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临床试验/NCT05931159
NCT05931159已完成不适用

Effects of Abdominal Hypopressive Exercises on Diastasis Recti in Postpartum Women

Riphah International University2 个研究点 分布在 1 个国家目标入组 38 人开始时间: 2023年6月13日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
38
试验地点
2
主要终点
Inter Recti Distance

研究概览

简要总结

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.

详细描述

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.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Single (Outcomes Assessor)

入排标准

年龄范围
18 Years 至 45 Years(Adult)
性别
Female
接受健康志愿者

入选标准

  • 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

排除标准

  • 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

结局指标

主要结局

Inter Recti Distance

时间窗: 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

时间窗: 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

时间窗: 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'.

次要结局

  • Body Shape Questionnaire(8th Week)
  • Double Leg lowering test(8th Week)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (2)

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