Hypopressive Abdominal Exercise in Postpartum Abdominal Diastasis

NCT04238156 | Completed

• 1 other identifier: HipoDiastasis4073-2018
• Study Type: interventional
• Target: 15
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Abdominal Diastasis

Keywords

Postpartum; Hypopressive abdominal exercises; Pelvic floor muscles

Outcome Measures

Primary Outcomes (4)

• 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

  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

  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

  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

  Two months after the intervention

Secondary Outcomes (16)

• Abdominal tonometry - Baseline

  Pre-intervention

• Perineal tonometry - Baseline

  Pre-intervention

• Waist circumference - Baseline

  Pre-intervention

• Chest circumference - Baseline

  Pre-intervention

• Abdominal tonometry - post-intervention 1

  Immediately after the intervention

Study Arms (1)

Hypopressive abdominal exercises

EXPERIMENTAL

Hypopressive abdominal exercises will be performed in basic postures (standing, sitting and supine position). In each posture, three slow cost-diaphragmatic respiration will be performed followed by an expiratory apnea and a rib cage opening, during 2 to 10 seconds, and an exhalation of 10 to 30 seconds. Each exercise will be repeated three times. There will be 3 stages of application throughout the 12 intervention sessions, supervised by a physical therapist: First stage: To explain the concept of hypopressive respiration and how to perform it. Second stage: To explain and apply the hypopressive abdominal exercises: 1. Axial auto-elongation (reducing curvatures in the sagittal plane); 2. Cervical auto-elongation (chin toward the neck); 3. Moving forward of gravity axis; 4. Activation of the shoulder girdle (shoulder joint decoaptation); 5. Slight knee flexion; 6. Dorsal ankle flexion. Third stage: To review and update all the exercises, increasing their intensity.

Other: Hypopressive abdominal exercises

Interventions

Hypopressive abdominal exercises OTHER

Three sessions per week during four consecutive weeks (Total: 12 sessions). Each session time: 30 minutes.

Hypopressive abdominal exercises

Eligibility Criteria

• Age: 30 Years - 50 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• primiparous or multiparous
• abdominal diastasis previously diagnosed
• commitment to perform, at least, 80% of the exercises
• signed informed consent

You may not qualify if:

• BMI \> 40 Kg/m2
• pelvic floor disorders before childbirth
• drugs with effects on continence or functional properties of the pelvic floor muscles
• treatment for abdominal diastasis in the last 6 months
• systemic disease that impairs pelvic floor physiology and urination
• menopause
• contraindications to the practice of physical exercise and physical therapy

Sponsors & Collaborators

• Universidad de Córdoba: lead

Study Sites (1)

University of Córdoba

Córdoba, 14004, Spain

Location

Study Officials

• Daiana Priscila Rodrigues-de-Souza, PhD

  Universidad de Córdoba

  STUDY DIRECTOR

• Miriam Ramírez Jiménez, Phys Ther

  Universidad de Córdoba

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Ph D, Associate Professor

Study Record Dates

• First Submitted: January 15, 2020
• First Posted: January 23, 2020
• Study Start: January 20, 2020
• Primary Completion: July 20, 2020
• Study Completion: July 20, 2020
• Last Updated: July 21, 2020

Record last verified: 2020-07

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)