Changes in Abdominal Muscles Performance in Postpartum Women.

Completed

• Conditions: Recti Diastasis; Pregnancy Related
• Interventions: Other: Physical therapy intervention

• Registration Number: NCT03425916
• Lead Sponsor: University of Alcala

Brief Summary

To describe and compare abdominal muscles and inter-rectus distance conditions in postpartum period in comparison with nulliparous women. Also to describe the activation changes during different abdominal exercises.

Detailed Description

Pregnancy and childbirth cause corporal changes in women, altering the structure and function of the abdominal and pelvic floor muscles. The distension of the muscular tissue and the possible diastasis recti can alter the performance of the abdominal musculature in the control of intra-abdominal pressure and the lumbo-pelvic stabilization in postpartum term. Abdominal exercise is highly recommended to restore these changes but there is not enough evidence about the effects of exercise modalities.

Study Timeline

• Study Start: 2017-09-01
• Primary Completion: 2018-01-08
• Study First Submitted: 2018-01-25
• Study First Submitted QC: 2018-02-01
• Study First Posted: 2018-02-08
• Status Verified: 2019-05
• Study Completion: 2019-05-06
• Last Update Submitted: 2019-05-06
• Last Update Posted: 2019-05-07

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 196

Inclusion Criteria

• Primiparous women
• Normal not operative delivery
• One child delivery

Exclusion Criteria

• Two or more previous gestation
• Previous abdominal surgery
• Systemic disease, neurologic or metabolic disease

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Primiparous women	Physical therapy intervention	Women after normal, not operative, vaginal one-child delivery

Primary Outcome Measures

Name	Time	Method
Inter-rectus distance (mm)	1 day	Inter-rectus abdominis distance in mm in rest position.

Secondary Outcome Measures

Name	Time	Method
Cross-sectional area (mm)	1 day	Cross-sectional area of rectus abdominis, external oblique, internal oblique and transversus abdominis in rest position.
Inter-rectus distance (mm) during an hypopressive exercise	1 day	Inter-rectus distance (mm) during an hypopressive exercise performance in supine position.
Neuromuscular activity (mV)	1 day	Neuromuscular activity (mV) of rectus abdominis, external oblique and internal oblique + transversus abdominis in rest position.

Trial Locations

Locations (1)

Beatriz Arranz Martin; 🇪🇸 Alcalá De Henares, Madrid, Spain