Diastasis Recti Abdominis, Diastasis Recti And Weakness Of The Linea Alba
Conditions
Keywords
Diastasis recti abdominis, tele-coaching, tele-exercise, postpartum
Brief summary
The aim of this study was to determine the effect of supervised and unsupervised telerehabilitation exercise program on inter-rectus distance, abdominal endurance, pelvic floor dysfunction and body image perception in women with diastasis recti abdominis.
Detailed description
Rectus abdominis diastasis is defined as the separation of the two rectus abdominis muscles along the linea alba, disrupting the structure of the linea alba. It can be caused by increased volume in the abdominal cavity, hormonal changes during pregnancy, neurodevelopmental differences or abdominal wall laxity. It is very common during pregnancy and can persist in the postpartum period. Loss of abdominal wall stability and weakening of the pelvic floor muscles can occur with DRA. can cause various problems in women. Core stability exercises, pelvic floor training and trunk muscle training are some of the exercise regimen options for the management of DRA. However, to our knowledge, studies on telerehabilitation are insufficient in the literature.
Interventions
OTHERSupervised group
A progressive core stability exercise program based on motor control principles will be applied on an online platform through videos under the control of a physiotherapist.
OTHERNon-Supervised group
A core stability exercise program with detailed exercise videos will be implemented at home.
Sponsors
Atlas University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Post- partum women (min 8 weeks - max 3 years)
Exclusion criteria
* History of abdominal surgery * Any neurological disease, systemic musculoskeletal system disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Inter-recti distance | baseline | The subjects are assessed the inter-recti distance (IRD) in the supine position, knees bent and feet resting position on the table, the subjects is going to be asked to elevate the head and shoulders upwards until the inferior angles of the scapulae were just off the table.The subjects palpated the medial edges of RA muscles and IRD was measured using finger palpation in previously marked five-point: on the umbilicus, 4.5 cm, and 2.5 cm above and below the umbilicus |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Abdominal muscle endurance test | baseline | The static abdominal flexion endurance test is also performed once in the same position as the IRD test. The subjects are asked to raise their head and shoulders upwards until the scapulae cleared the table and keep the position as long as possible. The time was recorded as the score of the test. |
| Pelvic floor dysfunction | baseline | Every subject will complete the Turkish version of the short-form of Pelvic Floor Distress Inventory (PFDI-20) which consists of three subscales: the Pelvic Organ Prolapse Distress Inventory short-form (POPDI6), the Urogenital Distress Inventory short-form (UDI-6), and the Colorectal-Anal Distress Inventory short-form (CRADI-8) to assess prolapse and pelvic pressure, urinary symptoms, and bowel symptoms, respectively |
| Body-self relation | baseline | Every subject will complete the Turkish version of Multi-Dimensional Body-Self Relations Questionnaire. |
| Postnatal Depression | baseline | Every subject will complete the Turkish version of the Edinburgh Postnatal Depression Scale |
| balance | baseline | each participant performed a one-leg stand test for the dominant leg |
Countries
Turkey (Türkiye)
Outcome results
None listed