Effects of Pilates Exercises on Postpartum

NCT05397808 | Completed

• 1 other identifier: 3
• Study Type: interventional
• Target: 58
• Locations: 1 country
• Sites: 1

Brief Summary

The postpartum period for the family is the period of adjustment in which a new order is established due to adding a new member to the family. For the mother, this period is a transitional period in which she has to adapt to her baby, postpartum disorders, the new order in the family, and changes in body image. Inactivity is common in today's world; increases the risk of various problems in new mothers. These problems negatively affect women's depression, functional level, sleep quality, and quality of life in the postpartum period. The Pilates method, developed by Joseph Pilates under the name of "Contrology," is the most well-known exercise method in the world for babies and mothers among today's exercise programs since it is an exercise method in which all systems, spirit, and body are integrated and coordinated, considering the whole physiological process. This study aims to understand how depression, loss of functionality, sleep quality, functional levels, and quality of life levels of women who do pilates exercises with a physiotherapist are affected in the postpartum period.

Conditions

Postpartum Disorder

Keywords

Pilates exercises; depression; sleep quality

Outcome Measures

Primary Outcomes (10)

• Depression- Baseline

  Edinburgh Postpartum Depression Scale (EPDS) is a self-report scale consisting of 10 items, in a 4-point Likert format. The lowest score that can be obtained from the scale is 0, and the highest score is 30. The cut-off point for EPDS is 13 points. Accordingly, 13 points and above indicate the risk of depression.

  Baseline

• Depression- Post intervention

  Edinburgh Postpartum Depression Scale (EPDS) is a self-report scale consisting of 10 items, in a 4-point Likert format. The lowest score that can be obtained from the scale is 0, and the highest score is 30. The cut-off point for EPDS is 13 points. Accordingly, 13 points and above indicate the risk of depression.

  Assessment will be conducted immediately after the intervention

• Oswestry Disability Index- Baseline

  The items question the severity of pain, self-care, lifting-carrying, walking, sitting, standing, sleep, degree of pain change, travel, and social life. When calculating the total score, it is multiplied by two and expressed as a percentage. The maximum score is "100," and the minimum score is "0". As the total score increases, the level of disability also increases.

  Baseline

• Oswestry Disability Index- Post intervention

  The items question the severity of pain, self-care, lifting-carrying, walking, sitting, standing, sleep, degree of pain change, travel, and social life. When calculating the total score, it is multiplied by two and expressed as a percentage. The maximum score is "100," and the minimum score is "0". As the total score increases, the level of disability also increases.

  Assessment will be conducted immediately after the intervention

• Postpartum Sleep Quality Scale- Baseline

  The PSQS is scored using a 5-point Likert scale ranging from 0 to 4 (0 = never,1= rarely,2= sometimes,3= often, and 4 = always). The items with an asterisk are scored in reverse order. Possible scores for the PSQS range from 0 to 56, with no cutoff point designated and higher scores indicating poor sleep quality.

  Baseline

• Postpartum Sleep Quality Scale- Post intervention

  The PSQS is scored using a 5-point Likert scale ranging from 0 to 4 (0 = never,1= rarely,2= sometimes,3= often, and 4 = always). The items with an asterisk are scored in reverse order. Possible scores for the PSQS range from 0 to 56, with no cutoff point designated and higher scores indicating poor sleep quality.

  Assessment will be conducted immediately after the intervention

• The Inventory of Functional Status After Childbirth- Baseline

  The IFSAC consists of five subscales, including five dimensions of functional status and 36 four-point Likert-type questions to determine postpartum recovery. Each question of the IFSAC has been evaluated over four points (from one to four). A high score (close to four) indicates high functional status.

  Baseline

• The Inventory of Functional Status After Childbirth- Post intervention

  The IFSAC consists of five subscales, including five dimensions of functional status and 36 four-point Likert-type questions to determine postpartum recovery. Each question of the IFSAC has been evaluated over four points (from one to four). A high score (close to four) indicates high functional status.

  Assessment will be conducted immediately after the intervention

• Maternal Postpartum Quality of Life Questionnaire- Baseline

  Postpartum quality of life is a scale that is evaluated according to the perception of the mother and consists of five sub-dimensions and a total of 40 items. The scores obtained after the procedure are summed up and divided by the number of scale questions (40 items), and a fixed value (15) is added to the number obtained from the section to avoid negative results, and the result is found. Thus, the Quality of Life Scores is in the range of 0-30. The higher the score obtained from the scale, the higher the person's postpartum quality of life, and lower scores indicate a lower postpartum quality of life.

  Baseline

• Maternal Postpartum Quality of Life Questionnaire- Post intervention

  Postpartum quality of life is a scale that is evaluated according to the perception of the mother and consists of five sub-dimensions and a total of 40 items. The scores obtained after the procedure are summed up and divided by the number of scale questions (40 items), and a fixed value (15) is added to the number obtained from the section to avoid negative results, and the result is found. Thus, the Quality of Life Scores is in the range of 0-30. The higher the score obtained from the scale, the higher the person's postpartum quality of life, and lower scores indicate a lower postpartum quality of life.

  Assessment will be conducted immediately after the intervention

Study Arms (2)

pilates group

EXPERIMENTAL

Pilates training will be held for eight weeks, two days a week for 1 hour. The investigators divided the individuals in the pilates exercise group into groups of 12 or 13 to verify whether they did the exercises correctly. A program including 15 minutes of warm-up, 30 minutes of Pilates exercises, and 15 minutes of cooling and stretching exercises was arranged for the pilates group. The activities were performed in ten repetitions. The exercise program recommended by the Australian Pilates and Physiotherapy Institute during postpartum will be used in the training.

Other: Pilates Training

control group

ACTIVE COMPARATOR

The control group was given breathing and relaxation exercises, which they would do two days a week for eight weeks, in the form of a home program. Diaphragmatic breathing and respiratory control were given as breathing exercises.

Other: breathing and relaxation exercises

Interventions

Pilates Training OTHER

The group that received pilates training.

pilates group

breathing and relaxation exercises OTHER

The group who received breathing and relaxation exercises with a home program.

control group

Eligibility Criteria

• Age: 25 Years - 38 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Vaginal birth
• First birth
• At least six weeks postpartum
• Absence of any anomaly in the mother or baby after birth
• Being between the ages of 25-38
• Having a body mass index \<30

You may not qualify if:

• Any cardiovascular, orthopedic, visual, hearing, and perception problems that may affect the results of the research.
• Participating in other exercises or physiotherapy programs during the past 6 months.
• Cesarean delivery

Sponsors & Collaborators

• Ankara Medipol University: lead

Study Sites (1)

Ankara Medipol University

Altındağ, Ankara, 06050, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Puerperal Disorders; Depression; Sleep Initiation and Maintenance Disorders

Interventions

Exercise Movement Techniques; Respiration

Condition Hierarchy (Ancestors)

Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Behavioral Symptoms; Behavior; Sleep Disorders, Intrinsic; Dyssomnias; Sleep Wake Disorders; Nervous System Diseases; Mental Disorders

Intervention Hierarchy (Ancestors)

Physical Therapy Modalities; Therapeutics; Respiratory Physiological Phenomena; Circulatory and Respiratory Physiological Phenomena

Study Officials

• HALİL I BULGUROGLU

  Ankara Medipol University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: Using a computer program, the investigators randomly placed individuals who completed the initial assessment into the pilates group or control group.

Study Record Dates

• First Submitted: May 26, 2022
• First Posted: May 31, 2022
• Study Start: May 23, 2022
• Primary Completion: September 18, 2022
• Study Completion: September 25, 2022
• Last Updated: November 15, 2022

Record last verified: 2022-11

Locations

TU (1)