Comparative Effects of Pilates and Progressive Prone Plank Exercises on Pain, Strength and Inter-Rectus Distance in Diastasis Recti
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 34
- 试验地点
- 1
- 主要终点
- Numeric Pain Rating Scale (NPRS)
研究概览
简要总结
This study aims to determine the comparative effects of Pilates and Progressive Prone Plank exercises on pain, strength and inter rectus distance in Diastasis Recti
详细描述
This will be a randomized clinical trial collected from University of Lahore Teaching hospital and Sehat Medical Complex Lahore by using non-probability convenience sampling technique. Multiparous women with a BMI less than 30 kg/m² and have been clinically diagnosed with Diastasis Recti will be included in this study. Participants must be able to perform physical activity without contraindications and must provide informed consent. Women currently pregnant, with significant pelvic floor dysfunction, unmanaged chronic illnesses (e.g., heart disease or hypertension), recent abdominal surgeries within the last six months will be excluded. The sample size is calculated to be 34, with 17 participants in each group. Group A will receive Pilates training, while Group B will undergo progressive prone plank exercises. Each session will last for 45 minute, thrice weekly for four weeks. Pre- and post-treatment evaluations will include pain (Numeric Pain Rating Scale), strength (Manual Muscle Testing), and inter-rectus distance (measured by finger-width method with a Vernier caliper). Data will be analyzed by using SPSS version 27.0.
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
- 是
入选标准
- •Multiparous women
- •Postpartum women (within 6 to 12 months postpartum)
- •IRD ≥2 cm diagnosed with Diastasis Recti (verified by ultrasound or clinical assessment)
- •Participants who have undergone either vaginal delivery or cesarean section (C-section).
排除标准
- •Significant pelvic floor dysfunction or pelvic organ prolapse or other related conditions
- •Patient with unmanaged chronic conditions, like heart disease or hypertension
- •Recent abdominal or related surgeries within the past six months
- •Women who are currently pregnant or experiencing postpartum complications.
- •Patient with presence of hernia.
研究组 & 干预措施
Pilates exercises
All exercises in the Pilates training group will be performed on a mat in a controlled environment under the supervision of a qualified instructor. The focus will be on core activation, controlled breathing, and maintaining neutral spine alignment throughout all movements
干预措施: Experimental: Pilates exercises (Other)
Progressive Prone Plank Exercises
Participants will follow a structured progressive prone plank protocol designed to strengthen the core muscles, particularly targeting the transverse abdominus and rectus abdominus, which are crucial in managing Diastasis Recti. All exercises will be performed under supervision, with emphasis on correct posture, controlled breathing, and spinal alignment
干预措施: Progressive Prone Plank Exercises (Other)
结局指标
主要结局
Numeric Pain Rating Scale (NPRS)
时间窗: 4th week
The Numerical Pain Rating Scale (NPRS) is a widely used subjective pain measurement tool. It was created as a simple way to assess pain severity. It has a rating range of 0 to 10, with 0 representing no pain, 5 indicating severe discomfort, and 10 denoting the greatest conceivable agony
Manual muscle testing
时间窗: 4th week
Manual muscle testing (MMT) is a fundamental assessment method used by healthcare professionals to evaluate muscle strength, including the gluteus medius and gluteus maximus. (34) It has a scoring range from 0 to 5 where 5 shows maximum strength. It has a reliability range from 0.88 to 0.94. It also has a good validity with 0.62 to 1.00 range
Finger width method
时间窗: 4th week
In this patient were asked to lie in a supine position in crook lying. Patient is instructed to do abdominal crunch till their shoulder is off the couch. By palpation around the protrusion along the linea alba diastasis recti is assessed with 4.5 cm above and below of umbilical. In case of less than 2 fingers breadth there is no diastasis recti. In case of 2 to 3 fingers breadth the diastasis recti is considered mild. In case of 3 to 4 fingers breadth it is considered as moderate and in case of 4 or more than 4 fingers breadth the diastasis recti is considered severe. The measurement will be done with the help of a Vernier caliper. Measurements were taken 4.5 cm above and below the umbilicus during an abdominal crunch, with the caliper placed between the palpated borders of the rectus abdominis. Three readings were taken at each point, and the average was used for analysis
次要结局
未报告次要终点