Abdominal Diastasis
Conditions
Keywords
Postpartum, Hypopressive abdominal exercises, Pelvic floor muscles
Brief summary
The prevalence of abdominal diastasis is high in postpartum. The abdominal diastasis can impair the body posture, the of lumbo-pelvic stability and movement, or breathing. Exercises focused on the transversus abdominis muscle have been proposed as a therapeutic approach for abdominal diastasis. Hypopressive abdominal exercises have been used for postpartum recovery, for specific pathologies related to pregnancy (low back pain, pelvic floor dysfunction ...) and even for the rehabilitation of spinal pathologies. However, there is a lack of studies that determine its effectiveness and clinical utility. The aim of the study will be to analyze the effects of Hypopressive abdominal exercises on postpartum abdominal diastasis, the tone of the transverse abdominal muscle and the pelvic floor musculature. A case series design will be applied, with weekly assessment of the outcomes after the intervention and two months after the intervention.
Interventions
OTHERHypopressive abdominal exercises
Three sessions per week during four consecutive weeks (Total: 12 sessions). Each session time: 30 minutes.
Sponsors
Universidad de Córdoba
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
30 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* primiparous or multiparous * abdominal diastasis previously diagnosed * commitment to perform, at least, 80% of the exercises * signed informed consent
Exclusion criteria
* BMI \> 40 Kg/m2 * pelvic floor disorders before childbirth * drugs with effects on continence or functional properties of the pelvic floor muscles * treatment for abdominal diastasis in the last 6 months * systemic disease that impairs pelvic floor physiology and urination * menopause * contraindications to the practice of physical exercise and physical therapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Abdominal Diastasis - Baseline | Pre-intervention | Supraumbilical distance between the rectus abdominis * Assessment tool: caliper (electronic, calibrated, precision: 1 mm) * Subject position: supine * Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical |
| Abdominal Diastasis - post-intervention 1 | Immediately after the intervention | Supraumbilical distance between the rectus abdominis * Assessment tool: caliper (electronic, calibrated, precision: 1 mm) * Subject position: supine * Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical |
| Abdominal Diastasis - post-intervention 2 | One month after the intervention | Supraumbilical distance between the rectus abdominis * Assessment tool: caliper (electronic, calibrated, precision: 1 mm) * Subject position: supine * Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical |
| Abdominal Diastasis - post-intervention 3 | Two months after the intervention | Supraumbilical distance between the rectus abdominis * Assessment tool: caliper (electronic, calibrated, precision: 1 mm) * Subject position: supine * Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Abdominal tonometry - post-intervention 1 | Immediately after the intervention | Tonometric evaluation on the white line (linea alba) and the abdominal muscles * Assessment tool: (MyotonPro (R)) * Subject position: supine * Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical |
| Perineal tonometry - post-intervention 1 | Immediately after the intervention | Tonometric evaluation on the perineal muscles * Assessment tool: (MyotonPro (R)) * Subject position: supine * Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical |
| Waist circumference - post-intervention 1 | Immediately after the intervention | Waist circumference * Assessment tool: tape measure (flexible, precision: 1mm) * Subject position: standing * Localization: minimum perimeter |
| Chest circumference - post-intervention 1 | Immediately after the intervention | Chest circumference * Assessment tool: tape measure (flexible, precision: 1mm) * Subject position: standing * Localization: maximum perimeter |
| Abdominal tonometry - post-intervention 2 | One month after the intervention | Tonometric evaluation on the white line (linea alba) and the abdominal muscles * Assessment tool: (MyotonPro (R)) * Subject position: supine * Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical |
| Perineal tonometry - post-intervention 2 | One month after the intervention | Tonometric evaluation on the perineal muscles * Assessment tool: (MyotonPro (R)) * Subject position: supine * Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical |
| Abdominal tonometry - Baseline | Pre-intervention | Tonometric evaluation on the white line (linea alba) and the abdominal muscles * Assessment tool: (MyotonPro (R)) * Subject position: supine * Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical |
| Chest circumference - post-intervention 2 | One month after the intervention | Chest circumference * Assessment tool: tape measure (flexible, precision: 1mm) * Subject position: standing * Localization: maximum perimeter |
| Abdominal tonometry - post-intervention 3 | Two months after the intervention | Tonometric evaluation on the white line (linea alba) and the abdominal muscles * Assessment tool: (MyotonPro (R)) * Subject position: supine * Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical |
| Perineal tonometry - post-intervention 3 | Two months after the intervention | Tonometric evaluation on the perineal muscles * Assessment tool: (MyotonPro (R)) * Subject position: supine * Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical |
| Waist circumference - post-intervention 3 | Two months after the intervention | Waist circumference * Assessment tool: tape measure (flexible, precision: 1mm) * Subject position: standing * Localization: minimum perimeter |
| Chest circumference - post-intervention 3 | Two months after the intervention | Chest circumference * Assessment tool: tape measure (flexible, precision: 1mm) * Subject position: standing * Localization: maximum perimeter |
| Waist circumference - post-intervention 2 | One month after the intervention | Waist circumference * Assessment tool: tape measure (flexible, precision: 1mm) * Subject position: standing * Localization: minimum perimeter |
| Perineal tonometry - Baseline | Pre-intervention | Tonometric evaluation on the perineal muscles * Assessment tool: (MyotonPro (R)) * Subject position: supine * Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical |
| Waist circumference - Baseline | Pre-intervention | Waist circumference * Assessment tool: tape measure (flexible, precision: 1mm) * Subject position: standing * Localization: minimum perimeter |
| Chest circumference - Baseline | Pre-intervention | Chest circumference * Assessment tool: tape measure (flexible, precision: 1mm) * Subject position: standing * Localization: maximum perimeter |
Countries
Spain
Outcome results
None listed