Effects of Tupler's Technique on the Management of Diastasis Rectus Abdominis in Post-Partum Females.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 36
- 试验地点
- 4
- 主要终点
- Numeric Pain rating scale
研究概览
简要总结
Diastasis Rectus Abdominis is the condition in which two abdominal muscles rectus abdominis separated and cause widening and thinning of Linea alba. The Tupler's Technique is Evidence Based intervention for the management of Diastasis Rectus Abdominis. The purpose of this study is to see the Effectiveness of Tupler's Technique on the Management of Diastasis Rectus Abdomins in Post-Partum Females.
详细描述
Literature suggest that during pregnancy due to hormonal changes such as increased in Relaxin, estrogen and progesterone level and also increased in the size of uterus affect the aponeurosis connection of abdominal muscles and due to these changes Diastasis Rectus Abdominis is common during pregnancy especially in third trimester and in the post-partum period. we can measure diastasis rectus abdominis by different methods such as palpatory, caliper and ultrasound. The condition can be mild (two fingers gap), moderate (two to three fingers gap) and severe (more than three fingers gap). The separation of greater than 2cm is considered as Diastasis Rectus Abdominis.
In this study effectiveness of Tupler's Technique will be assessed in post-partum diastasis rectus abdominis patients. Patients will have to wear diastasis rehab splints and then perform tupler's technique exercises. The mechanism behind this is when patients wear splint the splint will keep the connective tissues in narrow position for better healing and strengthening of muscles will be done by Tuper's Technique exercises and Diastasis of Rectus Abdominis willl be treated.
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 30 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Primiparous and multiparous females (Vaginal delivery).
- •Greater than and equal to 12 weeks post-partum
- •Age limit will be18-30 years
- •BMI under or equa to 29kg/m2
- •Visiting with the complain of low back pain
- •Diastasis of rectus abdominis at the level of umbilicus with mild, moderate and severe condition.
排除标准
- •Other musculoskeletal disease (disc prolapse and disc bulge)
- •Trauma of bowel and bladder
- •Heart and respiratory conditions including sneezing and excessive coughing
- •Any pelvic floor, abdominal and spinal surgery
结局指标
主要结局
Numeric Pain rating scale
时间窗: Before intervention, after 3 weeks and after 6 weeks.
By using this scale we will measure the intensity of back pain. i scores pain from 0-10. 0 means no pain, 5 means moderate pain and 10 means severe pain.
Maternal post-partum quality of life instrument (MPQOL-I)
时间窗: Before intervention, after 3 weeks and after 6 weeks.
This questionnaire has 5 domains. psychological, reltion with family and friends, relation with spouse, socioeconomic and health related domain and we can assess every domain of female life.
Digital nylon caliper to measure inter-recti Distance
时间窗: Before intervention, after 3 weeks and after 6 weeks.
Digital nylon caliper is the valid and reliable instrument to measure the inter-recti distance and inter-recti distance will be measured at three levels. at the level of umbilicus, 4.5cm above umbilicus and 4.5cm below umbilicus.
Oswestry low bac pain disability Questionnaire
时间窗: Before intervention, after 3 weeks and after 6 weeks.
This is a valid tool to assess back pain and this questionnaire has 10 sections and we grade level of disability according to grading criteria. 0-4shows no disability, 5-14 shows mild disability, and 15-24 shows moderate disability, and 25-34 shows severe disability and grade 35-50 means completely disabled.
次要结局
未报告次要终点