Diastasis, Muscle
Conditions
Interventions
This is a randomized controlled clinical study with three arms, with outcome assessors being blinded. A total of 102 postpartum women who meet the eligibility criteria will be randomly assigned to one
E07.101.036
Sponsors
Universidade Federal do Rio Grande do Norte
Faculdade de Ciências da Saúde do Trairi da Universidade Federal do Rio Grande do Norte
Eligibility
Sex/Gender
Female
Age
18 Years to 40 Years
Inclusion criteria
Inclusion criteria: Postpartum women; normal-risk pregnancy; single fetus; age between 18 and 40 years; up to 72 hours postpartum; via vaginal delivery or cesarean section; full-term birth between 37 and 42 weeks; no abdominal surgeries in the last 12 months
Exclusion criteria
Exclusion criteria: Obstetric complications; postpartum hemorrhage; postpartum depression; infections
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain will be assessed using the Brief Pain Inventory. This is a multidimensional instrument, validated for the Portuguese language, which will be administered at the beginning and end of the study to assess the intensity of pain in the last 24 hours or at the time of application, as well as its impact on the participant's life. A scale from 0 to 10 will be used to grade the following domains: pain at the time of assessment, identification of painful areas using a body diagram, assessment of pain intensity, information on treatments performed, and understanding of the impact of pain on personal life, work, mood, and relationships. The final score is calculated based on the arithmetic mean of each domain, where the higher the score, the greater the intensity or impact of pain on the aspects assessed.;The inter-rectus distance will be assessed at all stages of the study using the Boissonnault technique and a caliper. The women will be positioned in the supine position with their knees flexed. The evaluator will ask them to slightly flex their upper torso until the shoulder blades move away from the table. It will be measured at three points: in the umbilical region and 4.5 cm above and below it. Diastasis of the rectus abdominis muscles will be considered present if the separation in any of the three locations is at least 2 finger widths or if a protrusion along the linea alba is observed, even if the palpated separation is less than 2 finger widths. Diastasis will be classified as normal if it is less than 2 finger widths, mild between 2 and 3 finger widths, moderate from 3 to 4 finger widths, or severe above 4 finger widths. | — |
Secondary
| Measure | Time frame |
|---|---|
| Feasibility will be measured by a virtual questionnaire, pre and post-intervention, by contact rate, eligibility rate, recruitment rate, attendance, dropout and retention rates, level of satisfaction with treatment and safety.;Quality of life will be measured at all stages of the study using the Maternal Postpartum Quality of Life Questionnaire, with a higher score indicating better quality of life. This is a self-administered questionnaire with 39 questions focused on satisfaction and importance, distributed across the following domains: relationship, family, friends, socioeconomic, health and functioning, psychological/baby.;Functioning will be assessed using the WHO Disability Assessment Schedule in the final stage of the study, with higher scores indicating greater restrictions in functioning. This instrument was developed by the World Health Organization and covers six domains: cognition, mobility, self-care, interpersonal relationships, life activities and participation.;The perception of the overall effect of the treatment will be measured by the Global Perceived Effect Scale, after the intervention, with a lower score indicating an improvement in the health condition. This Likert-type scale allows the comparison of the current health condition with the initial state of the symptoms, ranging from 1 “extremely better” to 9 “extremely worse”. | — |
Countries
Brazil
Contacts
Public ContactMaria Silva
Faculdade de Ciências da Saúde do Trairi da Universidade Federal do Rio Grande do Norte
Outcome results
None listed