Diastasis, Muscle
Conditions
Keywords
transversus abdominis, diastasis rectus abdominis, exercise, pelvic floor muscles
Brief summary
Diastasis rectus abdominis (DRA) is defined as an excessive separation between the two abdominal rectus muscles. It is generally quantified by the inter-recti distance. In postpartum women, the prevalence of diastasis is 60% six weeks after delivery. The increase in the inter-recti distance has been associated with a decrease in strength and endurance of the trunk flexors and rotators (p \< 0.05). Exercise during pregnancy has been shown to be helpful in the treatment of DRA. Nevertheless, there is still not strong evidence to establish what kind of exercise should be recommended during pregnancy and in postpartum. The aim of this study is to compare the morphological and functional changes of the linea alba during four exercises. Inter-recti distance, linea alba thickness and distortion index will be measured at rest, as well as during 4 exercises (draw in maneuver, crunch, pelvic floor muscle contraction and a de Gasquet exercise). Subgroup analysis will be performed to determine if the presence or absence of an abdominal diastasis has an influence on these outcomes. A cross-sectional pilot study will be carried out. The main outcome measure will the inter-recti distance. Secondary outcomes will be the thickness of linea alba and distortion index.
Interventions
None listed
Sponsors
APOR B de Gasquet
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
* Adults * Parous * Women * Accepting to participe in the research
Exclusion criteria
* Under curatorship * Persons deprived of their liberty by judicial or administrative decision * Having intellectual limitations that may limit the understanding of questionnaires or exercises * With limitations in understanding the French language * Pregnant women * History of pelvic / spine fractures * History of pelvic surgery * History of spinal surgery * History of abdominal surgery * History of lower limbs weakness, changes in osteotendinous reflexes or loss of sensitivity
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Inter-recti distance | During the exercise | The distance between the two medial borders of rectus abdominis muscles is measured using ultrasound |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Linea alba thickness | During the exercise | Linea alba thickness is measured using ultrasound |
| Distortion index of the linea alba | During the exercise | Average deviation of the linea alba from the shortest path between the recti measured using ultrasound |
Other
| Measure | Time frame | Description |
|---|---|---|
| Chronic lumbopelvic pain severity | During the assessement | The participants will be asked about their lumbopelvic pain mean intensity in the last 6 months using a visual analog scale |
| Transversus abdominis thickness | During the exercise | Transversus abdominis thickness at 1cm lateral from the fascia transversalis measured using ultrasound |
| Urinary symptoms | During the assessement | Urinary symptoms will be measured using the Urinary Symptom Profile questionnaires |
| Current lumbopelvic pain intensity | During the assessement | Current lumbopelvic pain will be measured using a visual analog scale |
| Acute lumbopelvic pain severity | During the assessement | The participants will be asked about their lumbopelvic pain mean intensity in the last week using a visual analog scale |
Contacts
Primary ContactMontserrat Rejano-Campo, MSc
Outcome results
None listed