Effects of Tupler's Technique on the Management of Diastasis Rectus Abdominis.

NCT06530589 | Completed

• 1 other identifier: Aqsa Shahid
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 2

Brief Summary

Diastasis Rectus Abdominis is the condition in which two abdominal muscles rectus abdominis separated and cause widening and thinning of Linea alba. The Tupler's Technique is Evidence Based intervention for the management of Diastasis Rectus Abdominis. The purpose of this study is to see the Effectiveness of Tupler's Technique on the Management of Diastasis Rectus Abdomins in Post-Partum Females.

Conditions

Diastasis Rectus Abdominis

Keywords

Diastasis Rectus Abdominis; Post-Partum Period; Tupler's Technique; Abdominal Strength

Outcome Measures

Primary Outcomes (4)

• Digital nylon caliper to measure inter-recti Distance

  Digital nylon caliper is the valid and reliable instrument to measure the inter-recti distance and inter-recti distance will be measured at three levels. at the level of umbilicus, 4.5cm above umbilicus and 4.5cm below umbilicus.

  Before intervention, after 3 weeks and after 6 weeks.

• Oswestry low bac pain disability Questionnaire

  This is a valid tool to assess back pain and this questionnaire has 10 sections and we grade level of disability according to grading criteria. 0-4shows no disability, 5-14 shows mild disability, and 15-24 shows moderate disability, and 25-34 shows severe disability and grade 35-50 means completely disabled.

  Before intervention, after 3 weeks and after 6 weeks.

• Numeric Pain rating scale

  By using this scale we will measure the intensity of back pain. i scores pain from 0-10. 0 means no pain, 5 means moderate pain and 10 means severe pain.

  Before intervention, after 3 weeks and after 6 weeks.

• Maternal post-partum quality of life instrument (MPQOL-I)

  This questionnaire has 5 domains. psychological, reltion with family and friends, relation with spouse, socioeconomic and health related domain and we can assess every domain of female life.

  Before intervention, after 3 weeks and after 6 weeks.

Study Arms (2)

Interventional Group

EXPERIMENTAL

Tupler's Technique will be applied to this group. This technique includes Tupler's technique exercises and patients will also wears diastasis rehab splints. Patients will perform seated isometric exercises (elevator and contracting exercises) after wearing diastasis rehab splint. Repetitions of exercises will be 100 and whole intervention will be provided for 6 weeks.

Other: Tupler's Technique

Control Group

ACTIVE COMPARATOR

Traditional treatment protocol will be applied to this group that includes traditional exercises for diastasis rectus abdominis and this protocol will be followed 3 times per week for 6 weeks.

Other: Traditional Exercises

Interventions

Tupler's Technique OTHER

Patient will wear diastasis rehab splint and will follow Tupler's techniqe protocol for 6 weeks. In the first 2 weeks both elevator and contracting exercises will be performed and after 2 weeks in the 3rd week only contracting exercises will be perform and for these exercises we divide abdomen into 6 floors and will patient have to contract her tummy towards the 3rd to 5th floor in first week, towards the 4th to 5th floor in 2nd week and from 5th to 6th floor in the 3rd week. in the wek 4 to week 6 head lifts will also be started along with contracting exercises from 5th to 6th floor.

Interventional Group

Traditional Exercises OTHER

The traditional treatment includes traditional abdominal exercises that patient will be perform for 6 weeks and three times per week with 15 repetitions of each exercise. These exercises includes posterior pelvic tilt' static abdominal contractions', reverse sit up exercise, kegals, russian twist , trunk twist and reverse trunk twist.

Control Group

Eligibility Criteria

• Age: 18 Years - 30 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Primiparous and multiparous females (Vaginal delivery).
• Greater than and equal to 12 weeks post-partum
• Age limit will be18-30 years
• BMI under or equa to 29kg/m2
• Visiting with the complain of low back pain
• Diastasis of rectus abdominis at the level of umbilicus with mild, moderate and severe condition.

You may not qualify if:

• Other musculoskeletal disease (disc prolapse and disc bulge)
• Trauma of bowel and bladder
• Heart and respiratory conditions including sneezing and excessive coughing
• Any pelvic floor, abdominal and spinal surgery

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (2)

Allied Hospital Faisalabad

Faisalābad, Punjab Province, 38000, Pakistan

Location

Madinah Teaching Hospital Faisalabad

Faisalābad, Punjab Province, 38000, Pakistan

Location

Study Officials

• Huma Riaz, PhD

  Riphah International University, Islamabad, Pakistan

  STUDY CHAIR

• Aqsa Shahid, MSPT*

  Riphah International University, Islamabad, Pakistan

  PRINCIPAL INVESTIGATOR

Study Design

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

Model Details: There will be comparison between two groups, experimental and control

Study Record Dates

• First Submitted: July 28, 2024
• First Posted: July 31, 2024
• Study Start: August 1, 2024
• Primary Completion: December 31, 2024
• Study Completion: December 31, 2024
• Last Updated: February 21, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will not share

Locations

PA (2)