Recti Diastasis, Pregnancy Related
Conditions
Keywords
Hypopressive exercises, Ultrasonography
Brief 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.
Detailed 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.
Interventions
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.
Sponsors
University of Alcala
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Inter-rectus distance (mm) | 1 day | Inter-rectus abdominis distance in mm in rest position. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cross-sectional area (mm) | 1 day | Cross-sectional area of rectus abdominis, external oblique, internal oblique and transversus abdominis in rest position. |
| Neuromuscular activity (mV) | 1 day | Neuromuscular activity (mV) of rectus abdominis, external oblique and internal oblique + transversus abdominis in rest position. |
| Inter-rectus distance (mm) during an hypopressive exercise | 1 day | Inter-rectus distance (mm) during an hypopressive exercise performance in supine position. |
Countries
Spain
Outcome results
None listed