Diastasis Recti Abdominis
Conditions
Keywords
hypopressive, noble technique, DRA, postpartum women
Brief summary
The aim of study is to compare the effect of Hypopressive breathing and noble technique on width of Diastasis Recti Abdominis, lumbopelvic pain and maternal functioning in postpartum women.
Detailed description
Candido shows that Caesarean section increased the likelihood of experiencing an increase in the inter-rectus distance during the postpartum period. Diastasis recti abdominis (DRA) is a common condition in postpartum women that can cause abdominal muscle separation. However, there is a lack of direct comparison between these two techniques. This study aims to compare the effectiveness of the hypopressive breathing and the Noble Technique in improving DRA in postpartum women.
Interventions
OTHERhypopressive breathing
Hot pack for 10min.Hypopressive breathing in sitting, lying and standing position. Hypopressive breathing 2 times/weekly, 5sec hold, 2-3reps, 1-2sets for 12 weeks. Session will be weekly progress.
OTHERnoble technique
Hot pack for 10min. Noble technique in relaxed supine position 2time/weekly, 3-5sec hold, 10-15reps, 2-3sets for 12 weeks. Session will be weekly progress.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Age
24 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Multiparous women * History of Cesarean section and vaginal delivery * \> 12 weeks postpartum * Measurement is 2cm or more then 2cm of DRA is included by using finger width palpation and Nylon digital caliper * Lumbopelvic pain (NPRS 3 to 8)
Exclusion criteria
* Exclude women who need surgical correction for DRA * Pelvic organ prolapse * Para umbilical hernia * Malignancy * Bone tuberculosis * Fibromyalgia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Modified OSWESTRY Low Back pain Index (ODI) | 12 weeks | The Oswestry Low Back Pain Disability Index is a 10-point patient-reported outcome questionnaire that was first published in 1980. It is regarded as the gold standard for assessing quality of life (QoL) impairment and disability in persons with low back pain |
| IFSAC (Inventory of Functional Status After Childbirth) | 12 weeks | The IFSAC consists of five subscales and 36 items, that is, infant care (6 items), personal care (8items), household activities (12 items), social and community activities (6 items), and occupational activities (4 items). The questionnaires are rated on a 4-point Likert scale and mean scores were calculated with one point being the lowest and four points being the highest scores possible. |
| Numeric Pain Rating Scale (NPRS): | 1 day | The numeric pain rating scale (NPRS), a scoring system that quantifies pain on a scale from 0 (no pain) to 10 (worst possible agony), was used to determine the pain score. |
Countries
Pakistan
Outcome results
None listed