Efficiency of Abdominal Corset and Core Stabilization Exercises in the Treatment of Postpartum Diastasis Recti Abdominis

NCT05195463 | Completed

• 1 other identifier: Merveylmz.
• Study Type: interventional
• Target: 45
• Locations: 1 country
• Sites: 1

Brief Summary

Participants will be randomly divided into three groups as core stabilization group, combination of core stabilization and corset group and only corset group.

Conditions

Diastasis Recti

Keywords

diastasis recti abdominis; core stabilization exercise; physiotherapy

Outcome Measures

Primary Outcomes (6)

• Ultrasanografic measurement

  The distance between the rectus muscles will be measured by the obstetrician with ultrasound.

  5 minutes

• Visual Analogue Scale for pain assessment

  The line has a value of 0 at the beginning and a value of 10 at the end. The patient is asked to indicate the intensity of the pain at rest or during activity. A value of 0 means no pain, a value of 10 means excruciating pain.

  3 minutes

• Abdominal muscle strength measurement

  The abdominal muscle strength of the participants will be graded from 0 to 5 using manual muscle testing.

  5 minutes

• Abdominal muscle undurance measurement

  n the measurement of muscle endurance, the participants will be asked to stand as long as they can in their position during the muscle strength measurement.

  5 minutes

• Edinburgh Postnatal Depression Scale

  The scale is used to determine the risk of depression in the postpartum period and to measure the change in level and severity. Minimum value is 0 and maximum value is 30. Cut-off score of 13 is used to distinguish depressed from nondepressed women. High scores means worse outcomes.

  5 minutes

• Oswestry Disability Index for assesment of pain and quality of life

  It is a questionnaire evaluating individuals' participation in activities of daily living due to low back pain.

  5 minutes

Secondary Outcomes (2)

• Weight measurement

  2 minutes

• Height measurement

  2 minutes

Study Arms (3)

First group

EXPERIMENTAL

Core stabilization exercises

Other: Exercise intervention

Second group

EXPERIMENTAL

Combination of core stabilization and abdominal corset

Other: Exercise intervention by wearing abdominal corset

Third group

EXPERIMENTAL

Only abdominal corset

Other: Corset intervention

Interventions

Exercise intervention OTHER

Women with diastasis recti abdominis will do core stabilization exercises for the transversus abdominis muscle with 10 repetitions 3 days a week for 8 weeks. The exercises include diaphragmatic breathing exercises, core stabilization exercises for the transversus abdominis muscle, and pelvic floor contractions

First group

Exercise intervention by wearing abdominal corset OTHER

In this group, in addition to the first group, core stabilization exercises will be performed by wearing an abdominal corset. Participants will be asked to wear their corsets while performing their exercises.

Second group

Corset intervention OTHER

Participants included in this group will be required to wear only this corset all day (except for the bathroom) for 8 weeks.

Third group

Eligibility Criteria

• Age: 20 Years - 35 Years
• Gender Eligibility Details: Participant eligibility is based on self-representation of gender identity.
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Being between the ages of 20-35,
• Having a normal birth,
• Being at least 6 weeks postpartum when DRA is diagnosed,
• Absence of any musculoskeletal or neurological problems,
• Volunteering to do the exercises

You may not qualify if:

• Cesarean delivery,
• Edinburgh Postnatal Depression questionnaire result being \>13,
• Having a systemic disorder

Sponsors & Collaborators

• Istanbul Medipol University Hospital: lead

Study Sites (1)

Istanbul Medipol University

Istanbul, 34820, Turkey (Türkiye)

Location

Study Officials

• MERVE YILMAZ MENEK

  Medipol University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Participants will not know which group they belongs to.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principle Investigator

Study Record Dates

• First Submitted: January 4, 2022
• First Posted: January 19, 2022
• Study Start: February 1, 2022
• Primary Completion: June 1, 2022
• Study Completion: July 1, 2022
• Last Updated: August 4, 2022

Record last verified: 2022-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)