Postural Stability, Pelvic Floor Dysfunction, Respiratory Muscle Strength in Post-partum Women With Diastasis Recti

Completed

• Conditions: Diastasis Recti; Postural Stability; Post-partum
• Interventions: Other: Measurement of postural stability

• Registration Number: NCT04181554
• Lead Sponsor: Bezmialem Vakif University

Brief Summary

The aim of this study is to determine the effect of inter-rectus distance on postural stability, pelvic floor dysfunction and respiratory muscle strength in women with diastasis recti abdominis.

Detailed Description

Diastasis of recti abdominis muscles (DRAM) is defined as a separation of the two rectus abdominis muscles along the linea alba. Increased volume in the abdominal cavity, hormonal changes during pregnancy, neurodevelopmental differences, or abdominal wall laxity may caused. It is very common during pregnancy and may continue for eight weeks in postnatal period. The loss of abdominal wall stability and weakened pelvic floor muscles may occur with DRAM. The abdominal wall is one of the key point for body posture, trunk and pelvic stability. However, in our best knowledge, there is no study in the literature that evaluates women with and without DRA in terms of components related to postural control systems.

Study Timeline

• Study Start: 2019-10-08
• Study First Submitted: 2019-11-26
• Study First Submitted QC: 2019-11-26
• Study First Posted: 2019-11-29
• Primary Completion: 2020-08-20
• Study Completion: 2021-01-22
• Status Verified: 2021-03
• Last Update Submitted: 2021-03-12
• Last Update Posted: 2021-03-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 51

Inclusion Criteria

• Post- partum women (min 8 weeks - max 5 years)

Exclusion Criteria

• Having a neurological, orthopedical or any other condition which affect postural stability.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
DRAM group	Measurement of postural stability	The post-partum women with DRAM

Primary Outcome Measures

Name	Time	Method
Sensory integration test score	6 minutes	'Sensory integration test' will be performed using Biodex Balance System®. Volunteers will stand still on the platform in condition eyes open and closed on the firm and soft (foam) surfaces. The test scores are sway index for each condition and a composite score. Lower scores present better postural stability.
Limits of stability test score	5 minutes	'Limits of Stability Test' will be performed using Biodex Balance System®. Subjects will stand on the platform and try to reach in eight directions spot that shown on the screen. The test results present scores for all eight directions and an overall score. Lower scores show worse performance (0= worst performance; 100= perfect performance)

Secondary Outcome Measures

Name	Time	Method
Respiratory muscle strength	5 minutes	Inspiratory and expiratory muscle strength has been assessed by maximal inspiratory and expiratory mouth pressures.
Abdominal Muscle Endurance	3 minutes	Volunteers will be asked to perform curl up position as long as possible. The duration time will be measured until a maximum 180 seconds.
Pelvic floor dysfunction	5 minutes	Pelvic floor dysfunction will be assessed using "Pelvic Floor Distress Inventory". Lower scores show better pelvic floor functions.

Trial Locations

Locations (1)

Bezmialem Vakıf University; 🇹🇷 Istanbul, Turkey