Effect of Mobile App-Based Exercises on Diastasis Rectus Abdominis in Post-Cesarean Mothers: A Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- South Valley University
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Inter-recti Separation
Overview
Brief Summary
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.
Detailed Description
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Investigator)
Eligibility Criteria
- Ages
- 25 Years to 35 Years (Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •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
Exclusion Criteria
- •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
Outcomes
Primary Outcomes
Inter-recti Separation
Time Frame: 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.
Secondary Outcomes
- 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)
Investigators
Mohamed Gamal Abouelyazeed Ali
Lecturer of Physical Therapy for Women's Health
South Valley University