Diastasis Recti Clinical Trial
Official title:
Effect of Abdominal Muscle Training on Inter-recti Distance and Prevalence of Diastasis Recti Abdominis in Postpartum Primi- and Multiparous Women: A Randomized Controlled Trial
NCT number | NCT04122924 |
Other study ID # | SLG89 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | January 9, 2020 |
Est. completion date | December 21, 2022 |
Verified date | March 2023 |
Source | Norwegian School of Sport Sciences |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Prevalence rates of diastasis recti abdominis (DRA) among postpartum women vary between 30% - 68%. It has been postulated that DRA, in addition to being a cosmetic concern for many women, may reduce low- back and pelvic stability causing low back- and pelvic girdle pain and be related to pelvic floor dysfunctions such as urinary incontinence, anal incontinence and pelvic organ prolapse. Given the limited research data, there is currently no consensus on which abdominal exercises to recommend to narrow the diastasis. The purpose of this assessor blinded parallel group randomized controlled trial (RCT) is to evaluate the effect of abdominal muscle training on inter-recti distance (IRD) and prevalence of DRA.
Status | Completed |
Enrollment | 70 |
Est. completion date | December 21, 2022 |
Est. primary completion date | December 21, 2022 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Female |
Age group | 18 Years to 50 Years |
Eligibility | Inclusion Criteria: - Primi- and multiparous women 6-12 months postpartum - Understand instructions given in Norwegian language - Willing/available to participate in a 3 months intervention period Exclusion Criteria: - Pregnant women - Women < 6 months or > 12 months postpartum - Women with children with illnesses and mothers with neurological, systemic musculoskeletal diseases or psychiatric diagnoses will be excluded from participation - Women with adherence < 70 % of the home-based program will be excluded for the per protocol analyzes - Women with specific need for pelvic floor muscle training during the 3 months intervention period will be excluded |
Country | Name | City | State |
---|---|---|---|
Norway | Norwegian School of Sport Sciences, Department of Sports Medicine | Oslo |
Lead Sponsor | Collaborator |
---|---|
Norwegian School of Sport Sciences | The Norwegian Women´s Public Health Association |
Norway,
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* Note: There are 20 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in IRD assessed by 2D ultrasonography | A portable 2D ultrasound (GE Healthcare -Logiq e R7) will be used to assess IRD inn mm at 2 cm above and 2 cm below (P. G. Mota et al., 2015a) the umbilicus during rest and crunch. | Change from baseline IRD at 3 months | |
Secondary | Change in abdominal endurance | Abdominal endurance will be assessed as number of repetitions of one standardized abdominal crunch to exhaustion (ACSM, 2006). | Change from baseline abdominal endurance at 3 months | |
Secondary | Change in abdominal strength | Maximal abdominal strength will be measured in a trunk dynamometer (HUMAC NORM). | Change from baseline abdominal strength at 3 months | |
Secondary | Change in cross-sectional area of m. rectus abdominis | Cross-sectional area of m. rectus abdominis will be measured by 2D ultrasonography, above and below the umbilicus. | Change from baseline cross-sectional area at 3 months | |
Secondary | Change in symptoms of low back pain | The electronic questionnaires include the following instrument: Oswestry Low Back Disability Index (ODI). | Change from baseline symptoms of low back pain at 3 months | |
Secondary | Change in symptoms of pelvic girdle pain | The electronic questionnaire include the following instrument: Pelvic Girdle Questionnaire (PGQ). | Change from baseline symptoms of pelvic girdle pain at 3 months | |
Secondary | Change in symptoms of pelvic floor dysfunctions | The electronic questionnaire include the following instrument: Pelvic Floor Disability Index (PFDI-20). | Change from baseline symptoms of pelvic floor dysfunctions at 3 months | |
Secondary | Global rating of change (GRC) | Perceived change of the condition will be assessed by a numerical 11-point scale. A 11-point scale with response choices ranging from "completely recovered" to "very much worse". | Post-test after a 3-months intervention period |
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