Telerehabilitation in Postpartum Women
Condition: Postpartum Women; Telerehabilitation
Study type: Interventional

Summary: 
      Postpartum is a transitional period in which physical, social and emotional changes take
      place in the women. Especially the difficulty of psychological and physiological changes can
      be associated with deterioration in the women's health. Exercise support programs given to
      postpartum women have been shown to contribute to physical, mental and social well-being.
      Statistically significant improvements were found in depression and anxiety symptoms, energy
      and fatigue parameters, and general health regarding the effects of exercise on mental health
      in pregnant and postpartum women. The recommendation of the American Association of
      Obstetricians and Gynecologists (ACOG) is that women start physical activity as soon as they
      are medically or obstetrically safe. It is stated that they can be included in the exercise
      programs as soon as possible if it is a normal delivery, and after the 6th week, except for
      certain exercises if it is a cesarean section. Literature mentioned that exercise studies
      with postpartum women are insufficient. These mostly focused on the postpartum period and
      women who had a cesarean section were excluded. In their studies comparing the clinical and
      virtual environment; Although there is no statistical difference, there are studies showing
      that it is superior. To the best knowledge, there were no studies on postpartum
      telerehabilitation. Literature with a multidimensional approach in line with the
      recommendations of the guidelines were also limited.
    

Detailed description: 
      This study is a randomized controlled trial aiming to examine the improvement in psychosocial
      status and physical activity in postpartum women after 8 weeks of multimodal exercise-based
      telerehabilitation. Two groups will be formed, namely the intervention group and the training
      group.

      Multimodal exercise-based telerehabilitation will be applied to the intervention group by an
      experienced physiotherapist in 45-minute sessions, 2 days a week, for 8 weeks; Postpartum and
      exercise related training will be given and they will be asked to walk gradually increasing
      aerobic exercises. All interventions are common except for the control group
      telerehabilitation. Women will be evaluated before and after the study. 'Edinburgh Postpartum
      Depression Scale (EPDS)', 'Fatigue Severity Scale (FSS)', 'Pittsburgh Sleep Quality Index
      (PUKI), 'World Health Organization Lifestyle' for depression, fatigue, sleep, quality of
      life, physical activity and mental health in evaluations. World Health Organization Quality
      of Life Scale (WHOQOL-BREF)', 'Kaiser Physical Activity Questionnaire (KFAA)', 'Short Symptom
      Inventory' will be used.
    

Intervention name(s): Multimodal exercises
Intervention type(s): Other
Intervention description(s): Telehabilitation including pilates, breathing, progressive relaxation training, posture and pelvic floor strengthening exercises
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Randomized controlled trial
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: Postpartum; Depression; Physical activity; Pilates; Telerehabilitasyon