Effects of Abdominal Hypopressive Exercises on Diastasis Recti in Postpartum Women
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 38
- Locations
- 1
- Primary Endpoint
- Inter Recti Distance
Study Overview
Brief Summary
This study is aimed to determine the effects of Abdominal Hypopressive exercises on IRD, Lumbopelvic pain, Body Image and abdominal muscle function in postpartum women.
Detailed Description
Postnatal women wish to resume abdominal exercises shortly after delivery to improve trunk function and restore the pre-pregnant state of the body. Diastasis recti is a common occurrence in the postpartum period which is associated with both physical impairments and body image concerns. Despite the high prevalence, treatment options are still being explored to identify the best approach to resolve it. Exercise is a conservative method to reduce IRD and improve the associated symptoms and quality of life of postpartum females. Most of the previous studies have used either digital nylon calipers or digital palpation methods for the outcome assessment of DrA which has important implications. Fewer studies have used the gold standard US diagnosis. Despite various studies being conducted on the effect of exercise on DrA, the results are still nonconclusive with a deficiency of a standardized protocol. Multifaceted and clinically meaningful assessments have been proposed to be investigated by the previous literature.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 45 Years (Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •12 weeks to 36 weeks postpartum
- •Both vaginal delivery and C-section
- •Lumbopelvic pain (NPRS >4)
- •Diagnosis of DrA by calliper: 3 cm below the umbilicus: >22 mm, at the umbilicus: >20 mm, 3 cm above the umbilicus: >14 mm
- •Primiparous females
Exclusion Criteria
- •Any conditions affecting the ability to perform exercise or activity of daily living.
- •Previous spinal or abdominal surgery, and neuromuscular diseases.
- •Severe DrA >5cm with the herniation or requiring surgical repair.
- •LBP associated with disc herniation, spondylolysis, and degenerative changes of the spine
Arms & Interventions
Abdominal Hypopressive Training
The Abdominal hypopressive Exercises along with home plan based on conventional exercises.
Intervention: Abdominal Hypopressive Training (Other)
Conventional Physical therapy for DrA
Draw-in maneuver in supine, quarduped, prone lying, bent leg fall outs, curl ups, and front and side planks.
Intervention: Conventional Physical therapy for DrA (Other)
Outcomes
Primary Outcomes
Inter Recti Distance
Time Frame: 8th Week
Changes from baseline Ultrasound imaging (US) is the gold standard for IRD assessment. USI is an accurate and valid method of measuring IRD size and location. Patient will be graded as having an IRD of \> 22 mm, 3 cm below the umbilicus OR \> 20 mm at the umbilicus OR \>14 mm, 3 cm above the umbilicus.
The Oswestry Disability Index
Time Frame: 8th Week
Changes from baseline The Oswestry Disability Index (ODI) is a validated, 10-point patient-reported outcome questionnaire. The final score/index ranges from 0-100. A score of 0-20 reflects minimal disability, 21-40 moderate disability, 41-60 severe disability, 61-80 crippled, and 81-100 bed-bound.
Lumbopelvic Pain
Time Frame: 8th Week
Changes from baseline The NPRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain. Zero usually represents 'no pain at all' whereas the upper limit of 10 represents 'the worst pain ever possible'.
Secondary Outcomes
- Body Shape Questionnaire(8th Week)
- Double Leg lowering test(8th Week)