Clinical Trial Details
— Status: Not yet recruiting
Administrative data
NCT number |
NCT06239753 |
Other study ID # |
KLKSH |
Secondary ID |
|
Status |
Not yet recruiting |
Phase |
N/A
|
First received |
|
Last updated |
|
Start date |
July 2, 2024 |
Est. completion date |
July 2, 2025 |
Study information
Verified date |
April 2024 |
Source |
Lütfi Kirdar City Hospital |
Contact |
Döndü Kurnaz, Dr |
Phone |
5052381105 |
Email |
zsk2001[@]hotmail.com |
Is FDA regulated |
No |
Health authority |
|
Study type |
Interventional
|
Clinical Trial Summary
The aim of this randomized controlled study is to determine the pregnancy and childbirth
outcomes of using the DNS method to facilitate anatomical and physiological adaptations
during pregnancy.
Description:
During pregnancy, significant anatomical and physiological changes occur as the baby grows
inside the uterus. As pregnancy progresses, body mass index increases, the uterus expands
towards the abdominal cavity, and the woman's center of gravity shifts. This change in the
center of gravity leads to a backward shift in the trunk, hyperextension of the knees, and
the formation of lumbar lordosis, thoracic kyphosis, and pelvic curvature. The increased
weight can cause pelvic floor collapse and weakness in pelvic floor muscles, leading to
urinary incontinence, pelvic organ prolapse, fecal incontinence, sexual dysfunction, and
pelvic pain.
Proper management of the body during this period can not only facilitate childbirth but also
reduce potential problems that may arise during pregnancy. Exercises play a crucial role in
managing the body correctly during pregnancy. Aerobic exercises, strength training, and
specific Kegel exercises are commonly performed during pregnancy. However, despite the
frequent occurrence of musculoskeletal and postural changes during pregnancy, it is observed
that postural exercises to regulate these changes are not widely implemented. Studies have
indicated that stabilization exercises are more effective than traditional strength exercises
in reducing complaints during pregnancy.
There is a lack of sufficient research in the literature on core stabilization related to
posture alignment during pregnancy. Core stabilization is defined as the ability to control
the position and movement of the trunk on the pelvis to allow optimal force production,
transfer, and movement of the extremities. It is essential to prevent excessive load on the
pelvis, spine, and kinetic chain. When this system functions effectively, loads on the body
are distributed evenly, reducing excess load on the joints of the kinetic chain. Core
strength training primarily focuses on strengthening deep core muscles, especially the
multifidus and transversus abdominis muscles, which may weaken during pregnancy. Current
exercise programs for pregnant women include exercises targeting core muscles, such as
Pilates, antigravity fitness, birth support belts, stability balls, and Dynamic Neuromuscular
Stabilization (DNS). Although studies on the benefits of stabilization exercises during
pregnancy are available in the literature, there is no specific research on the application
of DNS during pregnancy.
DNS is a system that emphasizes coordination and strength, focusing on the overall harmony of
the body and foundational stability. It is based on developmental kinesiology models. DNS
encompasses motor patterns and programs that infants inherently possess, allowing them to
develop ideal posture, functional joint centering, optimal respiration, and locomotor skills
during ontogenesis. The main goal is to restore physiological movement patterns defined by
developmental kinesiology DNS has been widely accepted in clinical practice as a method that
provides balanced subcortical or reflexive core stabilization, coordinating diaphragm,
transversus abdominis, internal oblique, multifidus, and pelvic floor coactivation with
intra-abdominal pressure and coordinated activation of superficial abdominal muscles.
Understanding the physiological and anatomical adaptations during pregnancy is crucial for
the pregnant woman to cope with the increased metabolic demands vital for the developing
fetus and meet the requirements of childbirth. Recognizing pathological deviations in
pregnant women and ensuring core stabilization using appropriate methods are essential to
optimize outcomes for both the mother and the baby. In the context of critically ill pregnant
women, the DNS method can be used effectively during pregnancy, taking into account that
different modifications may be needed to optimize their treatment. Well-designed studies are
needed to determine the effectiveness of the DNS method.