Diaphragmatic Breathing With and Without Abdominal Muscles Strength Training Program

NCT05474469 | Completed

• 1 other identifier: REC/RCR & AHS/22/0509
• Study Type: interventional
• Target: 74
• Locations: 1 country
• Sites: 1

Brief Summary

The postpartum period is excessively weak and have hypotonic abdominal muscles, making the ligaments and connective tissue softer and more elastic. The importance of exercise in the postpartum period is very important in this regard. This study will be a Randomized control trial used to compare the effects of diaphragmatic breathing with and without abdominal muscles strength training program on pelvic floor strength and endurance and quality of life in postnatal women. Subjects meeting the inclusion and exclusion criteria will be divided into two groups using lottery method. Assessment will be done using PERFECT scheme questionnaire and SF- 36 quality of life questionnaire. Subjects in one group will receive diaphragmatic breathing exercises along with pelvic muscle strength training and subjects in other group will receive only diaphragmatic breathing exercises. Each subject will receive 12 treatment sessions for 4 weeks. Results will be analyzed for any change by using SPSS25.

Conditions

Pelvic Floor Muscle Weakness; Endurance; Quality of Life

Keywords

Abdominal Muscles; Breathing Exercises; Exercise; Pelvic Floor; Quality Of Life

Outcome Measures

Primary Outcomes (2)

• PERFECT scheme questionnaire

  The term PERFECT stands for power (or pressure), endurance (E), repetitions (R), rapid contractions (F), and lastly, every contraction timed (ECT). The Pelvic Floor Muscle Assessment Scheme was created to streamline and explain the process. This program may provide suggestions for developing patient-specific exercise plans that correspond to the principles of muscle training."

  4 Weeks

• SF-36 quality of life questionnaire

  Physical functioning (PF), role physical (RP), bodily pain (BP), general health (GH), vitality (VT), social functioning (SF), role emotional (RE), and mental health (MH) are the eight scales that the SF-36 measures. Different amounts from each scale do go into the scoring of the PCS and MCS measures.

  4 Weeks

Study Arms (2)

Diaphragmatic breathing in combination with abdominal muscle strengthening exercises

EXPERIMENTAL

Exprimental Group ( Group A) will receive diaphragmatic breathing in combination with abdominal muscle strengthening exercises .12 treatment sessions for 4 weeks period, which consisted of 03 treatment sessions per week.

Other: Diaphragmatic breathing exercises; Other: Abdominal muscle strengthening exercises

Diaphragmatic breathing Exercises only without abdominal muscle strengthening exercises

ACTIVE COMPARATOR

Active comparator (Group B) will receive diaphragmatic breathing only. 12 treatment sessions for 4 weeks period, which consisted of 03 treatment sessions per week.

Other: Diaphragmatic breathing exercises

Interventions

Diaphragmatic breathing exercises OTHER

12 treatment sessions for 4 weeks period, which consisted of 03 treatment sessions per week.

Diaphragmatic breathing Exercises only without abdominal muscle strengthening exercises; Diaphragmatic breathing in combination with abdominal muscle strengthening exercises

Abdominal muscle strengthening exercises OTHER

12 treatment sessions for 4 weeks period, which consisted of 03 treatment sessions per week.

Diaphragmatic breathing in combination with abdominal muscle strengthening exercises

Eligibility Criteria

• Age: 20 Years - 35 Years
• Gender Eligibility Details: Postnatal Women
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age 20 to 35 years.
• Women between 2 to 6 months post-natal.
• Women with stable somatic state.
• Women with no cognitive dysfunction.

You may not qualify if:

• Women with respiratory problems.
• Women with severe back pain.
• Patients with any pelvic pathology
• Patient with any previous neurological disorders

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Islamic Center Sialkot

Sialkot, Punjab Province, 51300, Pakistan

Location

Related Publications (5)

• Gursen C, Inanoglu D, Kaya S, Akbayrak T, Baltaci G. Effects of exercise and Kinesio taping on abdominal recovery in women with cesarean section: a pilot randomized controlled trial. Arch Gynecol Obstet. 2016 Mar;293(3):557-65. doi: 10.1007/s00404-015-3862-3. Epub 2015 Sep 2.

  PMID: 26329802 BACKGROUND

• Ashton-Miller JA, DeLancey JO. Functional anatomy of the female pelvic floor. Ann N Y Acad Sci. 2007 Apr;1101:266-96. doi: 10.1196/annals.1389.034. Epub 2007 Apr 7.

  PMID: 17416924 BACKGROUND

• Bernardes BT, Resende AP, Stupp L, Oliveira E, Castro RA, Bella ZI, Girao MJ, Sartori MG. Efficacy of pelvic floor muscle training and hypopressive exercises for treating pelvic organ prolapse in women: randomized controlled trial. Sao Paulo Med J. 2012;130(1):5-9. doi: 10.1590/s1516-31802012000100002.

  PMID: 22344353 BACKGROUND

• Janakiraman B, Gebreyesus T, Yihunie M, Genet MG. Knowledge, attitude, and practice of antenatal exercises among pregnant women in Ethiopia: A cross-sectional study. PLoS One. 2021 Feb 19;16(2):e0247533. doi: 10.1371/journal.pone.0247533. eCollection 2021.

  PMID: 33606844 BACKGROUND

• Oliveira MC, Oliveira M, Silva H, Gomes A, Nascimento G, Marini G, Micussi MT. Evaluation of satisfaction of pelvic floor muscle training isolated and associated with tibial nerve stimulation in women with mixed urinary incontinence: A randomized, single-blinded clinical trial. Eur J Obstet Gynecol Reprod Biol. 2021 Oct;265:60-65. doi: 10.1016/j.ejogrb.2021.06.024. Epub 2021 Jun 24.

  PMID: 34461383 BACKGROUND

MeSH Terms

Conditions

Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Sabiha Arshad, M.Phil

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 24, 2022
• First Posted: July 26, 2022
• Study Start: January 1, 2022
• Primary Completion: August 1, 2022
• Study Completion: August 10, 2022
• Last Updated: December 15, 2022

Record last verified: 2022-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)