Impact of TECAR in Treatment of Rectus Diastasis
Condition: Rectus Diastasis
MeSH terms: Diastasis, Muscle
Study type: Interventional

Summary: 
      The study aim to evaluate the impact of TECAR treatment on rectus diastasis in postnatal
      women
    

Detailed description: 
      Radiofrequency (RF) is the emission of high frequency waves via an applicator. The transfer
      of electromagnetic energy stimulates targeted tissues. RF can be used in two ways: capacitive
      or resistive ( Kumarane etal.,2015) This has been shown to increase vascularization and
      reduce inflammation and swelling and to accelerate the healing process and provide pain
      relief( Duñabeitia et al., 2018). It is used to provide rapid pain relief for sport injuries
      and allows quicker recovery [Duñabeitia etal, 2018& Weber T, Kabelka2011). low back pain and
      traumatology and urology (Notarnicola etal, 2017). The capacitive mode (CET) concentrates the
      energy to target soft tissues containing electrolytes: muscles, vascular or lymphatic
      tissues. The resistive mode (RET) targets denser tissues containing more fat and fiber (such
      as bones, ligaments and tendons). High frequency waves penetrate deep into tissues and
      increase both exchanges and temperature and a recent study has demonstrated the effects of RF
      on the skin microcirculation and the intramuscular blood flow (Kumaraane et al., 2015). To
      date, no study has evaluated the impact of TECAR treatment on rectus diastasis in postnatal
      women This study will be carried out on 30 postnatal females suffering from diastasis recti
      more than 2.5 cm with bulged abdomen, they will be selected from out patient physical therapy
      clinic, kafr el sheikh university. Their age ranged from 25 - 35 years. Their body mass index
      (BMI) ranged from 25-35 kg/m2. All women delivered normally

      Exclusion criteria:

      Any participant was excluded if she had any disease that interferes with exercises (asthma),
      any skin disease or sensitivity that interferes with the application, any chest disease or
      cardiac disease or women had abdominal or surgery.

      All participants will read an explanation of the experimental procedures and sign an informed
      consent that is approved by the Ethical committee Institutional Review Board, Faculty of
      Physical Therapy, kafr elsheikh University, Egypt This study will be a randomized,
      double-blind, pre test-post test crossover trial with control group. The randomization
      procedure will be performed by a simple drawing of lots (A or B) which determined whether
      participants would receive the TECAR therapy and abdominal exercises ( group A) and abdominal
      exercises only in (group B). The randomization procedure will be performed through a computer
      program (Microsoft Excel 2010) that created a random table of numbers in which each number
      corresponded to the group A or B. After that, participants will be allocated according to the
      corresponding number of their allocation code. A researcher will be conducted the drawing
      procedures without informing participants and evaluators, to determine which will be in group
      A or group B. Thus, both participants and evaluators will be blinded to the allocation of
      treatment.

      Study group (Group A):

      It was consisted of 15 post natal women who will performed weight reduction diet ( 1200
      kcal/day) , TECAR application and selected abdominal exercises program that consists of
      static abdominal and posterior pelvic tilting

      Control group(Group B):

      It was consisted of 15 postnatal women who was performed weight reduction diet (1200
      kcal/day) and selected abdominal exercises and posterior pelvic tilting exercises.
    

Intervention name(s): TECAR application
Intervention type(s): Other
Intervention description(s): Radiofrequency (RF) is the emission of high frequency waves via an applicator. The transfer of electromagnetic energy stimulates targeted tissues. RF can be used in two ways: capacitive or resistive The capacitive mode (CET) concentrates the energy to target soft tissues containing electrolytes: muscles, vascular or lymphatic tissues. The resistive mode (RET) targets denser tissues containing more fat and fiber (such as bones, ligaments and tendons). High frequency waves penetrate deep into tissues and increase both exchanges and temperature and a recent study has demonstrated the effects of RF on the skin microcirculation and the intramuscular blood flow
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary purpose: Treatment