Rectus Abdominis
Conditions
Interventions
This is a randomized controlled clinical trial type study. Women will be recruited with Diastasis of the Rectus Abdominis Muscle (RADM), 12 weeks or more postpartum, and with a separation of the rectu
In addition, participants will receive guidance to perform the exercises daily at home. Women will be randomly allocated into two groups: control (CG=43, kinesiotherapy) and experimental (GE=43, Low P
E02.760.169.063.500.387
Sponsors
Faculdade de Ciências da Saúde do Trairi
Faculdade de Ciências da Saúde do Trairi
Eligibility
Sex/Gender
Female
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Primiparous or multiparous women aged 18 or over; from 12 weeks after birth, BMI less than or equal to 29 kg/m27; who gave birth vaginally to a single fetus after a full-term pregnancy; parity 2 cm and =2 fingers wide, above, below or at the level of the navel; with the ability to adequately contract the Pelvic Floor Muscles and perform the hypopressive maneuver of the LPF® Method adequately; who do not have: history of previous cesarean section; perineal laceration; medical restriction that prevents participation in the proposed assessments and interventions (cardiorespiratory, respiratory (including excessive coughing or sneezing), neurological and/or musculoskeletal changes); any form of vulvovaginal pain, low back pain, pelvic pain, prolapse or incontinence; a pathology of the lower limb (e.g. fracture, surgery, neoplasm); history of pelvic or abdominal surgery; or with a history of smoking; history of multiple pregnancies; complications related to the last pregnancy, such as Polyhydramnios, fetal macrosomia, diabetes or hypertension
Exclusion criteria
Exclusion criteria: Postpartum women who are unable to understand and/or complete the study questionnaires; who have decompensated reflux and those who miss 3 consecutive sessions of the intervention protocol
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Abdominal diastasis: To evaluate the presence of rectus abdominis diastasis and the distance between the rectus abdominis in postpartum women. It will be checked using palpation and caliper methods, at the level of the navel and 4.5 cm above and below it. The presence of significant DMRA will be considered when there is a separation of values above =2 fingers wide and 2cm from the middle edges of these muscles. Assessments will take place pre-intervention, after 8 intervention sessions and post-intervention (at the end of 8 weeks) | — |
Secondary
| Measure | Time frame |
|---|---|
| Patient expectations: Assess the patient's expectations regarding the treatment. It will be assessed through the question “With the treatment you will receive, do you think you will:”, with the possible answers being: (1) get much worse, (2) get a little worse, (3) neither get better nor get worse (4) get a little better and (5) improve a lot. Pre-intervention will be assessed.;Postural assessment: Assess posture. Photographic images of the participants will be captured, with a total of 4 photos in the views: previous; left side; rear; and right side view. Assessments will take place pre-intervention, after 8 intervention sessions and post-intervention (at the end of 8 weeks).;Pelvic floor assessment: Assess the function of the Pelvic Floor Muscles. It will be evaluated by observation and also through vaginal palpation, where the PERFECT scheme will be used. Assessments will take place pre-intervention, after 8 intervention sessions and post-intervention (at the end of 8 weeks).;Tone: Assess the tone of the abdominal linea alba by observation and palpation. It will be checked by palpating the tension of the linea alba at the level of the navel and 4.5 cm above and below it during the forward flexion movement of the trunk. Assessments will take place pre-intervention, after 8 intervention sessions and post-intervention (at the end of 8 weeks).;Waist measurement: Assess your waist circumference. It will be assessed with an unstretched measuring tape. Assessments will take place pre-intervention, after 8 intervention sessions and post-intervention (at the end of 8 weeks).;Functionality: Evaluate functionality. It will be verified using the World Health Organization Disability Assessment Schedule (WHODAS) 2.0 questionnaire. Assessments will take place pre-intervention, after 8 intervention sessions and post-intervention (at the end of 8 weeks).;Trunk resistance: Assess trunk resistance. It will be assessed through the static and dynamic trunk resistance test. Assessment | — |
Countries
Brazil
Contacts
Public ContactVanessa Soares de Sousa
Faculdade de Ciências da Saúde do Trairi
Outcome results
None listed