Effect of Four Exercises on the Inter-recti Distance in Women

Diastasis, Muscle Clinical Trial

— Traecho  

Official title:

Effect of Four Abdominal and Pelvic Exercises on the Inter-recti Distance in Women: an Observational Study

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT04501302
• Other study ID #: TrAEcho01
• Status: Not yet recruiting
• Start date: September 25, 2020
• Est. completion date: May 1, 2021

Study information

• Verified date: August 2020
• Source: APOR B de Gasquet
• Contact: Montserrat Rejano-Campo, MSc
• Phone: 0033627083914
• Email: montserejano[@]gmail.com
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Diastasis rectus abdominis (DRA) is defined as an excessive separation between the two abdominal rectus muscles. It is generally quantified by the inter-recti distance. In postpartum women, the prevalence of diastasis is 60% six weeks after delivery.

The increase in the inter-recti distance has been associated with a decrease in strength and endurance of the trunk flexors and rotators (p < 0.05). Exercise during pregnancy has been shown to be helpful in the treatment of DRA. Nevertheless, there is still not strong evidence to establish what kind of exercise should be recommended during pregnancy and in postpartum.

The aim of this study is to compare the morphological and functional changes of the linea alba during four exercises.

Inter-recti distance, linea alba thickness and distortion index will be measured at rest, as well as during 4 exercises (draw in maneuver, crunch, pelvic floor muscle contraction and a "de Gasquet" exercise). Subgroup analysis will be performed to determine if the presence or absence of an abdominal diastasis has an influence on these outcomes.

A cross-sectional pilot study will be carried out. The main outcome measure will the inter-recti distance. Secondary outcomes will be the thickness of linea alba and distortion index.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 54
• Est. completion date: May 1, 2021
• Est. primary completion date: February 1, 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: 18 Years to 80 Years

Eligibility

Inclusion Criteria:

• Adults

• Parous

• Women

• Accepting to participe in the research

Exclusion Criteria:

• Under curatorship

• Persons deprived of their liberty by judicial or administrative decision

• Having intellectual limitations that may limit the understanding of questionnaires or exercises

• With limitations in understanding the French language

• Pregnant women

• History of pelvic / spine fractures

• History of pelvic surgery

• History of spinal surgery

• History of abdominal surgery

• History of lower limbs weakness, changes in osteotendinous reflexes or loss of sensitivity

Related Conditions & MeSH terms

• Diastasis, Muscle

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
APOR B de Gasquet

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Transversus abdominis thickness	Transversus abdominis thickness at 1cm lateral from the fascia transversalis measured using ultrasound	During the exercise
Other	Current lumbopelvic pain intensity	Current lumbopelvic pain will be measured using a visual analog scale	During the assessement
Other	Acute lumbopelvic pain severity	The participants will be asked about their lumbopelvic pain mean intensity in the last week using a visual analog scale	During the assessement
Other	Chronic lumbopelvic pain severity	The participants will be asked about their lumbopelvic pain mean intensity in the last 6 months using a visual analog scale	During the assessement
Other	Urinary symptoms	Urinary symptoms will be measured using the Urinary Symptom Profile questionnaires	During the assessement
Primary	Inter-recti distance	The distance between the two medial borders of rectus abdominis muscles is measured using ultrasound	During the exercise
Secondary	Linea alba thickness	Linea alba thickness is measured using ultrasound	During the exercise
Secondary	Distortion index of the linea alba	Average deviation of the linea alba from the shortest path between the recti measured using ultrasound	During the exercise