Participants will be randomly divided into three groups as core stabilization group, combination of core stabilization and corset group and only corset group.
30 volunteer women who were diagnosed with diastasis recti abdominis by an obstetrician in Çamlıca Medipol Hospital, aged between 18-35 and met the inclusion criteria will be included in the study. Participants will be randomly divided into three groups. Participants in the first group will do core stabilization exercises for the transversus abdominis muscle 3 days a week for 8 weeks with 10 repetitions. In the second group, in addition to the first group, core stabilization exercises will be performed by wearing an abdominal corset. Participants included in the third group will be asked to wear only this corset all day (except for the bathroom) for 8 weeks. Anthropometric measurements, ultrasonographic evaluation, Visual Analogue Scale (VAS), Edinburgh Postnatal Depression Scale, abdominal muscle strength and endurance, Oswestry Disability Index will be evaluated as pretest and posttest.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
45
Women with diastasis recti abdominis will do core stabilization exercises for the transversus abdominis muscle with 10 repetitions 3 days a week for 8 weeks. The exercises include diaphragmatic breathing exercises, core stabilization exercises for the transversus abdominis muscle, and pelvic floor contractions
In this group, in addition to the first group, core stabilization exercises will be performed by wearing an abdominal corset. Participants will be asked to wear their corsets while performing their exercises.
Participants included in this group will be required to wear only this corset all day (except for the bathroom) for 8 weeks.
Istanbul Medipol University
Istanbul, Turkey (Türkiye)
Ultrasanografic measurement
The distance between the rectus muscles will be measured by the obstetrician with ultrasound.
Time frame: 5 minutes
Visual Analogue Scale for pain assessment
The line has a value of 0 at the beginning and a value of 10 at the end. The patient is asked to indicate the intensity of the pain at rest or during activity. A value of 0 means no pain, a value of 10 means excruciating pain.
Time frame: 3 minutes
Abdominal muscle strength measurement
The abdominal muscle strength of the participants will be graded from 0 to 5 using manual muscle testing.
Time frame: 5 minutes
Abdominal muscle undurance measurement
n the measurement of muscle endurance, the participants will be asked to stand as long as they can in their position during the muscle strength measurement.
Time frame: 5 minutes
Edinburgh Postnatal Depression Scale
The scale is used to determine the risk of depression in the postpartum period and to measure the change in level and severity. Minimum value is 0 and maximum value is 30. Cut-off score of 13 is used to distinguish depressed from nondepressed women. High scores means worse outcomes.
Time frame: 5 minutes
Oswestry Disability Index for assesment of pain and quality of life
It is a questionnaire evaluating individuals' participation in activities of daily living due to low back pain.
Time frame: 5 minutes
Weight measurement
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Weight measurement in kilograms will be recorded with weighing machine.
Time frame: 2 minutes
Height measurement
Height measurement in meters will be recorded with tape measure
Time frame: 2 minutes