Effects of Abdominal Exercises and Kinesio Taping on Abdominal Strength in Females With Diastasis Recti.

Study Overview
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Brief Summary
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Diastasis recti is an increase in the gap between the rectus abdominis muscles at the midline caused by anterior abdominal wall weakening. The aim of this study is to evaluate the effects of abdominal exercises with and without Kinesio taping on abdominal strength of females with diastasis recti for their better quality of life. This study will be randomized controlled trial .Subjects with diastasis recti meeting the predetermined inclusion and exclusion criteria will be requested to participate in the study via informed consent. Non probability convenient sampling technique will be used. 46 participants will be randomly allocated to either Group A or Group B .Group A will be treated with Kinesio Taping applied in a criss -cross design for consecutive 3 days with 1 day gap after taping will do abdominal exercises.Group B will be treated with above mentioned abdominal exercises for 1 month. Pre and post assessment of diastasis recti and abdominal strength will be done using caliper method and manual muscle test and quality of life will be assessed by MAPP-QOL questionnaire.Jinnah Hospital will be the setting and SPSS software will be used.

Detailed Description
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Diastasis recti is an increase in the gap between the rectus abdominis muscles at the midline caused by anterior abdominal wall weakening. Diastasis recti abdominis is most common in the female population during pregnancy and after childbirth. The abdominals are stretched as your uterus expands during pregnancy, and the linea alba thins and pulls apart causes the rectus abdominis muscles to split during pregnancy. The aim of this study is to evaluate the effects of abdominal exercises with and without Kinesio taping on abdominal strength of females with diastasis recti for their better quality of life. This study will be randomized controlled trial .Subjects with diastasis recti meeting the predetermined inclusion and exclusion criteria will be requested to participate in the study via informed consent. Non probability convenient sampling technique will be used. 46 participants will be randomly allocated to either Group A or Group B via lottery method.Subjects in Group A will be treated with Kinesio Taping applied in a criss -cross design for consecutive 3 days with 1 day gap after taping will do abdominal exercises which consists of abdominal crunch exercise ,Curl up,abdominal isometric contractions ,posterior pelvic tilt ,bridging. perform these exercises twice a week for 10 repititions for 1 month . Group B will be treated with above mentioned abdominal exercises for 1 month. Pre and post assessment of diastasis recti and abdominal strength will be done using caliper method and manual muscle test and quality of life will be assessed by MAPP-QOL questionnaire. Data will be collected from Jinnah Hospital Lahore.The data collected will be analyzed using SPSS 25.

Official Title
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Effects of Abdominal Exercises With and Without Kinesio Taping on Abdominal Strength and Quality of Life in Females With Diastasis Recti.

Conditions
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Diastasis Recti, Kinesio Taping

Intervention / Treatment
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* Other: Kinesio taping
* Other: Abominal exercises


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria Post natal till 6 months Rectus abdominis diastasis > 2.7 cm at umbilicus Age 18 to 40 Exclusion Criteria: Pregnant female Hernia Females with physical and mental illness Females with any other medical condition like cardiorespiratory diseases History of malignancy Urogynecologic disorders Females suffering from other gynecological issues such as endometriosis Polycystic ovaries syndrome

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Abdominal Exercises and KT intervention<br>(Group A ) will receive kinesio taping with abdominal exercises. 8 sessions for 4 weeks and 2 session will be given in a week. | Other: Kinesio taping<br>* Total of 8 sessions for 4 weeks 2 sessions in a week.<br>Other: Abominal exercises<br>* Total of 8 sessions for 4 weeks 2 sessions in a week.<br>|
| Active Comparator: Abdominal exercises<br>(Group B) will receive abdominal exercises 8 sessions for 4 weeks and 2 session will be given in a week. | Other: Abominal exercises<br>* Total of 8 sessions for 4 weeks 2 sessions in a week.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Caliper Method | Rectus abdominis diastasis will be measured during the postpartum period with a high degree of reliability when a dial callper is used. | 4 weeks | 
| MMT | Manual muscle testing (MMT) based on a grading system of 0 to 5.To check the abdminal strength | 4weeks | 
| MAPP QOL | The Maternal Postpartum Quality of Life (MAPP-QOL) instrument consisted of 41 item to check quality of life | 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Childbirth, Isometric Contractions, Kinesio Tape, Postpartum Women, Rectus Abdominus.