Clinical trial NCT06530589: Effects of Tupler's Technique on the Management of Diastasis Rectus Abdominis.
Official title: Effects of Tupler's Technique on the Management of Diastasis Rectus Abdominis in Post-Partum Females.
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Diastasis Rectus Abdominis
Keywords: Diastasis Rectus Abdominis
Post-Partum Period
Tupler's Technique
Abdominal Strength
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2024-07-31
Enrollment: 36
Sex: FEMALE
Minimum age (years): 18
Maximum age (years): 30
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: There will be comparison between two groups, experimental and control
Primary purpose: TREATMENT

Brief summary: Diastasis Rectus Abdominis is the condition in which two abdominal muscles rectus abdominis separated and cause widening and thinning of Linea alba. The Tupler's Technique is Evidence Based intervention for the management of Diastasis Rectus Abdominis. The purpose of this study is to see the Effectiveness of Tupler's Technique on the Management of Diastasis Rectus Abdomins in Post-Partum Females.

Detailed description: Literature suggest that during pregnancy due to hormonal changes such as increased in Relaxin, estrogen and progesterone level and also increased in the size of uterus affect the aponeurosis connection of abdominal muscles and due to these changes Diastasis Rectus Abdominis is common during pregnancy especially in third trimester and in the post-partum period. we can measure diastasis rectus abdominis by different methods such as palpatory, caliper and ultrasound. The condition can be mild (two fingers gap), moderate (two to three fingers gap) and severe (more than three fingers gap). The separation of greater than 2cm is considered as Diastasis Rectus Abdominis.

In this study effectiveness of Tupler's Technique will be assessed in post-partum diastasis rectus abdominis patients. Patients will have to wear diastasis rehab splints and then perform tupler's technique exercises. The mechanism behind this is when patients wear splint the splint will keep the connective tissues in narrow position for better healing and strengthening of muscles will be done by Tuper's Technique exercises and Diastasis of Rectus Abdominis willl be treated.

Eligibility criteria: Inclusion Criteria:

* Primiparous and multiparous females (Vaginal delivery).
* Greater than and equal to 12 weeks post-partum
* Age limit will be18-30 years
* BMI under or equa to 29kg/m2
* Visiting with the complain of low back pain
* Diastasis of rectus abdominis at the level of umbilicus with mild, moderate and severe condition.

Exclusion Criteria:

* Other musculoskeletal disease (disc prolapse and disc bulge)
* Trauma of bowel and bladder
* Heart and respiratory conditions including sneezing and excessive coughing
* Any pelvic floor, abdominal and spinal surgery

Primary outcomes:
measure: Digital nylon caliper to measure inter-recti Distance
timeFrame: Before intervention, after 3 weeks and after 6 weeks.
measure: Oswestry low bac pain disability Questionnaire
timeFrame: Before intervention, after 3 weeks and after 6 weeks.
measure: Numeric Pain rating scale
timeFrame: Before intervention, after 3 weeks and after 6 weeks.
measure: Maternal post-partum quality of life instrument (MPQOL-I)
timeFrame: Before intervention, after 3 weeks and after 6 weeks.
Secondary outcomes:
Other outcomes:
Locations:
city: Faisalābad
country: Pakistan
facility: Allied Hospital Faisalabad
state: Punjab
city: Faisalābad
country: Pakistan
facility: Madinah Teaching Hospital Faisalabad
state: Punjab
Study officials:
affiliation: Riphah International University, Islamabad, Pakistan
name: Huma Riaz, PhD
role: STUDY_CHAIR
affiliation: Riphah International University, Islamabad, Pakistan
name: Aqsa Shahid, MSPT*
role: PRINCIPAL_INVESTIGATOR
References: