Clinical trial NCT06302816: Effects of Tupler and Scoop Exercises in Diastasis Recti
Official title: Comparative Effects of Tupler and Scoop Exercises on Inter-recti-distance, Low Back Pain, Abdominal Strength and Urogynecological Symptoms in Diastasis Recti
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Diastasis
Keywords: Diastasis recti abdominis
low back pain
Muscle strength
Pilates-Based Exercises
Static stretching.
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2024-03-12
Enrollment: 30
Sex: FEMALE
Minimum age (years): 18
Maximum age (years): 40
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: To compare the effects of tupler and scoop exercises on inter recti distance, low back pain, abdominal strength and urogynecological symptoms in diastasis.


Eligibility criteria: Inclusion Criteria:

* BMI 25kg\|m\^2 to 30kg\\m\^2or greater
* multiparous women
* Participants included will be 3 months post-partum females
* Caesarean delivery who will have with the presence of DRA \>2 finger width and \>2cm

Exclusion Criteria:

* patients who had hernia
* trauma to bowel or bladder
* malignancies
* neurologic disease and its associated balance disorders,
* pelvic or abdominal surgery (except for a caesarean section) were considered as the exclusion criteria of this study

Primary outcomes:
measure: Digital nylon calipers for inter recti distance
timeFrame: 8th week
measure: Numeric pain rating scale
timeFrame: 8th week
measure: Manual muscle testing for intra-abdominal strength
timeFrame: 8th week
measure: Short form Pelvic Floor Distress Inventory for Urogynaecological symptoms
timeFrame: 8th week
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Innovative Health Concepts
Study officials:
affiliation: Riphah International University
name: hina gul gul
role: PRINCIPAL_INVESTIGATOR
References:
citation: Gluppe S, Engh ME, Bo K. What is the evidence for abdominal and pelvic floor muscle training to treat diastasis recti abdominis postpartum? A systematic review with meta-analysis. Braz J Phys Ther. 2021 Nov-Dec;25(6):664-675. doi: 10.1016/j.bjpt.2021.06.006. Epub 2021 Jul 21.
citation: Tung RC, Towfigh S. Diagnostic techniques for diastasis recti. Hernia. 2021 Aug;25(4):915-919. doi: 10.1007/s10029-021-02469-7. Epub 2021 Jul 27.
citation: Cavalli M, Aiolfi A, Bruni PG, Manfredini L, Lombardo F, Bonfanti MT, Bona D, Campanelli G. Prevalence and risk factors for diastasis recti abdominis: a review and proposal of a new anatomical variation. Hernia. 2021 Aug;25(4):883-890. doi: 10.1007/s10029-021-02468-8. Epub 2021 Aug 6.
citation: Laframboise FC, Schlaff RA, Baruth M. Postpartum Exercise Intervention Targeting Diastasis Recti Abdominis. Int J Exerc Sci. 2021 Apr 1;14(3):400-409. doi: 10.70252/GARZ3559. eCollection 2021.
citation: Kaufmann RL, Reiner CS, Dietz UA, Clavien PA, Vonlanthen R, Kaser SA. Normal width of the linea alba, prevalence, and risk factors for diastasis recti abdominis in adults, a cross-sectional study. Hernia. 2022 Apr;26(2):609-618. doi: 10.1007/s10029-021-02493-7. Epub 2021 Oct 5.
citation: Sułkowski L, Matyja A. Diastasis recti abdominis (DRA): review of risk factors, diagnostic methods, conservative and surgical treatment. 2022.
citation: Radhakrishnan M, Ramamurthy K. Efficacy and Challenges in the Treatment of Diastasis Recti Abdominis-A Scoping Review on the Current Trends and Future Perspectives. Diagnostics (Basel). 2022 Aug 24;12(9):2044. doi: 10.3390/diagnostics12092044.