Combine Effects of Drawing in Maneuver and Resisted Ankle Dorsiflexion on Pain, Inter-recti Distance, Strength and Quality of Life in Postpartum Diastasis Recti
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 42
- 试验地点
- 1
- 主要终点
- Numeric Pain Rating Scale
研究概览
简要总结
The aim of this study is to compare the combine effects of drawing in maneuver and resisted ankle dorsiflexion on pain, inter-recti distance, strength and quality of life in postpartum diastasis recti.
详细描述
Randomized controlled research will assess how drawing-in maneuver and resisted ankle dorsiflexion together affect postpartum women with diastasis recti in terms of pain, inter-recti distance, abdominal strength, and quality of life. 20-40 years females from 6 weeks to 6 months to post-partum period will be included in this study and the data will be collected from Al Zahra Hospital, Ali medical center and Sharif Medical Complex. Two groups of 42 individuals will be randomly assigned to either the drawing-in maneuver alone (Group A, n = 21) or a combination of the drawing-in technique and resisted ankle dorsiflexion (Group B, n = 21). For six weeks, the intervention will be administered twice a week to both groups. Manual muscle testing for strength, caliper measurement for IRD, the SF-36 questionnaire for quality of life and the Numeric Pain Rating Scale (NPRS) for pain will all be used in baseline and post-treatment evaluations. The data will be analyzed using IBM SPSS Statistics version 25.
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
- 20 Years 至 45 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Postpartum females (6 weeks to 6 months postpartum)
- •Diagnosed with diastasis recti (IRD ≥ 2.5 cm)
- •Age 20-45 years
- •Mode of delivery
- •Multiparity
排除标准
- •History of abdominal surgery
- •Pelvic organ prolapses
- •Neurological or orthopedic disorders
- •Presence of low back pain, hernia, or musculoskeletal disorders
- •Participation in any other abdominal rehabilitation program in the last 3 months
研究组 & 干预措施
DRAWING IN MANEUVER & RESISTED ANKLE DORSIFLEXION
Drawing-In Maneuver (DIM), also known as the abdominal drawing-in maneuver, which is widely recognized as a foundational exercise for deep core activation
干预措施: DRAWING IN MANEUVER (Other)
DRAWING IN MANEUVER & RESISTED ANKLE DORSIFLEXION
Drawing-In Maneuver (DIM), also known as the abdominal drawing-in maneuver, which is widely recognized as a foundational exercise for deep core activation
干预措施: RESISTED ANKLE DORSIFLEXION (Other)
DRAWING IN MANEUVER
Resisted Ankle Dorsiflexion contributes to core muscle engagement through kinetic chain activation.
干预措施: DRAWING IN MANEUVER (Other)
结局指标
主要结局
Numeric Pain Rating Scale
时间窗: 6th week
This scale examines the subjective degree of pain severity is estimated using a horizontal line on a standardized self-reporting scale. The pain level is represented by an 11-point numerical scale. There is no pain (0), mild pain (1-2-3), moderate pain (4-5-6), and severe pain (7-8-9-10).
Caliper Measurement
时间窗: 6th week
To assess inter-recti distance at reference points (above, at, and below the umbilicus) the caliper will be used. To measure inter-recti distance 4.5 cm above and below the umbilicus (indicated with skin markings), the inside jaws of the calipers are placed between the medial edges of the right and left rectus abdominis muscles as palpated by the examiner
Manual Muscle Testing (MMT)
时间窗: 6th week
. Manual Muscle Testing (MMT) is a widely used clinical method to evaluate the strength of individual muscles or muscle groups on a standardized 0 to 5 scale. A grade of 0 indicates no visible or palpable muscle contraction, while 1 (Trace) denotes a slight muscle flicker without any movement. A grade 2 (Poor) means the muscle can complete full range of motion only when gravity is eliminated. Grade 3 (Fair) signifies the ability to move the joint through the full range of motion against gravity, but not against any resistance. Grade 4 (Good) indicates that the muscle can perform against moderate resistance, and grade 5 (Normal) represents full strength with the ability to resist maximal manual pressure
SF-36
时间窗: 6th week
The SF-36 (Short Form-36 Health Survey) is a validated and reliable questionnaire used to assess health-related quality of life across eight domains, including physical functioning, bodily pain, general health, vitality, social functioning, and mental health. Each domain is scored from 0 to 100, with higher scores indicating better quality of life
次要结局
未报告次要终点