Clinical trial NCT05439668: Comparison of Two Abdominal Exercise Programs on the Interrect Distance
Official title: Comparison of Two Abdominal Exercise Programs on the Interrect Distance in Postpartum Woman
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Postpartum Period
Keywords: Abdominal muscle
Interrectus distance
Abdominal hypopressive exercise
Abdominal crunch exercise
Lead sponsor: University of Vigo
Sponsor class: OTHER
First posted: 2022-06-30
Enrollment: 23
Sex: FEMALE
Minimum age (years): 25
Maximum age (years): 40
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The objective of the research is to compare two programs of exercises in postpartum woman, one based in abdominal strengthening exercises and the other based in abdominal hypopresive exercise.

Detailed description: Diastasis recti abdominisis the separation of the two rectus abdominis muscles along the linea alba with a consequent separation of fibres and widening of the same. The linea alba has different functions which include supporting the proximal anterior recti, guaranteeing the stability of the vertebral column, pelvis and the pelvic floor, and intervening in the function of the abdominal muscles since it serves as their anterior anchorage.

The crunch abdominal exercise (classic abdominal) is the most studied exercise used to test the behaviour of the linea alba, and in most cases, a decrease in the inter-rectus distance is observed when compared to the resting stage. In the oder hand, Abdominal hypopresives exercises were designed for women in the postpartum period but the effects over the abdominal muscles is unknown and the authors are unaware of any study that evaluates the effect of a hypopressive exercise program on the interrectus distance.

The objective of the research is to compare two programs of exercises in postpartum woman, one based in abdominal strengthening exercises and the other based in abdominal hypopresive exercise.

Eligibility criteria: Inclusion Criteria:

* Women having given birth 8 weeks before starting the study treatment
* Women agree to participate in the study
* Women with vaginal delivery.

Exclusion Criteria:

* Women with abdominal hernia
* Pregnancy woman
* Previus Abdominal Surgery

Primary outcomes:
measure: Interrectus distance measure
timeFrame: Baseline, preintervention
measure: Interrectus distance measure
timeFrame: After the intervention
Secondary outcomes:
measure: Maternal age
timeFrame: Preintervention
measure: Fetal weight
timeFrame: Preintervenrion
measure: Number of deliveries
timeFrame: Preintervention
measure: Weight gain during pregnancy
timeFrame: Preintervention
Other outcomes:
Locations:
city: Pontevedra
country: Spain
facility: Iria Da Cuña Carrera
Study officials:
affiliation: Universitu of Vigo
name: Iria Da Cuña-carrera, PHD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Da Cuna-Carrera I, Alonso-Calvete A, Soto-Gonzalez M, Lantaron-Caeiro EM. How Do the Abdominal Muscles Change during Hypopressive Exercise? Medicina (Kaunas). 2021 Jul 9;57(7):702. doi: 10.3390/medicina57070702.
citation: Carrera Perez C, Da Cuna Carrera I, Gonzalez Gonzalez Y. [What is the best exercise for rehabilitation of abdominal diastasis rehabilitation?]. Rehabilitacion (Madr). 2019 Jul-Sep;53(3):198-210. doi: 10.1016/j.rh.2018.12.004. Epub 2019 Apr 11. Spanish.
citation: Da Cuna-Carrera I, Alonso-Calvete A, Lantaron-Caeiro EM, Soto-Gonzalez M. Are There Any Differences in Abdominal Activation between Women and Men during Hypopressive Exercises? Int J Environ Res Public Health. 2021 Jun 29;18(13):6984. doi: 10.3390/ijerph18136984.
citation: 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.
citation: Lee D, Hodges PW. Behavior of the Linea Alba During a Curl-up Task in Diastasis Rectus Abdominis: An Observational Study. J Orthop Sports Phys Ther. 2016 Jul;46(7):580-9. doi: 10.2519/jospt.2016.6536.