Diastasis Recti
Conditions
Keywords
diastasis recti abdominis, core stabilization exercise, physiotherapy
Brief summary
Participants will be randomly divided into three groups as core stabilization group, combination of core stabilization and corset group and only corset group.
Detailed description
30 volunteer women who were diagnosed with diastasis recti abdominis by an obstetrician in Çamlıca Medipol Hospital, aged between 18-35 and met the inclusion criteria will be included in the study. Participants will be randomly divided into three groups. Participants in the first group will do core stabilization exercises for the transversus abdominis muscle 3 days a week for 8 weeks with 10 repetitions. In the second group, in addition to the first group, core stabilization exercises will be performed by wearing an abdominal corset. Participants included in the third group will be asked to wear only this corset all day (except for the bathroom) for 8 weeks. Anthropometric measurements, ultrasonographic evaluation, Visual Analogue Scale (VAS), Edinburgh Postnatal Depression Scale, abdominal muscle strength and endurance, Oswestry Disability Index will be evaluated as pretest and posttest.
Interventions
OTHERExercise intervention
Women with diastasis recti abdominis will do core stabilization exercises for the transversus abdominis muscle with 10 repetitions 3 days a week for 8 weeks. The exercises include diaphragmatic breathing exercises, core stabilization exercises for the transversus abdominis muscle, and pelvic floor contractions
OTHERExercise intervention by wearing abdominal corset
In this group, in addition to the first group, core stabilization exercises will be performed by wearing an abdominal corset. Participants will be asked to wear their corsets while performing their exercises.
OTHERCorset intervention
Participants included in this group will be required to wear only this corset all day (except for the bathroom) for 8 weeks.
Sponsors
Istanbul Medipol University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
Participants will not know which group they belongs to.
Eligibility
Sex/Gender
FEMALE
Age
20 Years to 35 Years
Healthy volunteers
No
Inclusion criteria
* Being between the ages of 20-35, * Having a normal birth, * Being at least 6 weeks postpartum when DRA is diagnosed, * Absence of any musculoskeletal or neurological problems, * Volunteering to do the exercises
Exclusion criteria
* Cesarean delivery, * Edinburgh Postnatal Depression questionnaire result being \>13, * Having a systemic disorder
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Oswestry Disability Index for assesment of pain and quality of life | 5 minutes | It is a questionnaire evaluating individuals' participation in activities of daily living due to low back pain. |
| Abdominal muscle undurance measurement | 5 minutes | n the measurement of muscle endurance, the participants will be asked to stand as long as they can in their position during the muscle strength measurement. |
| Edinburgh Postnatal Depression Scale | 5 minutes | The scale is used to determine the risk of depression in the postpartum period and to measure the change in level and severity. Minimum value is 0 and maximum value is 30. Cut-off score of 13 is used to distinguish depressed from nondepressed women. High scores means worse outcomes. |
| Ultrasanografic measurement | 5 minutes | The distance between the rectus muscles will be measured by the obstetrician with ultrasound. |
| Visual Analogue Scale for pain assessment | 3 minutes | The line has a value of 0 at the beginning and a value of 10 at the end. The patient is asked to indicate the intensity of the pain at rest or during activity. A value of 0 means no pain, a value of 10 means excruciating pain. |
| Abdominal muscle strength measurement | 5 minutes | The abdominal muscle strength of the participants will be graded from 0 to 5 using manual muscle testing. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Height measurement | 2 minutes | Height measurement in meters will be recorded with tape measure |
| Weight measurement | 2 minutes | Weight measurement in kilograms will be recorded with weighing machine. |
Countries
Turkey (Türkiye)
Outcome results
None listed