Comparison of Hypopressive Breathing and Noble Technique on DRA in Postpartum Women.

Not Applicable

Completed

• Conditions: Diastasis Recti Abdominis
• Interventions: Other: noble technique; Other: hypopressive breathing

• Registration Number: NCT05916833
• Lead Sponsor: Riphah International University

Brief Summary

The aim of study is to compare the effect of Hypopressive breathing and noble technique on width of Diastasis Recti Abdominis, lumbopelvic pain and maternal functioning in postpartum women.

Detailed Description

Candido shows that Caesarean section increased the likelihood of experiencing an increase in the inter-rectus distance during the postpartum period. Diastasis recti abdominis (DRA) is a common condition in postpartum women that can cause abdominal muscle separation. However, there is a lack of direct comparison between these two techniques. This study aims to compare the effectiveness of the hypopressive breathing and the Noble Technique in improving DRA in postpartum women.

Study Timeline

• Study Start: 2023-02-04
• Study First Submitted: 2023-06-14
• Study First Submitted QC: 2023-06-14
• Study First Posted: 2023-06-23
• Primary Completion: 2024-01-01
• Study Completion: 2024-01-20
• Status Verified: 2024-03
• Last Update Submitted: 2024-03-12
• Last Update Posted: 2024-03-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 50

Inclusion Criteria

• Multiparous women
• History of Cesarean section and vaginal delivery
• > 12 weeks postpartum
• Measurement is 2cm or more then 2cm of DRA is included by using finger width palpation and Nylon digital caliper
• Lumbopelvic pain (NPRS 3 to 8)

Exclusion Criteria

• Exclude women who need surgical correction for DRA
• Pelvic organ prolapse
• Para umbilical hernia
• Malignancy
• Bone tuberculosis
• Fibromyalgia

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
noble technique	noble technique	The Noble technique is (partially sitting up while manually flexing the rectus Abdominis muscles.
hypopressive breathing technique	hypopressive breathing	These exercises involved "sucking in the abdomen" and opening the ribs by engaging the accessory inspiratory muscles, such as the serratus anterior, external intercostalis, scalenes, and sternocleidomastoid, while maintaining the glottis closed, a process known as "diaphragmatic suction.

Primary Outcome Measures

Name	Time	Method
IFSAC (Inventory of Functional Status After Childbirth)	12 weeks	The IFSAC consists of five subscales and 36 items, that is, infant care (6 items), personal care (8items), household activities (12 items), social and community activities (6 items), and occupational activities (4 items). The questionnaires are rated on a 4-point Likert scale and mean scores were calculated with one point being the lowest and four points being the highest scores possible.
Modified OSWESTRY Low Back pain Index (ODI)	12 weeks	The Oswestry Low Back Pain Disability Index is a 10-point patient-reported outcome questionnaire that was first published in 1980. It is regarded as the "gold standard" for assessing quality of life (QoL) impairment and disability in persons with low back pain
Numeric Pain Rating Scale (NPRS):	1 day	The numeric pain rating scale (NPRS), a scoring system that quantifies pain on a scale from 0 (no pain) to 10 (worst possible agony), was used to determine the pain score.

Trial Locations

Locations (1)

Maryam's Clinic; 🇵🇰 Islamabad, Punjab, Pakistan