Hypopressive Abdominal Exercise in Postpartum Abdominal Diastasis

Abdominal Diastasis Clinical Trial

— HipoDiastasi  

Official title:

Hypopressive Abdominal Exercise Effectiveness in Postpartum Abdominal Diastasis, Tone of the Transverse Muscle and the Pelvic Floor Muscles - Case Series

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04238156
• Other study ID #: HipoDiastasis4073-2018
• Status: Completed
• Phase: N/A
• Start date: January 20, 2020
• Est. completion date: July 20, 2020

Study information

• Verified date: July 2020
• Source: Universidad de Córdoba
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The prevalence of abdominal diastasis is high in postpartum. The abdominal diastasis can impair the body posture, the of lumbo-pelvic stability and movement, or breathing. Exercises focused on the transversus abdominis muscle have been proposed as a therapeutic approach for abdominal diastasis.

Hypopressive abdominal exercises have been used for postpartum recovery, for specific pathologies related to pregnancy (low back pain, pelvic floor dysfunction ...) and even for the rehabilitation of spinal pathologies. However, there is a lack of studies that determine its effectiveness and clinical utility.

The aim of the study will be to analyze the effects of Hypopressive abdominal exercises on postpartum abdominal diastasis, the tone of the transverse abdominal muscle and the pelvic floor musculature.

A case series design will be applied, with weekly assessment of the outcomes after the intervention and two months after the intervention.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 15
• Est. completion date: July 20, 2020
• Est. primary completion date: July 20, 2020
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 30 Years to 50 Years

Eligibility

Inclusion Criteria:

• primiparous or multiparous

• abdominal diastasis previously diagnosed

• commitment to perform, at least, 80% of the exercises

• signed informed consent

Exclusion Criteria:

• BMI > 40 Kg/m2

• pelvic floor disorders before childbirth

• drugs with effects on continence or functional properties of the pelvic floor muscles

• treatment for abdominal diastasis in the last 6 months

• systemic disease that impairs pelvic floor physiology and urination

• menopause

• contraindications to the practice of physical exercise and physical therapy

Related Conditions & MeSH terms

• Abdominal Diastasis
• Diastasis, Muscle

Intervention

Other:
• Hypopressive abdominal exercises
Three sessions per week during four consecutive weeks (Total: 12 sessions). Each session time: 30 minutes.

Locations

Country	Name	City	State
Spain	University of Córdoba	Córdoba

Sponsors (1)

Lead Sponsor	Collaborator
Universidad de Córdoba

Country where clinical trial is conducted

Spain, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Abdominal Diastasis - Baseline	Supraumbilical distance between the rectus abdominis; Assessment tool: caliper (electronic, calibrated, precision: 1 mm); Subject position: supine; Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical	Pre-intervention
Primary	Abdominal Diastasis - post-intervention 1	Supraumbilical distance between the rectus abdominis; Assessment tool: caliper (electronic, calibrated, precision: 1 mm); Subject position: supine; Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical	Immediately after the intervention
Primary	Abdominal Diastasis - post-intervention 2	Supraumbilical distance between the rectus abdominis; Assessment tool: caliper (electronic, calibrated, precision: 1 mm); Subject position: supine; Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical	One month after the intervention
Primary	Abdominal Diastasis - post-intervention 3	Supraumbilical distance between the rectus abdominis; Assessment tool: caliper (electronic, calibrated, precision: 1 mm); Subject position: supine; Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical	Two months after the intervention
Secondary	Abdominal tonometry - Baseline	Tonometric evaluation on the white line (linea alba) and the abdominal muscles; Assessment tool: (MyotonPro (R)); Subject position: supine; Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical	Pre-intervention
Secondary	Perineal tonometry - Baseline	Tonometric evaluation on the perineal muscles; Assessment tool: (MyotonPro (R)); Subject position: supine; Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical	Pre-intervention
Secondary	Waist circumference - Baseline	Waist circumference; Assessment tool: tape measure (flexible, precision: 1mm); Subject position: standing; Localization: minimum perimeter	Pre-intervention
Secondary	Chest circumference - Baseline	Chest circumference; Assessment tool: tape measure (flexible, precision: 1mm); Subject position: standing; Localization: maximum perimeter	Pre-intervention
Secondary	Abdominal tonometry - post-intervention 1	Tonometric evaluation on the white line (linea alba) and the abdominal muscles; Assessment tool: (MyotonPro (R)); Subject position: supine; Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical	Immediately after the intervention
Secondary	Perineal tonometry - post-intervention 1	Tonometric evaluation on the perineal muscles; Assessment tool: (MyotonPro (R)); Subject position: supine; Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical	Immediately after the intervention
Secondary	Waist circumference - post-intervention 1	Waist circumference; Assessment tool: tape measure (flexible, precision: 1mm); Subject position: standing; Localization: minimum perimeter	Immediately after the intervention
Secondary	Chest circumference - post-intervention 1	Chest circumference; Assessment tool: tape measure (flexible, precision: 1mm); Subject position: standing; Localization: maximum perimeter	Immediately after the intervention
Secondary	Abdominal tonometry - post-intervention 2	Tonometric evaluation on the white line (linea alba) and the abdominal muscles; Assessment tool: (MyotonPro (R)); Subject position: supine; Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical	One month after the intervention
Secondary	Perineal tonometry - post-intervention 2	Tonometric evaluation on the perineal muscles; Assessment tool: (MyotonPro (R)); Subject position: supine; Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical	One month after the intervention
Secondary	Waist circumference - post-intervention 2	Waist circumference; Assessment tool: tape measure (flexible, precision: 1mm); Subject position: standing; Localization: minimum perimeter	One month after the intervention
Secondary	Chest circumference - post-intervention 2	Chest circumference; Assessment tool: tape measure (flexible, precision: 1mm); Subject position: standing; Localization: maximum perimeter	One month after the intervention
Secondary	Abdominal tonometry - post-intervention 3	Tonometric evaluation on the white line (linea alba) and the abdominal muscles; Assessment tool: (MyotonPro (R)); Subject position: supine; Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical	Two months after the intervention
Secondary	Perineal tonometry - post-intervention 3	Tonometric evaluation on the perineal muscles; Assessment tool: (MyotonPro (R)); Subject position: supine; Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical	Two months after the intervention
Secondary	Waist circumference - post-intervention 3	Waist circumference; Assessment tool: tape measure (flexible, precision: 1mm); Subject position: standing; Localization: minimum perimeter	Two months after the intervention
Secondary	Chest circumference - post-intervention 3	Chest circumference; Assessment tool: tape measure (flexible, precision: 1mm); Subject position: standing; Localization: maximum perimeter	Two months after the intervention