Diastasis Recti Abdominis Association With Sacroiliac Joint and Pelvic Floor Dysfunction in Postpartum C-section Women

NCT04519840 | Completed DMC

• 1 other identifier: DubaiHA
• Study Type: observational
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

Purpose: The purpose of the proposed study is to examine the ability of diastasis recti abdominis to predict outcomes of Sacroiliac joint dysfunction and pelvic floor dysfunction.

• Sample: The study will use a purposive sampling to select 120 subjects, ages 18-45, in the postpartum period between 12 weeks and 48 weeks. All subjects should have resided in the UAE minimum of 6 months prior to taking part in the study. Data analysis:
• The age range of the subjects as well as the mean age with standard deviation will be determined.
• Data will be analyzed using Multivariate Linear Regression Analysis for the primary research question.
• For the Ssecondary research questions will include difference in DRA will be analyzed byas below:
• SIJ Dysfunction (logistic regression-Odds ratio)
• PFDI (Low, Moderate, High) (ANOVA/Kruskal Wallace Wallis Test)
• Pelvic Fascia excursion (Low, Moderate, High). (ANOVA/Kruskal Wallace Wallis Test)

Conditions

Diastasis Recti; Sacroiliac Joint Somatic Dysfunction; Pelvic Floor Disorders

Outcome Measures

Primary Outcomes (1)

• presence of Diastasis Recti Abdominus

  Primary outcome

  48 weeks

Secondary Outcomes (2)

• sacroiliac joint somatic dysfunction

  48 weeks

• Pelvic floor disorder

  48 weeks

Interventions

nill OTHER

nill

Eligibility Criteria

• Age: 18 Years - 45 Years
• Gender Eligibility Details: 12-48 weeks postpartum between ages of 18-45 years
• Healthy Volunteers: No
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

• The study will use a purposive sampling of 120 subjects, ages 18-45, in the postpartum period between 12 weeks and 48 weeks. All subjects will live in the United Arab Emirates minimum of 6 months prior to taking part in the study.

You may qualify if:

• Eligible participant should be 12-48 weeks postpartum between ages of 18-45 years
• Maximum two Cesarean section delivery with no vaginal deliveries.

You may not qualify if:

• ● Participant will be excluded (identified with the assistance of a health screening questionnaire):
• History of traumatic injury to the lumbar-pelvic region, hip or lower extremities
• Morbid Obesity: Participants with more than 35 kg/m2 body mass index will be excluded.
• History of systemic disease affecting the musculoskeletal, neuromuscular and cardiopulmonary systems
• Cardiovascular disease affecting lung function.
• History of traumatic injury to the lumbar-pelvic region, hip or lower extremities.

Sponsors & Collaborators

• Dubai Health Authority: lead

Study Sites (1)

Dubai Hospital

Dubai, 00971, United Arab Emirates

Location

Related Publications (20)

• Sperstad JB, Tennfjord MK, Hilde G, Ellstrom-Engh M, Bo K. Diastasis recti abdominis during pregnancy and 12 months after childbirth: prevalence, risk factors and report of lumbopelvic pain. Br J Sports Med. 2016 Sep;50(17):1092-6. doi: 10.1136/bjsports-2016-096065. Epub 2016 Jun 20.

  PMID: 27324871 BACKGROUND

• Ostgaard HC, Roos-Hansson E, Zetherstrom G. Regression of back and posterior pelvic pain after pregnancy. Spine (Phila Pa 1976). 1996 Dec 1;21(23):2777-80. doi: 10.1097/00007632-199612010-00013.

  PMID: 8979325 BACKGROUND

• Lee D, Hodges PW. Behavior of the Linea Alba During a Curl-up Task in Diastasis Rectus Abdominis: An Observational Study. J Orthop Sports Phys Ther. 2016 Jul;46(7):580-9. doi: 10.2519/jospt.2016.6536.

  PMID: 27363572 BACKGROUND

• Vleeming A, Albert HB, Ostgaard HC, Sturesson B, Stuge B. European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J. 2008 Jun;17(6):794-819. doi: 10.1007/s00586-008-0602-4. Epub 2008 Feb 8.

  PMID: 18259783 BACKGROUND

• Broadhurst NA, Bond MJ. Pain provocation tests for the assessment of sacroiliac joint dysfunction. J Spinal Disord. 1998 Aug;11(4):341-5.

  PMID: 9726305 BACKGROUND

• Laslett M, Aprill CN, McDonald B, Young SB. Diagnosis of sacroiliac joint pain: validity of individual provocation tests and composites of tests. Man Ther. 2005 Aug;10(3):207-18. doi: 10.1016/j.math.2005.01.003.

  PMID: 16038856 BACKGROUND

• Vleeming A, de Vries HJ, Mens JM, van Wingerden JP. Possible role of the long dorsal sacroiliac ligament in women with peripartum pelvic pain. Acta Obstet Gynecol Scand. 2002 May;81(5):430-6. doi: 10.1034/j.1600-0412.2002.810510.x.

  PMID: 12027817 BACKGROUND

• Freburger JK, Riddle DL. Using published evidence to guide the examination of the sacroiliac joint region. Phys Ther. 2001 May;81(5):1135-43. No abstract available.

  PMID: 11319939 BACKGROUND

• O'Sullivan PB, Beales DJ, Beetham JA, Cripps J, Graf F, Lin IB, Tucker B, Avery A. Altered motor control strategies in subjects with sacroiliac joint pain during the active straight-leg-raise test. Spine (Phila Pa 1976). 2002 Jan 1;27(1):E1-8. doi: 10.1097/00007632-200201010-00015.

  PMID: 11805650 BACKGROUND

• Bruno PA, Millar DP, Goertzen DA. Inter-rater agreement, sensitivity, and specificity of the prone hip extension test and active straight leg raise test. Chiropr Man Therap. 2014 Jun 16;22:23. doi: 10.1186/2045-709X-22-23. eCollection 2014.

  PMID: 24982755 BACKGROUND

• Mota P, Pascoal AG, Sancho F, Bo K. Test-retest and intrarater reliability of 2-dimensional ultrasound measurements of distance between rectus abdominis in women. J Orthop Sports Phys Ther. 2012 Nov;42(11):940-6. doi: 10.2519/jospt.2012.4115. Epub 2012 Jul 18.

  PMID: 22810966 BACKGROUND

• Chiarello CM, McAuley JA. Concurrent validity of calipers and ultrasound imaging to measure interrecti distance. J Orthop Sports Phys Ther. 2013;43(7):495-503. doi: 10.2519/jospt.2013.4449. Epub 2013 Apr 30.

  PMID: 23633625 BACKGROUND

• Butowicz CM, Ebaugh DD, Noehren B, Silfies SP. VALIDATION OF TWO CLINICAL MEASURES OF CORE STABILITY. Int J Sports Phys Ther. 2016 Feb;11(1):15-23.

  PMID: 26900496 BACKGROUND

• Barton A, Serrao C, Thompson J, Briffa K. Transabdominal ultrasound to assess pelvic floor muscle performance during abdominal curl in exercising women. Int Urogynecol J. 2015 Dec;26(12):1789-95. doi: 10.1007/s00192-015-2791-9. Epub 2015 Jul 28.

  PMID: 26215905 BACKGROUND

• Fonseca H, Silva AM, Matos MG, Esteves I, Costa P, Guerra A, Gomes-Pedro J. Validity of BMI based on self-reported weight and height in adolescents. Acta Paediatr. 2010 Jan;99(1):83-8. doi: 10.1111/j.1651-2227.2009.01518.x.

  PMID: 19878130 BACKGROUND

• Al-Shehri AH, Taha AZ, Bahnassy AA, Salah M. Health-related quality of life in type 2 diabetic patients. Ann Saudi Med. 2008 Sep-Oct;28(5):352-60. doi: 10.5144/0256-4947.2008.352.

  PMID: 18779640 BACKGROUND

• Mota P, Pascoal AG, Carita AI, Bo K. Normal width of the inter-recti distance in pregnant and postpartum primiparous women. Musculoskelet Sci Pract. 2018 Jun;35:34-37. doi: 10.1016/j.msksp.2018.02.004. Epub 2018 Feb 20.

  PMID: 29494833 RESULT

• Bo K, Hilde G, Tennfjord MK, Sperstad JB, Engh ME. Pelvic floor muscle function, pelvic floor dysfunction and diastasis recti abdominis: Prospective cohort study. Neurourol Urodyn. 2017 Mar;36(3):716-721. doi: 10.1002/nau.23005. Epub 2016 Mar 31.

  PMID: 27037746 RESULT

• Gillard S, Ryan CG, Stokes M, Warner M, Dixon J. Effects of posture and anatomical location on inter-recti distance measured using ultrasound imaging in parous women. Musculoskelet Sci Pract. 2018 Apr;34:1-7. doi: 10.1016/j.msksp.2017.11.010. Epub 2017 Nov 22.

  PMID: 29195217 RESULT

• Mota P., Pascoal A.G., Vaz C., João F., Veloso A., Bø K. (2018) Diastasis Recti During Pregnancy and Postpartum. In: Brandão S., Da Roza T., Ramos I., Mascarenhas T. (eds) Women's Health and Biomechanics. Lecture Notes in Computational Vision and Biomechanics, vol 29. Springer, Cham. https://doi.org/10.1007/978-3-319-71574-2_10

  RESULT

MeSH Terms

Conditions

Pelvic Floor Disorders

Condition Hierarchy (Ancestors)

Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Pregnancy Complications; Male Urogenital Diseases

Study Officials

• Meeyoung Kim, PhD

  University of Sharjah

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Target Duration: 1 Day
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Physiotherapist

Study Record Dates

• First Submitted: August 17, 2020
• First Posted: August 20, 2020
• Study Start: December 15, 2020
• Primary Completion: March 1, 2021
• Study Completion: August 1, 2021
• Last Updated: August 18, 2021

Record last verified: 2021-08

Data Sharing

• IPD Sharing: Will share
• Shared Documents: ICF
• Time Frame: one year
• Access Criteria: only investigators

Locations

AE (1)