Effects of Abdominal Exercises and Kinesio Taping on Abdominal Strength in Females With Diastasis Recti.

Diastasis Recti Clinical Trial

Official title:

Effects of Abdominal Exercises With and Without Kinesio Taping on Abdominal Strength and Quality of Life in Females With Diastasis Recti.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05811299
• Other study ID #: REC/RCR&AHS/23/0503
• Status: Completed
• Phase: N/A
• Start date: November 20, 2022
• Est. completion date: August 1, 2023

Study information

• Verified date: December 2023
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Diastasis recti is an increase in the gap between the rectus abdominis muscles at the midline caused by anterior abdominal wall weakening. The aim of this study is to evaluate the effects of abdominal exercises with and without Kinesio taping on abdominal strength of females with diastasis recti for their better quality of life. This study will be randomized controlled trial .Subjects with diastasis recti meeting the predetermined inclusion and exclusion criteria will be requested to participate in the study via informed consent. Non probability convenient sampling technique will be used. 46 participants will be randomly allocated to either Group A or Group B .Group A will be treated with Kinesio Taping applied in a criss -cross design for consecutive 3 days with 1 day gap after taping will do abdominal exercises.Group B will be treated with above mentioned abdominal exercises for 1 month. Pre and post assessment of diastasis recti and abdominal strength will be done using caliper method and manual muscle test and quality of life will be assessed by MAPP-QOL questionnaire.Jinnah Hospital will be the setting and SPSS software will be used.

Description:

Diastasis recti is an increase in the gap between the rectus abdominis muscles at the midline caused by anterior abdominal wall weakening. Diastasis recti abdominis is most common in the female population during pregnancy and after childbirth. The abdominals are stretched as your uterus expands during pregnancy, and the linea alba thins and pulls apart causes the rectus abdominis muscles to split during pregnancy. The aim of this study is to evaluate the effects of abdominal exercises with and without Kinesio taping on abdominal strength of females with diastasis recti for their better quality of life.

This study will be randomized controlled trial .Subjects with diastasis recti meeting the predetermined inclusion and exclusion criteria will be requested to participate in the study via informed consent. Non probability convenient sampling technique will be used. 46 participants will be randomly allocated to either Group A or Group B via lottery method.Subjects in Group A will be treated with Kinesio Taping applied in a criss -cross design for consecutive 3 days with 1 day gap after taping will do abdominal exercises which consists of abdominal crunch exercise ,Curl up,abdominal isometric contractions ,posterior pelvic tilt ,bridging. perform these exercises twice a week for 10 repititions for 1 month . Group B will be treated with above mentioned abdominal exercises for 1 month. Pre and post assessment of diastasis recti and abdominal strength will be done using caliper method and manual muscle test and quality of life will be assessed by MAPP-QOL questionnaire. Data will be collected from Jinnah Hospital Lahore.The data collected will be analyzed using SPSS 25.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 38
• Est. completion date: August 1, 2023
• Est. primary completion date: July 30, 2023
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 18 Years to 40 Years

Eligibility

Inclusion Criteria

• Post natal till 6 months

• Rectus abdominis diastasis > 2.7 cm at umbilicus

• Age 18 to 40

Exclusion Criteria:

• Pregnant female

• Hernia

• Females with physical and mental illness

• Females with any other medical condition like cardiorespiratory diseases

• History of malignancy

• Urogynecologic disorders

• Females suffering from other gynecological issues such as endometriosis

• Polycystic ovaries syndrome

Related Conditions & MeSH terms

• Diastasis Recti
• Diastasis, Muscle
• Kinesio Taping

Intervention

Other:
• Kinesio taping
Total of 8 sessions for 4 weeks 2 sessions in a week.
• Abominal exercises
Total of 8 sessions for 4 weeks 2 sessions in a week.

Locations

Country	Name	City	State
Pakistan	Jinnah Hospital,Gynae department	Lahore	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (4)

Boxer S, Jones S. Intra-rater reliability of rectus abdominis diastasis measurement using dial calipers. Aust J Physiother. 1997;43(2):109-114. doi: 10.1016/s0004-9514(14)60405-0. — View Citation

Gluppe SB, Engh ME, Bo K. Immediate Effect of Abdominal and Pelvic Floor Muscle Exercises on Interrecti Distance in Women With Diastasis Recti Abdominis Who Were Parous. Phys Ther. 2020 Aug 12;100(8):1372-1383. doi: 10.1093/ptj/pzaa070. — View Citation

Gursen C, Inanoglu D, Kaya S, Akbayrak T, Baltaci G. Effects of exercise and Kinesio taping on abdominal recovery in women with cesarean section: a pilot randomized controlled trial. Arch Gynecol Obstet. 2016 Mar;293(3):557-65. doi: 10.1007/s00404-015-3862-3. Epub 2015 Sep 2. — View Citation

Radhakrishnan M, Ramamurthy K. Efficacy and Challenges in the Treatment of Diastasis Recti Abdominis-A Scoping Review on the Current Trends and Future Perspectives. Diagnostics (Basel). 2022 Aug 24;12(9):2044. doi: 10.3390/diagnostics12092044. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Caliper Method	Rectus abdominis diastasis will be measured during the postpartum period with a high degree of reliability when a dial callper is used.	4 weeks
Primary	MMT	Manual muscle testing (MMT) based on a grading system of 0 to 5.To check the abdminal strength	4weeks
Primary	MAPP QOL	The Maternal Postpartum Quality of Life (MAPP-QOL) instrument consisted of 41 item to check quality of life	4 weeks