Diastasis Recti
Conditions
Keywords
female, abdominal muscles, Muscle Strength, postpartum, Pain
Brief summary
This study aims to determine the comparative effects of Pilates and Progressive Prone Plank exercises on pain, strength and inter rectus distance in Diastasis Recti
Detailed description
This will be a randomized clinical trial collected from University of Lahore Teaching hospital and Sehat Medical Complex Lahore by using non-probability convenience sampling technique. Multiparous women with a BMI less than 30 kg/m² and have been clinically diagnosed with Diastasis Recti will be included in this study. Participants must be able to perform physical activity without contraindications and must provide informed consent. Women currently pregnant, with significant pelvic floor dysfunction, unmanaged chronic illnesses (e.g., heart disease or hypertension), recent abdominal surgeries within the last six months will be excluded. The sample size is calculated to be 34, with 17 participants in each group. Group A will receive Pilates training, while Group B will undergo progressive prone plank exercises. Each session will last for 45 minute, thrice weekly for four weeks. Pre- and post-treatment evaluations will include pain (Numeric Pain Rating Scale), strength (Manual Muscle Testing), and inter-rectus distance (measured by finger-width method with a Vernier caliper). Data will be analyzed by using SPSS version 27.0.
Interventions
OTHERExperimental: Pilates exercises
It will be delivered three times per week for four weeks, with each session lasting approximately 25 minutes
OTHERProgressive Prone Plank Exercises
It will be delivered three times per week for four weeks, with each session lasting approximately 25 minutes
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
* Multiparous women * Postpartum women (within 6 to 12 months postpartum) * BMI \<30 * IRD ≥2 cm diagnosed with Diastasis Recti (verified by ultrasound or clinical assessment) * Participants who have undergone either vaginal delivery or cesarean section (C-section).
Exclusion criteria
* Significant pelvic floor dysfunction or pelvic organ prolapse or other related conditions * Patient with unmanaged chronic conditions, like heart disease or hypertension * Recent abdominal or related surgeries within the past six months * Women who are currently pregnant or experiencing postpartum complications. * Patient with presence of hernia.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numeric Pain Rating Scale (NPRS) | 4th week | The Numerical Pain Rating Scale (NPRS) is a widely used subjective pain measurement tool. It was created as a simple way to assess pain severity. It has a rating range of 0 to 10, with 0 representing no pain, 5 indicating severe discomfort, and 10 denoting the greatest conceivable agony |
| Manual muscle testing | 4th week | Manual muscle testing (MMT) is a fundamental assessment method used by healthcare professionals to evaluate muscle strength, including the gluteus medius and gluteus maximus. (34) It has a scoring range from 0 to 5 where 5 shows maximum strength. It has a reliability range from 0.88 to 0.94. It also has a good validity with 0.62 to 1.00 range |
| Finger width method | 4th week | In this patient were asked to lie in a supine position in crook lying. Patient is instructed to do abdominal crunch till their shoulder is off the couch. By palpation around the protrusion along the linea alba diastasis recti is assessed with 4.5 cm above and below of umbilical. In case of less than 2 fingers breadth there is no diastasis recti. In case of 2 to 3 fingers breadth the diastasis recti is considered mild. In case of 3 to 4 fingers breadth it is considered as moderate and in case of 4 or more than 4 fingers breadth the diastasis recti is considered severe. The measurement will be done with the help of a Vernier caliper. Measurements were taken 4.5 cm above and below the umbilicus during an abdominal crunch, with the caliper placed between the palpated borders of the rectus abdominis. Three readings were taken at each point, and the average was used for analysis |
Countries
Pakistan
Contacts
CONTACTimran amjad
PRINCIPAL_INVESTIGATORsobia ghafoor, MSPT-OM
Riphah International University
Outcome results
None listed