The prevalence of abdominal diastasis is high in postpartum. The abdominal diastasis can impair the body posture, the of lumbo-pelvic stability and movement, or breathing. Exercises focused on the transversus abdominis muscle have been proposed as a therapeutic approach for abdominal diastasis. Hypopressive abdominal exercises have been used for postpartum recovery, for specific pathologies related to pregnancy (low back pain, pelvic floor dysfunction ...) and even for the rehabilitation of spinal pathologies. However, there is a lack of studies that determine its effectiveness and clinical utility. The aim of the study will be to analyze the effects of Hypopressive abdominal exercises on postpartum abdominal diastasis, the tone of the transverse abdominal muscle and the pelvic floor musculature. A case series design will be applied, with weekly assessment of the outcomes after the intervention and two months after the intervention.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
15
Three sessions per week during four consecutive weeks (Total: 12 sessions). Each session time: 30 minutes.
University of Córdoba
Córdoba, Spain
Abdominal Diastasis - Baseline
Supraumbilical distance between the rectus abdominis * Assessment tool: caliper (electronic, calibrated, precision: 1 mm) * Subject position: supine * Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical
Time frame: Pre-intervention
Abdominal Diastasis - post-intervention 1
Supraumbilical distance between the rectus abdominis * Assessment tool: caliper (electronic, calibrated, precision: 1 mm) * Subject position: supine * Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical
Time frame: Immediately after the intervention
Abdominal Diastasis - post-intervention 2
Supraumbilical distance between the rectus abdominis * Assessment tool: caliper (electronic, calibrated, precision: 1 mm) * Subject position: supine * Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical
Time frame: One month after the intervention
Abdominal Diastasis - post-intervention 3
Supraumbilical distance between the rectus abdominis * Assessment tool: caliper (electronic, calibrated, precision: 1 mm) * Subject position: supine * Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical
Time frame: Two months after the intervention
Abdominal tonometry - Baseline
Tonometric evaluation on the white line (linea alba) and the abdominal muscles * Assessment tool: (MyotonPro (R)) * Subject position: supine * Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical
Time frame: Pre-intervention
Perineal tonometry - Baseline
Tonometric evaluation on the perineal muscles * Assessment tool: (MyotonPro (R)) * Subject position: supine * Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical
Time frame: Pre-intervention
Waist circumference - Baseline
Waist circumference * Assessment tool: tape measure (flexible, precision: 1mm) * Subject position: standing * Localization: minimum perimeter
Time frame: Pre-intervention
Chest circumference - Baseline
Chest circumference * Assessment tool: tape measure (flexible, precision: 1mm) * Subject position: standing * Localization: maximum perimeter
Time frame: Pre-intervention
Abdominal tonometry - post-intervention 1
Tonometric evaluation on the white line (linea alba) and the abdominal muscles * Assessment tool: (MyotonPro (R)) * Subject position: supine * Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical
Time frame: Immediately after the intervention
Perineal tonometry - post-intervention 1
Tonometric evaluation on the perineal muscles * Assessment tool: (MyotonPro (R)) * Subject position: supine * Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical
Time frame: Immediately after the intervention
Waist circumference - post-intervention 1
Waist circumference * Assessment tool: tape measure (flexible, precision: 1mm) * Subject position: standing * Localization: minimum perimeter
Time frame: Immediately after the intervention
Chest circumference - post-intervention 1
Chest circumference * Assessment tool: tape measure (flexible, precision: 1mm) * Subject position: standing * Localization: maximum perimeter
Time frame: Immediately after the intervention
Abdominal tonometry - post-intervention 2
Tonometric evaluation on the white line (linea alba) and the abdominal muscles * Assessment tool: (MyotonPro (R)) * Subject position: supine * Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical
Time frame: One month after the intervention
Perineal tonometry - post-intervention 2
Tonometric evaluation on the perineal muscles * Assessment tool: (MyotonPro (R)) * Subject position: supine * Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical
Time frame: One month after the intervention
Waist circumference - post-intervention 2
Waist circumference * Assessment tool: tape measure (flexible, precision: 1mm) * Subject position: standing * Localization: minimum perimeter
Time frame: One month after the intervention
Chest circumference - post-intervention 2
Chest circumference * Assessment tool: tape measure (flexible, precision: 1mm) * Subject position: standing * Localization: maximum perimeter
Time frame: One month after the intervention
Abdominal tonometry - post-intervention 3
Tonometric evaluation on the white line (linea alba) and the abdominal muscles * Assessment tool: (MyotonPro (R)) * Subject position: supine * Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical
Time frame: Two months after the intervention
Perineal tonometry - post-intervention 3
Tonometric evaluation on the perineal muscles * Assessment tool: (MyotonPro (R)) * Subject position: supine * Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical
Time frame: Two months after the intervention
Waist circumference - post-intervention 3
Waist circumference * Assessment tool: tape measure (flexible, precision: 1mm) * Subject position: standing * Localization: minimum perimeter
Time frame: Two months after the intervention
Chest circumference - post-intervention 3
Chest circumference * Assessment tool: tape measure (flexible, precision: 1mm) * Subject position: standing * Localization: maximum perimeter
Time frame: Two months after the intervention
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