Effect of Four Exercises on the Inter-recti Distance in Women

NCT04501302 | Unknown

• 1 other identifier: TrAEcho01
• Study Type: observational
• Target: 54
• Locations: 0 countries
• Sites: N/A

Brief Summary

Diastasis rectus abdominis (DRA) is defined as an excessive separation between the two abdominal rectus muscles. It is generally quantified by the inter-recti distance. In postpartum women, the prevalence of diastasis is 60% six weeks after delivery. The increase in the inter-recti distance has been associated with a decrease in strength and endurance of the trunk flexors and rotators (p \< 0.05). Exercise during pregnancy has been shown to be helpful in the treatment of DRA. Nevertheless, there is still not strong evidence to establish what kind of exercise should be recommended during pregnancy and in postpartum. The aim of this study is to compare the morphological and functional changes of the linea alba during four exercises. Inter-recti distance, linea alba thickness and distortion index will be measured at rest, as well as during 4 exercises (draw in maneuver, crunch, pelvic floor muscle contraction and a "de Gasquet" exercise). Subgroup analysis will be performed to determine if the presence or absence of an abdominal diastasis has an influence on these outcomes. A cross-sectional pilot study will be carried out. The main outcome measure will the inter-recti distance. Secondary outcomes will be the thickness of linea alba and distortion index.

Conditions

Diastasis, Muscle

Keywords

transversus abdominis, diastasis rectus abdominis, exercise, pelvic floor muscles

Outcome Measures

Primary Outcomes (1)

• Inter-recti distance

  The distance between the two medial borders of rectus abdominis muscles is measured using ultrasound

  During the exercise

Secondary Outcomes (2)

• Linea alba thickness

  During the exercise

• Distortion index of the linea alba

  During the exercise

Other Outcomes (5)

• Transversus abdominis thickness

  During the exercise

• Current lumbopelvic pain intensity

  During the assessement

• Acute lumbopelvic pain severity

  During the assessement

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Adult parous women attending to several physiotherapy centers in Paris will be recruited

You may qualify if:

• Adults
• Parous
• Women
• Accepting to participe in the research

You may not qualify if:

• Under curatorship
• Persons deprived of their liberty by judicial or administrative decision
• Having intellectual limitations that may limit the understanding of questionnaires or exercises
• With limitations in understanding the French language
• Pregnant women
• History of pelvic / spine fractures
• History of pelvic surgery
• History of spinal surgery
• History of abdominal surgery
• History of lower limbs weakness, changes in osteotendinous reflexes or loss of sensitivity

Sponsors & Collaborators

• APOR B de Gasquet: lead

MeSH Terms

Conditions

Diastasis, Muscle; Motor Activity

Condition Hierarchy (Ancestors)

Joint Dislocations; Joint Diseases; Musculoskeletal Diseases; Wounds and Injuries; Behavior

Central Study Contacts

Montserrat Rejano-Campo, MSc

CONTACT

0033627083914; montserejano@gmail.com

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 9, 2020
• First Posted: August 6, 2020
• Study Start: September 25, 2020
• Primary Completion: February 1, 2021
• Study Completion: May 1, 2021
• Last Updated: August 6, 2020

Record last verified: 2020-08