Efficiency of Abdominal Corset and Core Stabilization Exercises in the Treatment of Postpartum Diastasis Recti Abdominis

Diastasis Recti Clinical Trial

Official title:

Comparison of the Efficiency of Abdominal Corset and Core Stabilization Exercises in the Treatment of Postpartum Diastasis Recti Abdominis

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05195463
• Other study ID #: Merveylmz.
• Status: Completed
• Phase: N/A
• Start date: February 1, 2022
• Est. completion date: July 1, 2022

Study information

• Verified date: August 2022
• Source: Istanbul Medipol University Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Participants will be randomly divided into three groups as core stabilization group, combination of core stabilization and corset group and only corset group.

Description:

30 volunteer women who were diagnosed with diastasis recti abdominis by an obstetrician in Çamlıca Medipol Hospital, aged between 18-35 and met the inclusion criteria will be included in the study. Participants will be randomly divided into three groups. Participants in the first group will do core stabilization exercises for the transversus abdominis muscle 3 days a week for 8 weeks with 10 repetitions. In the second group, in addition to the first group, core stabilization exercises will be performed by wearing an abdominal corset. Participants included in the third group will be asked to wear only this corset all day (except for the bathroom) for 8 weeks. Anthropometric measurements, ultrasonographic evaluation, Visual Analogue Scale (VAS), Edinburgh Postnatal Depression Scale, abdominal muscle strength and endurance, Oswestry Disability Index will be evaluated as pretest and posttest.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 45
• Est. completion date: July 1, 2022
• Est. primary completion date: June 1, 2022
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 20 Years to 35 Years

Eligibility

Inclusion Criteria:

• Being between the ages of 20-35,
• Having a normal birth,
• Being at least 6 weeks postpartum when DRA is diagnosed,
• Absence of any musculoskeletal or neurological problems,
• Volunteering to do the exercises

Exclusion Criteria:

• Cesarean delivery,
• Edinburgh Postnatal Depression questionnaire result being >13,
• Having a systemic disorder

Related Conditions & MeSH terms

• Diastasis Recti
• Diastasis, Muscle

Intervention

Other:
• Exercise intervention
Women with diastasis recti abdominis will do core stabilization exercises for the transversus abdominis muscle with 10 repetitions 3 days a week for 8 weeks. The exercises include diaphragmatic breathing exercises, core stabilization exercises for the transversus abdominis muscle, and pelvic floor contractions
• Exercise intervention by wearing abdominal corset
In this group, in addition to the first group, core stabilization exercises will be performed by wearing an abdominal corset. Participants will be asked to wear their corsets while performing their exercises.
• Corset intervention
Participants included in this group will be required to wear only this corset all day (except for the bathroom) for 8 weeks.

Locations

Country	Name	City	State
Turkey	Istanbul Medipol University	Istanbul

Sponsors (1)

Lead Sponsor	Collaborator
Istanbul Medipol University Hospital

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Ultrasanografic measurement	The distance between the rectus muscles will be measured by the obstetrician with ultrasound.	5 minutes
Primary	Visual Analogue Scale for pain assessment	The line has a value of 0 at the beginning and a value of 10 at the end. The patient is asked to indicate the intensity of the pain at rest or during activity. A value of 0 means no pain, a value of 10 means excruciating pain.	3 minutes
Primary	Abdominal muscle strength measurement	The abdominal muscle strength of the participants will be graded from 0 to 5 using manual muscle testing.	5 minutes
Primary	Abdominal muscle undurance measurement	n the measurement of muscle endurance, the participants will be asked to stand as long as they can in their position during the muscle strength measurement.	5 minutes
Primary	Edinburgh Postnatal Depression Scale	The scale is used to determine the risk of depression in the postpartum period and to measure the change in level and severity. Minimum value is 0 and maximum value is 30. Cut-off score of 13 is used to distinguish depressed from nondepressed women. High scores means worse outcomes.	5 minutes
Primary	Oswestry Disability Index for assesment of pain and quality of life	It is a questionnaire evaluating individuals' participation in activities of daily living due to low back pain.	5 minutes
Secondary	Weight measurement	Weight measurement in kilograms will be recorded with weighing machine.	2 minutes
Secondary	Height measurement	Height measurement in meters will be recorded with tape measure	2 minutes