chest circumference - Baseline(Pre-intervention)
- Perineal tonometry - post-intervention 1(Immediately after the intervention)
- Waist circumference - post-intervention 1(Immediately after the intervention)
- Chest circumference - post-intervention 1(Immediately after the intervention)
- Abdominal tonometry - post-intervention 2(One month after the intervention)
- Waist circumference - post-intervention 2(One month after the intervention)
- Chest circumference - post-intervention 2(One month after the intervention)
- Abdominal tonometry - post-intervention 3(Two months after the intervention)
- Perineal tonometry - post-intervention 2(One month after the intervention)
- Perineal tonometry - post-intervention 3(Two months after the intervention)
- Waist circumference - post-intervention 3(Two months after the intervention)
- Chest circumference - post-intervention 3(Two months after the intervention)
研究者
Francisco Alburquerque-Sendín
Ph D, Associate Professor
Universidad de Córdoba