Diastasis Recti Clinical Trial
Official title:
Effect of Pilates Exercises on Diastasis Recti Abdominis in Postpartum Women
Verified date | March 2024 |
Source | Cairo University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of the study was to investigate the effect of Pilates exercises on diastasis recti abdominis in postpartum women.
Status | Completed |
Enrollment | 50 |
Est. completion date | January 26, 2024 |
Est. primary completion date | January 26, 2024 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | 20 Years to 35 Years |
Eligibility | Inclusion Criteria: 1. Postpartum women (7 days after delivery) having diastasis recti (separation between the two recti more than 2.5cm at the level of umbilicus). 2. Multiparous women (2-3) times delivered vaginally with or without episiotomy. 3. Their age ranged from 20 -35 years old. 4. Their BMI was less than 30 kg/cm2. Exclusion Criteria: 1. Abdominal or back surgery. 2. Abdominal hernia. 3. History of abnormal pregnancy, uterine fibroid or polyhydraminos during pregnancy. 4. Neurological disorders as multiple sclerosis, stroke and spinal lesion. 5. Musculoskeletal diseases such as fractures muscle strains, severe knee osteoarthritis which may affect their physical activity. |
Country | Name | City | State |
---|---|---|---|
Egypt | Cairo University | Giza |
Lead Sponsor | Collaborator |
---|---|
Cairo University |
Egypt,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Measurement of separation between the two-rectus abdominis muscles above the umbilicus at rest | The distance between the recti muscles was measured 4.5 cm above the umbilicus at rest at the beginning and again at the end of the study duration. | 8 weeks | |
Primary | Measurement of separation between the two-rectus abdominis muscles above the umbilicus during contraction | The distance between the recti muscles was measured 4.5 cm above the umbilicus during contraction at the beginning and again at the end of the study duration. | 8 weeks | |
Primary | Measurement of separation between the two-rectus abdominis muscles at level of the umbilicus at rest | The distance between the recti muscles was measured at level of the umbilicus at rest at the beginning and again at the end of the study duration. | 8 weeks | |
Primary | Measurement of separation between the two-rectus abdominis muscles at level of the umbilicus during contraction | The distance between the recti muscles was measured at level of the umbilicus during contraction at the beginning and again at the end of the study duration. | 8 weeks | |
Primary | Measurement of separation between the two-rectus abdominis muscles below the umbilicus at rest | The distance between the recti muscles was measured 4.5 cm below the umbilicus at rest at the beginning and again at the end of the study duration. | 8 weeks | |
Primary | Measurement of separation between the two-rectus abdominis muscles below the umbilicus during contraction | The distance between the recti muscles was measured 4.5 cm below the umbilicus during contraction at the beginning and again at the end of the study duration. | 8 weeks | |
Primary | Assessment of trunk flexion strength | Trunk flexion strength was graded from 0 to 5 using Daniels and Worthingham's procedure before and after the end of the study program. For grades 3-5, the patient curled up through the full range of motion until the scapulae cleared the table. For grade 2, the patient just lifted their head off the table. For grades 0 and 1, the therapist used assisted forward lean or coughing techniques while palpating the rectus abdominis. | 8 weeks | |
Primary | Assessment of static trunk flexion endurance | It was tested before and after the end of the study program by adopting the most challenging position that was achieved in the strength test, and instructing the participating women to hold that position as long as possible. Standardized verbal encouragement was provided by the assessor, and the holding time was determined using a stopwatch. Three repetitions of the static endurance test were performed with at least 3 minutes of rest between trials; the best (longest holding time) of the three trials was used to represent the participant's endurance. The same position used to evaluate trunk flexion endurance at the initial evaluation was used in subsequent evaluations, even if the woman's strength grade improved between evaluations. | 8 weeks | |
Secondary | Assessment of functional status | All participating women with diastasis recti in both groups (A & B) were asked to fill the Inventory of functional status after childbirth questionnaire before and after the end of the study program. This questionnaire includes five domains and 36 items, that is, infant care (6 items), personal care (8 items), household activities (12 items), social and community activities (6 items), and occupational activities (4 items). The questionnaire was rated on a 4-point Likert scale and the mean score was calculated with one point being the lowest and four points being the highest scores possible. Higher scores indicated better functional status. | 8 weeks |
Status | Clinical Trial | Phase | |
---|---|---|---|
Recruiting |
NCT04158180 -
Creation and Validation of a Questionnaire Evaluating Diastasis Recti
|
||
Not yet recruiting |
NCT06214650 -
Diastasis Recti Abdominis and a Combined Treatment With Abdominal Exercise and Radiofrequency
|
N/A | |
Active, not recruiting |
NCT03703804 -
AfterBabyBodyStudy- Testing Manual Examination Methods and Exercise Effects on Muscular Recovery After Pregnancy
|
||
Completed |
NCT04181554 -
Postural Stability, Pelvic Floor Dysfunction, Respiratory Muscle Strength in Post-partum Women With Diastasis Recti
|
||
Completed |
NCT01586559 -
Evaluation of the Long-term Stability of Sheath Plication Using Absorbable Sutures in Patients With Diastasis of the Recti Muscles: an Ultrasonography Study
|
N/A | |
Completed |
NCT03595696 -
Core Strengthening for DRA in Postpartum Women
|
N/A | |
Completed |
NCT05811299 -
Effects of Abdominal Exercises and Kinesio Taping on Abdominal Strength in Females With Diastasis Recti.
|
N/A | |
Recruiting |
NCT04932772 -
Abdominal Muscles Recovery Response to Kinesiotaping in Women With Postnatal Diastasis
|
N/A | |
Completed |
NCT03917160 -
Evaluate the Effect of Abdominal Electrical Muscle Stimulation on Abdominal Wall Restoration in Post - Partum Women
|
N/A | |
Recruiting |
NCT04652830 -
Naprapathy Training for Postpartum DRAM Prevention
|
N/A | |
Not yet recruiting |
NCT06459752 -
Combined Effects of Visceral Manipulation and Noble Technique on Post-partum Females With Diastasis Recti
|
N/A | |
Completed |
NCT05931159 -
Effects of AHEs on DrA in Postpartum Women
|
N/A | |
Recruiting |
NCT05709704 -
Comparison of Overall Function Between Postpartum Women With and Without Diastasis Rectus Abdominis
|
||
Completed |
NCT04122924 -
Postpartum Exercise and Diastasis Recti Abdominis
|
N/A | |
Completed |
NCT03515148 -
Effectiveness of EE With Vibration Versus Cryotherapy in Rectus Abdomini Muscle Thickness and Inter-recti Distance
|
N/A | |
Terminated |
NCT04060563 -
Frequency Specific Microcurrent for the Treatment of Diastasis Recti
|
N/A | |
Completed |
NCT05485844 -
Low Back Pain and Motor Control Dysfunction After Pregnancy- the Possible Role of Abdominal Rectus Muscle Diastasis
|
||
Completed |
NCT05195463 -
Efficiency of Abdominal Corset and Core Stabilization Exercises in the Treatment of Postpartum Diastasis Recti Abdominis
|
N/A | |
Terminated |
NCT02397941 -
Diastasis Recti Abdominis and Abdominal Muscles
|
||
Completed |
NCT04519840 -
Diastasis Recti Abdominis Association With Sacroiliac Joint and Pelvic Floor Dysfunction in Postpartum C-section Women
|