Effect of Mobile App-Based Exercises on Diastasis Rectus Abdominis in Post-Cesarean Mothers: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Inter-recti Separation
研究概览
简要总结
Diastasis recti abdominis, or rectus diastasis, is the separation of the two parts of the rectus abdominis muscle along the midline of the linea alba, without any visible defect in the fascia.
Diastasis recti abdominis is most frequent during pregnancy and postpartum especially, after cesarean birth.
详细描述
Cesarean births were linked to significant post-operative changes in the thickness of abdominal fasciae and muscles when compared to vaginal births and these changes may be involved in the higher rates of diastasis recti post-cesarean births.
Managing diastasis recti abdominis begins with its diagnosis, followed by targeted interventions.
Diagnosis usually involves manual palpation to estimate the gap between the rectus abdominis muscles along the tendinous sheet of the linea alba. Updated imaging techniques, such as magnetic resonance imaging (MRI) and ultrasound, are now more frequently used for diagnosis.
Treatment either surgical or conservative; emphasizes physical therapy and personalized exercise programs. This method targets strengthening specific core muscles, such as the transverse abdominis and the pelvic floor.
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
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 25 Years 至 35 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •First-time mothers who delivered by a cesarean birth
- •Post-cesarean women between 25 and 35 years old
- •Women with a Diastasis Recti of at least 1 cm separation above the umbilicus and at least 0.5 cm separation below the umbilicus
排除标准
- •First-time mothers who delivered by a vaginal birth
- •Multiparous mothers
- •Those who have not a Diastasis Recti
- •Mothers under 25 years old and those above 35 years old
研究组 & 干预措施
Group A
20 first-time mothers participated in a mobile app-guided exercise program focusing on abdominal muscles. The app was downloaded during their initial visit to supplement their treatment, which they conducted at home three times a week for eight weeks. They also attended follow-up sessions once a week.
干预措施: Mobile app-directed exercise program (Other)
Group B
20 first-time mothers participated in a specific abdominal exercise program that included static abdominal exercises, head lifts with posterior pelvic tilting, and progressive curl-up exercises. The exercises were performed for 30 minutes, three times a week, for eight weeks as part of a home routine, along with a weekly follow-up session.
干预措施: Traditional Abdominal Exercises (Other)
结局指标
主要结局
Inter-recti Separation
时间窗: Assessment was done pre treatment sessions and immediately after 8 weeks of treatment sessions
The distance between the medial borders of the rectus abdominis muscles measured in Centimeters (cm) by the diagnostic Ultrasound.
次要结局
- Abdominal muscle strength(Assessment was done pre treatment sessions and immediately after 8 weeks of treatment sessions)
- Girth measurements(Assessment was done pre treatment sessions and immediately after 8 weeks of treatment sessions)
- Satisfaction level(Assessment was done immediately after 8 weeks of treatment sessions)
研究者
Mohamed Gamal Abouelyazeed Ali
Lecturer of Physical Therapy for Women's Health
South Valley University