Changes in Abdominal Muscles Performance in Postpartum Women.

Pregnancy Related Clinical Trial

Official title:

Changes in Abdominal Muscles Performance and Inter-rectus Distance in Postpartum Women: an Ultrasonography and Electromyographic Study.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03425916
• Other study ID #: BAM2018
• Status: Completed
• Start date: September 1, 2017
• Est. completion date: May 6, 2019

Study information

• Verified date: May 2019
• Source: University of Alcala
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

To describe and compare abdominal muscles and inter-rectus distance conditions in postpartum period in comparison with nulliparous women. Also to describe the activation changes during different abdominal exercises.

Description:

Pregnancy and childbirth cause corporal changes in women, altering the structure and function of the abdominal and pelvic floor muscles. The distension of the muscular tissue and the possible diastasis recti can alter the performance of the abdominal musculature in the control of intra-abdominal pressure and the lumbo-pelvic stabilization in postpartum term. Abdominal exercise is highly recommended to restore these changes but there is not enough evidence about the effects of exercise modalities.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 196
• Est. completion date: May 6, 2019
• Est. primary completion date: January 8, 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Primiparous women

• Normal not operative delivery

• One child delivery

Exclusion Criteria:

• Two or more previous gestation

• Previous abdominal surgery

• Systemic disease, neurologic or metabolic disease

Related Conditions & MeSH terms

• Pregnancy Related
• Recti Diastasis

Intervention

Other:
• Physical therapy intervention
Primiparous women start a physical therapy intervention in week 6 after normal one-child delivery, based on abdominal and pelvic floor exercises, education and behavior advices. Abdominal muscle condition and activation are measured by transabdominal ultrasound and surface electromiography. This group is going to be examined after treatment and 6 and 12 months after treatment.

Locations

Country	Name	City	State
Spain	Beatriz Arranz Martin	Alcalá De Henares	Madrid

Sponsors (1)

Lead Sponsor	Collaborator
University of Alcala

Country where clinical trial is conducted

Spain, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Inter-rectus distance (mm)	Inter-rectus abdominis distance in mm in rest position.	1 day
Secondary	Cross-sectional area (mm)	Cross-sectional area of rectus abdominis, external oblique, internal oblique and transversus abdominis in rest position.	1 day
Secondary	Neuromuscular activity (mV)	Neuromuscular activity (mV) of rectus abdominis, external oblique and internal oblique + transversus abdominis in rest position.	1 day
Secondary	Inter-rectus distance (mm) during an hypopressive exercise	Inter-rectus distance (mm) during an hypopressive exercise performance in supine position.	1 day