Efficacy of Hypopressive Exercises Versus Pilates in Women with Abdominal Diastasis in the Postpartum Period: a Randomized Controlled Trial

NCT06599541 | Not Yet Recruiting

• 1 other identifier: Abdominal diastasis
• Study Type: interventional
• Target: 48
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to compare the effects of two exercise programs in women with abdominal diastasis (AD) during the postpartum. One group will receive hypopressive exercises (HE) and the other will receive pilates exercise. The hypothesis of this study is that the execution of both protocols will offer benefits in the ultrasound values of the AD and in the data collected on the quality of life in the short term and 12 weeks after its completion.

Conditions

Abdominal Diastasis

Keywords

Hypopressive Exercise; Pilates; Abdominal Diastasis; Postpartum

Outcome Measures

Primary Outcomes (1)

• Distance between rectus abdominis.

  The distance between both muscle bellies of the rectus abdominis will be measured with an ultrasound (linear probe). It will be measured at two reference points: 2 cm supraumbilical and 2 cm infraumbilical.

  The measurements will be collected at baseline, immediately after the treatment and 12 weeks after the end of treatment.

Secondary Outcomes (1)

• Quality of life

  The scale will be passed at baseline, immediately after the treatment and 12 weeks after the end of treatment.

Study Arms (2)

HE group

EXPERIMENTAL

Participants with AD who are going to perform hypopressive exercises

Behavioral: Hypopressive Exercise

Pilates group

EXPERIMENTAL

Participants with AD who are going to perform pilates exercises.

Behavioral: Pilates Exercise

Interventions

Hypopressive Exercise BEHAVIORAL

A hypopressive exercise program will be carry out.

HE group

Pilates Exercise BEHAVIORAL

A pilates exercise program will be carry out.

Pilates group

Eligibility Criteria

• Age: 18 Years+
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Primiparous women over 18 years of age who are within 3 months postpartum.
• AD with values \>2.5 cm in any of the following reference points: 2 cm supraumbilical or 2 cm infraumbilical.
• Vaginal birth.

You may not qualify if:

• Abdominal or umbilical hernia.
• Previous abdominal surgery.
• Be receiving any other treatment for your AD

Sponsors & Collaborators

• University of Alcala: lead

Study Sites (1)

Campus Científico Tecnológico UAH. Av. de León, 3A

Fuenlabrada, Madrid, 28943, Spain

Location

Related Publications (10)

• Gluppe S, Engh ME, Bo K. What is the evidence for abdominal and pelvic floor muscle training to treat diastasis recti abdominis postpartum? A systematic review with meta-analysis. Braz J Phys Ther. 2021 Nov-Dec;25(6):664-675. doi: 10.1016/j.bjpt.2021.06.006. Epub 2021 Jul 21.

  PMID: 34391661 BACKGROUND

• Liaw LJ, Hsu MJ, Liao CF, Liu MF, Hsu AT. The relationships between inter-recti distance measured by ultrasound imaging and abdominal muscle function in postpartum women: a 6-month follow-up study. J Orthop Sports Phys Ther. 2011 Jun;41(6):435-43. doi: 10.2519/jospt.2011.3507. Epub 2011 Feb 2.

  PMID: 21289454 BACKGROUND

• Mazzarino M, Kerr D, Wajswelner H, Morris ME. Pilates Method for Women's Health: Systematic Review of Randomized Controlled Trials. Arch Phys Med Rehabil. 2015 Dec;96(12):2231-42. doi: 10.1016/j.apmr.2015.04.005. Epub 2015 Apr 23.

  PMID: 25912668 BACKGROUND

• Gluppe SL, Hilde G, Tennfjord MK, Engh ME, Bo K. Effect of a Postpartum Training Program on the Prevalence of Diastasis Recti Abdominis in Postpartum Primiparous Women: A Randomized Controlled Trial. Phys Ther. 2018 Apr 1;98(4):260-268. doi: 10.1093/ptj/pzy008.

  PMID: 29351646 BACKGROUND

• Mota P, Pascoal AG, Carita AI, Bo K. The Immediate Effects on Inter-rectus Distance of Abdominal Crunch and Drawing-in Exercises During Pregnancy and the Postpartum Period. J Orthop Sports Phys Ther. 2015 Oct;45(10):781-8. doi: 10.2519/jospt.2015.5459. Epub 2015 Aug 24.

  PMID: 26304639 BACKGROUND

• Vicente-Campos D, Sanchez-Jorge S, Terron-Manrique P, Guisard M, Collin M, Castano B, Rodriguez-Sanz D, Becerro-de-Bengoa-Vallejo R, Chicharro JL, Calvo-Lobo C. The Main Role of Diaphragm Muscle as a Mechanism of Hypopressive Abdominal Gymnastics to Improve Non-Specific Chronic Low Back Pain: A Randomized Controlled Trial. J Clin Med. 2021 Oct 27;10(21):4983. doi: 10.3390/jcm10214983.

  PMID: 34768502 BACKGROUND

• Ramirez-Jimenez M, Alburquerque-Sendin F, Garrido-Castro JL, Rodrigues-de-Souza D. Effects of hypopressive exercises on post-partum abdominal diastasis, trunk circumference, and mechanical properties of abdominopelvic tissues: a case series. Physiother Theory Pract. 2023 Jan;39(1):49-60. doi: 10.1080/09593985.2021.2004630. Epub 2021 Nov 15.

  PMID: 34779692 BACKGROUND

• Navarro Brazalez B, Sanchez Sanchez B, Prieto Gomez V, De La Villa Polo P, McLean L, Torres Lacomba M. Pelvic floor and abdominal muscle responses during hypopressive exercises in women with pelvic floor dysfunction. Neurourol Urodyn. 2020 Feb;39(2):793-803. doi: 10.1002/nau.24284. Epub 2020 Jan 27.

  PMID: 31985114 BACKGROUND

• Gluppe SB, Ellstrom Engh M, Bo K. Curl-up exercises improve abdominal muscle strength without worsening inter-recti distance in women with diastasis recti abdominis postpartum: a randomised controlled trial. J Physiother. 2023 Jul;69(3):160-167. doi: 10.1016/j.jphys.2023.05.017. Epub 2023 Jun 5.

  PMID: 37286390 BACKGROUND

• Lee N, Bae YH, Fong SSM, Lee WH. Effects of Pilates on inter-recti distance, thickness of rectus abdominis, waist circumference and abdominal muscle endurance in primiparous women. BMC Womens Health. 2023 Nov 27;23(1):626. doi: 10.1186/s12905-023-02775-5.

  PMID: 38008749 BACKGROUND

MeSH Terms

Interventions

Exercise Movement Techniques

Intervention Hierarchy (Ancestors)

Physical Therapy Modalities; Therapeutics

Study Officials

• Adrián Rosales Torrejón, MSc

  University of Alcala

  PRINCIPAL INVESTIGATOR

• Ana Serrano Imedio, PdH

  University of Alcala

  STUDY DIRECTOR

Central Study Contacts

Adrián Rosales Torrejón, MSc

CONTACT

+34629488253; adrian.rosales@edu.uah.es

Ana Serrano Imedio, PhD

CONTACT

ana.serrano@carmasalud.com

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: Principal Investigator

Study Record Dates

• First Submitted: September 13, 2024
• First Posted: September 19, 2024
• Study Start: October 1, 2024
• Primary Completion: December 1, 2025
• Study Completion: January 1, 2026
• Last Updated: September 19, 2024

Record last verified: 2024-09

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)