The Effect of Conservative Interventions on the Signs and Symptoms of Diastasis Recti

Not Applicable

Completed

• Conditions: Diastasis Recti And Weakness Of The Linea Alba
• Interventions: Other: Exercise therapy; Other: Abdominal binding

• Registration Number: NCT02268110
• Lead Sponsor: Queen's University

Brief Summary

The purpose of this study is to determine the effect of two different physiotherapeutic interventions (exercise therapy and/or abdominal binding) on the signs and symptoms of diastasis recti in post-partum women.

Detailed Description

This study is investigating the effect of exercise therapy and/or abdominal binding on inter-rectus distance, abdominal muscle strength and endurance, lumbopelvic dysfunction, urogynecological complaints, perceived function, and body image in post-partum women with diastasis recti

Study Timeline

• Study Start: 2014-08
• Study First Submitted: 2014-10-10
• Study First Submitted QC: 2014-10-15
• Study First Posted: 2014-10-20
• Primary Completion: 2017-08
• Study Completion: 2018-05
• Status Verified: 2018-09
• Last Update Submitted: 2018-09-24
• Last Update Posted: 2018-09-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 32

Inclusion Criteria

• 18 to 35 years old
• given birth to their first child, vaginally, in the last three to four weeks
• inter-rectus distance of two finger widths of greater on palpation during head lift

Exclusion Criteria

• history of persistent pain with intercourse prior to pregnancy
• diagnosed with neurological impairments affecting the central nervous system or sacral nerves
• diagnosed with connective tissue disorders

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Exercise therapy and Abdominal Binding	Abdominal binding	Participants will attend 12 sessions with a physiotherapist, and receive an abdominal binder
Exercise therapy and Abdominal Binding	Exercise therapy	Participants will attend 12 sessions with a physiotherapist, and receive an abdominal binder
Supervised exercise therapy	Exercise therapy	Participants will receive 12 sessions with a physiotherapist where they will receive instructions on body mechanics, and be given a progressive abdominal exercise program
Abdominal binding	Abdominal binding	Participants will be fitted for an abdominal binder and asked to wear it for a period of 12 weeks.

Primary Outcome Measures

Name	Time	Method
Change in Inter-Rectus Distance	baseline, 12 weeks post intervention, 9 months post intervention	Measured using ultrasound imaging

Secondary Outcome Measures

Name	Time	Method
Change in Lumbopelvic dysfunction	baseline, 12 weeks post intervention, 9 months post intervention	measured using Modified Oswestry Questionnaire
Change in Abdominal Strength and Endurance	baseline, 12 weeks post intervention, 9 months post intervention	measured using clinical tests and hand-held dynamometry
Change in Body image	baseline, 12 weeks post intervention, 9 months post intervention	measured using the Multidimensional Body-Self Relations Questionnaire
Change in Severity of Lumbopelvic and/or Abdominal Pain	baseline, 12 weeks post intervention, 9 months post intervention	Visual Analog Scale
Change in Urogynecological Complaints	baseline, 12 weeks post intervention, 9 months post intervention	measured using the Pelvic Floor Distress Inventory
Change in Perceived Function	baseline, 12 weeks post intervention, 9 months post intervention	Inventory of Functional Status After Childbirth Questionnaire

Trial Locations

Locations (1)

Rehabilitation Sciences Institute; 🇨🇦 Toronto, Ontario, Canada