NCT07062653 - Comparison of the Effect of Supervised and Non-Supervised Tele-exercise in Women With Diastasis Recti Abdominis | Crick

Overview

The aim of this study was to determine the effect of supervised and unsupervised telerehabilitation exercise program on inter-rectus distance, abdominal endurance, pelvic floor dysfunction and body image perception in women with diastasis recti abdominis.

Rectus abdominis diastasis is defined as the separation of the two rectus abdominis muscles along the linea alba, disrupting the structure of the linea alba. It can be caused by increased volume in the abdominal cavity, hormonal changes during pregnancy, neurodevelopmental differences or abdominal wall laxity. It is very common during pregnancy and can persist in the postpartum period. Loss of abdominal wall stability and weakening of the pelvic floor muscles can occur with DRA. can cause various problems in women. Core stability exercises, pelvic floor training and trunk muscle training are some of the exercise regimen options for the management of DRA. However, to our knowledge, studies on telerehabilitation are insufficient in the literature.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

39

Conditions

Diastasis Recti Abdominis Diastasis Recti And Weakness Of The Linea Alba

Interventions

Supervised groupOTHER

A progressive core stability exercise program based on motor control principles will be applied on an online platform through videos under the control of a physiotherapist.

Non-Supervised groupOTHER

A core stability exercise program with detailed exercise videos will be implemented at home.

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 45 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Post- partum women (min 8 weeks - max 3 years) Exclusion Criteria: * History of abdominal surgery * Any neurological disease, systemic musculoskeletal system disease

Locations (1)

Atlas University, İstanbul, Kağıthane 34413

Istanbul, Turkey (Türkiye)

Outcomes

Primary Outcomes

Inter-recti distance

The subjects are assessed the inter-recti distance (IRD) in the supine position, knees bent and feet resting position on the table, the subjects is going to be asked to elevate the head and shoulders upwards until the inferior angles of the scapulae were just off the table.The subjects palpated the medial edges of RA muscles and IRD was measured using finger palpation in previously marked five-point: on the umbilicus, 4.5 cm, and 2.5 cm above and below the umbilicus

Time frame: baseline

Inter-recti distance

The subjects are assessed the inter-recti distance (IRD) in the supine position, knees bent and feet resting position on the table, the subjects is going to be asked to elevate the head and shoulders upwards until the inferior angles of the scapulae were just off the table.The subjects palpated the medial edges of RA muscles and IRD was measured using finger palpation in previously marked five-point: on the umbilicus, 4.5 cm, and 2.5 cm above and below the umbilicus

Time frame: after 6 weeks

Secondary Outcomes

Abdominal muscle endurance test

The static abdominal flexion endurance test is also performed once in the same position as the IRD test. The subjects are asked to raise their head and shoulders upwards until the scapulae cleared the table and keep the position as long as possible. The time was recorded as the score of the test.

Time frame: baseline

Abdominal muscle endurance test

The static abdominal flexion endurance test is also performed once in the same position as the IRD test. The subjects are asked to raise their head and shoulders upwards until the scapulae cleared the table and keep the position as long as possible. The time was recorded as the score of the test.

Time frame: after 6 weeks

Pelvic floor dysfunction

Every subject will complete the Turkish version of the short-form of Pelvic Floor Distress Inventory (PFDI-20) which consists of three subscales: the Pelvic Organ Prolapse Distress Inventory short-form (POPDI6), the Urogenital Distress Inventory short-form (UDI-6), and the Colorectal-Anal Distress Inventory short-form (CRADI-8) to assess prolapse and pelvic pressure, urinary symptoms, and bowel symptoms, respectively