Diastasis Recti And Weakness Of The Linea Alba
Conditions
Keywords
diastasis recti, Postpartum woman, exercise therapy, ultrasound
Brief summary
his study aims to evaluate the effect of an exercise program in postpartum women with diastasis recti, defined as an inter-rectus distance greater than 2 cm at any of three ultrasound measurement points . Participants will be divided into two groups: an intervention group that will follow a 6-week exercise program and a control group that will receive usual care. Ultrasound assessment of the linea alba will be performed before the intervention and after 6 weeks. The main outcomes will be inter-rectus distance and the stiffness of the linea alba measured using shear wave elastography, along with obstetric and personal clinical variables. Participants will be recruited from primary care centers in the Community of Madrid through midwives during postpartum consultations.
Detailed description
In this study, the effect of an exercise program on postpartum women with diastasis will be evaluated. Diastasis will be defined as an inter-rectus distance greater than 2 cm at any of the points assessed by ultrasound (5 cm above the navel, at the level of the navel, and 2 cm below the navel). Participants will be divided into two groups: one group will receive an exercise program for 6 weeks, while the other group will serve as the control group, receiving usual care. An ultrasound assessment of the linea alba will be performed before the start of the study and after 6 weeks. The main variables evaluated will be inter-rectus distance and the stiffness of the linea alba measured by shear wave elastography, in addition to obstetric and personal variables obtained from the medical history. Participants will be recruited from primary care centers in the Community of Madrid through midwives during postpartum consultations.
Interventions
OTHERExercise program
Structured therapeutic exercise program aimed at restoring functional integritu of the abdominal-lumbo-pelvic complex over a six week period. The exercise program was based on activation of the transversus abdominis muscle, synergistic co-activation with the pelvic floor muscles, breathing re-education, and the integration of hypopressive abdominal exercises.
Sponsors
University of Vigo
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult woman (\> 18 years old) * Women who agreed to participate and provided written informed consent * Women between 6 and 12 weeks postpartum at the time of recruitment.
Exclusion criteria
* History of previous abdominal surgery ( except cesarean section) * Presence of abdominal or umbilical hernias * Current pregnancy * Neuromuscular or systemic conditions affectinf the abdominal wall * Active infections * Any condition that could intervere with the correct execution of the measurement protocol. * Incomplete records or measurements that do not meet elastography quality criteria will be excluded.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Interrectus distance | From enrollment to the end of treatment at 6 weeks. | This group does not follow the exercise program and continues with their usual care through the public healthcare system, which does not include any intervention for diastasis. |
| Stiffness of the linea Alba | From enrollment to the end of treatment at 6 weeks. | CopilotThe stiffness of the linea alba will be measured at three points (5 cm above the navel, at the level of the navel, and 2 cm below the navel) using shear wave elastography. |
Countries
Spain
Contacts
CONTACTIria Da Cuña Carrera, Physiotherapy
Outcome results
None listed