Effect of Capacitive and Resistive Radiofrequency on Postpartum Diastasis Recti

NCT06909448 | Not Yet Recruiting DMC

• 1 other identifier: radiofrequency on diastasis
• Study Type: interventional
• Target: 80
• Locations: 0 countries
• Sites: N/A

Brief Summary

To evaluate the effect of capacitive and resistive radiofrequency on postpartum rectus abdominis diastasis.

Conditions

Diastasis Recti Abdominis (DRA); Radiofrequency

Keywords

Diastasis recti, radiofrequency therapy, physical exercises, postpartum

Outcome Measures

Primary Outcomes (3)

• Ultrasound

  The distance between the recti muscles at 3 levels will be measured at the beginning and again at the end of the study duration, i.e., 8 weeks. The desired measurement locations will be marked with a water-soluble pen: 4.5 cm above the umbilicus, at the midpoint, and 4.5 cm below the umbilicus. The measurements will be performed at rest and during contraction. Each woman will be asked to lie in a crock lying position, crossing the arms over the chest and raising the head until the spine of the scapulae will be off the table surface. The women will maintain a partial curl-up while the examiner palpates the medial borders of the right and left rectus abdominis muscle bellies at the marked location. With the linear transducer, it will be positioned transversely along the linea alba in the direction of the muscles and adjusted to perceived inert recti distance width. Three trials will be taken for each assessment, and the mean will be recorded. (Khandale \& Hande, 2016).

  14 week

• trunk flexors strength and endurance

  Trunk flexion strength will be graded from zero to five using Daniels and Worthingham's procedure (Hislop et al., 2013) as follows: Grades: (Hislop et al., 2013). Grade 5 (Normal) Patient complete ROM until inferior angle of the scapulae are off table (weight of arms serves as resistance). Grade 4 (Good) Patient complete ROM until inferior angle of the scapulae are off table. Resistance of arms is reduced in the cross-chest position. Grade 3 (Fair) Patient complete ROM and lifts trunk until inferior angle of the scapulae are off table with arms at side. Grade 2 (Poor) Patient is unable to clear the inferior angle of the scapula from the table Grade 1 (Trace) No depression of the rib cage but visible or palpable contraction occurs. Grade 0 (Zero) No activity Patient Positioning: Grade 5 (Normal): Supine with fingertips lightly touching the back of the head. For grade 4: Supine with arms crossed over chest. For grade 3: Supine with arms at side. For grade 0 to 2: Supine with arms at

  14 week

• Assessment of functional status

  All participating women with diastasis recti in both groups (A\&B) will be asked to fill the Inventory of functional status after childbirth questionnaire before and after the end of the study program.

  14 week

Study Arms (2)

control group

ACTIVE COMPARATOR

It will be consisted of 40 postpartum women who will only wear abdominal belt for 14 weeks.

Device: abdominal belt

study group

ACTIVE COMPARATOR

will wear the same abdominal belt for 6 weeks then participating in TECAR therapy 3 sessions /week for 8 weeks.

Device: abdominal belt; Device: TECAR therapy

Interventions

abdominal belt DEVICE

40 postpartum women will only wear abdominal belt for 14 weeks.

control group; study group

TECAR therapy DEVICE

will wear the same abdominal belt for 6 weeks then participating in TECAR therapy 3 sessions /week for 8 weeks.

study group

Eligibility Criteria

• Age: 20 Years - 35 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• \. Postpartum women (7 days after delivery) having diastasis recti (separation between the two recti more than 2.5cm at the level of umbilicus).
• \. Multiparous women (2-3) times delivered vaginally with or without episiotomy.
• \. Their age will be ranged from 20 -35 years old. 4. Their BMI will be less than 30 kg/cm2.

You may not qualify if:

• Any participant will be excluded if she meets one or more of the following criteria:
• Postpartum women will be excluded from the study if they have:
• Abdominal or back surgery.
• Abdominal hernia.
• History of abnormal pregnancy, uterine fibroid or polyhydramnios during pregnancy.
• Neurological disorders as multiple sclerosis, stroke and spinal lesion.
• Musculoskeletal diseases such as fractures muscle strains, severe knee osteoarthritis which may affect their physical activity.

Sponsors & Collaborators

• Cairo University: lead

MeSH Terms

Conditions

Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Central Study Contacts

Mohamed Gamil Omar, PhD

CONTACT

00201003313126; mohamed.gamil2810@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: assistant lecturer

Study Record Dates

• First Submitted: March 27, 2025
• First Posted: April 3, 2025
• Study Start: April 6, 2025
• Primary Completion: July 7, 2025
• Study Completion: August 1, 2025
• Last Updated: April 3, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share