Comparison of Hypopressive Breathing and Noble Technique on DRA in Postpartum Women.

Riphah International University50 enrolled

Overview

The aim of study is to compare the effect of Hypopressive breathing and noble technique on width of Diastasis Recti Abdominis, lumbopelvic pain and maternal functioning in postpartum women.

Candido shows that Caesarean section increased the likelihood of experiencing an increase in the inter-rectus distance during the postpartum period. Diastasis recti abdominis (DRA) is a common condition in postpartum women that can cause abdominal muscle separation. However, there is a lack of direct comparison between these two techniques. This study aims to compare the effectiveness of the hypopressive breathing and the Noble Technique in improving DRA in postpartum women.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Diastasis Recti Abdominis

Interventions

hypopressive breathingOTHER

Hot pack for 10min.Hypopressive breathing in sitting, lying and standing position. Hypopressive breathing 2 times/weekly, 5sec hold, 2-3reps, 1-2sets for 12 weeks. Session will be weekly progress.

noble techniqueOTHER

Hot pack for 10min. Noble technique in relaxed supine position 2time/weekly, 3-5sec hold, 10-15reps, 2-3sets for 12 weeks. Session will be weekly progress.

Eligibility

Sex: FEMALEMin age: 24 YearsMax age: 45 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Multiparous women * History of Cesarean section and vaginal delivery * \> 12 weeks postpartum * Measurement is 2cm or more then 2cm of DRA is included by using finger width palpation and Nylon digital caliper * Lumbopelvic pain (NPRS 3 to 8) Exclusion Criteria: * Exclude women who need surgical correction for DRA * Pelvic organ prolapse * Para umbilical hernia * Malignancy * Bone tuberculosis * Fibromyalgia

Locations (1)

Maryam's Clinic

Islamabad, Punjab Province, Pakistan

Outcomes

Primary Outcomes

Modified OSWESTRY Low Back pain Index (ODI)

The Oswestry Low Back Pain Disability Index is a 10-point patient-reported outcome questionnaire that was first published in 1980. It is regarded as the "gold standard" for assessing quality of life (QoL) impairment and disability in persons with low back pain

Time frame: 12 weeks

IFSAC (Inventory of Functional Status After Childbirth)

The IFSAC consists of five subscales and 36 items, that is, infant care (6 items), personal care (8items), household activities (12 items), social and community activities (6 items), and occupational activities (4 items). The questionnaires are rated on a 4-point Likert scale and mean scores were calculated with one point being the lowest and four points being the highest scores possible.

Time frame: 12 weeks

Numeric Pain Rating Scale (NPRS):

The numeric pain rating scale (NPRS), a scoring system that quantifies pain on a scale from 0 (no pain) to 10 (worst possible agony), was used to determine the pain score.

Time frame: 1 day

Data from ClinicalTrials.gov

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