Clinical trial NCT04238156: Hypopressive Abdominal Exercise in Postpartum Abdominal Diastasis
Official title: Hypopressive Abdominal Exercise Effectiveness in Postpartum Abdominal Diastasis, Tone of the Transverse Muscle and the Pelvic Floor Muscles - Case Series
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Abdominal Diastasis
Keywords: Postpartum
Hypopressive abdominal exercises
Pelvic floor muscles
Lead sponsor: Universidad de Córdoba
Sponsor class: OTHER
First posted: 2020-01-23
Enrollment: 15
Sex: FEMALE
Minimum age (years): 30
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: The prevalence of abdominal diastasis is high in postpartum. The abdominal diastasis can impair the body posture, the of lumbo-pelvic stability and movement, or breathing. Exercises focused on the transversus abdominis muscle have been proposed as a therapeutic approach for abdominal diastasis.

Hypopressive abdominal exercises have been used for postpartum recovery, for specific pathologies related to pregnancy (low back pain, pelvic floor dysfunction ...) and even for the rehabilitation of spinal pathologies. However, there is a lack of studies that determine its effectiveness and clinical utility.

The aim of the study will be to analyze the effects of Hypopressive abdominal exercises on postpartum abdominal diastasis, the tone of the transverse abdominal muscle and the pelvic floor musculature.

A case series design will be applied, with weekly assessment of the outcomes after the intervention and two months after the intervention.


Eligibility criteria: Inclusion Criteria:

* primiparous or multiparous
* abdominal diastasis previously diagnosed
* commitment to perform, at least, 80% of the exercises
* signed informed consent

Exclusion Criteria:

* BMI \> 40 Kg/m2
* pelvic floor disorders before childbirth
* drugs with effects on continence or functional properties of the pelvic floor muscles
* treatment for abdominal diastasis in the last 6 months
* systemic disease that impairs pelvic floor physiology and urination
* menopause
* contraindications to the practice of physical exercise and physical therapy

Primary outcomes:
measure: Abdominal Diastasis - Baseline
timeFrame: Pre-intervention
measure: Abdominal Diastasis - post-intervention 1
timeFrame: Immediately after the intervention
measure: Abdominal Diastasis - post-intervention 2
timeFrame: One month after the intervention
measure: Abdominal Diastasis - post-intervention 3
timeFrame: Two months after the intervention
Secondary outcomes:
measure: Abdominal tonometry - Baseline
timeFrame: Pre-intervention
measure: Perineal tonometry - Baseline
timeFrame: Pre-intervention
measure: Waist circumference - Baseline
timeFrame: Pre-intervention
measure: Chest circumference - Baseline
timeFrame: Pre-intervention
measure: Abdominal tonometry - post-intervention 1
timeFrame: Immediately after the intervention
measure: Perineal tonometry - post-intervention 1
timeFrame: Immediately after the intervention
measure: Waist circumference - post-intervention 1
timeFrame: Immediately after the intervention
measure: Chest circumference - post-intervention 1
timeFrame: Immediately after the intervention
measure: Abdominal tonometry - post-intervention 2
timeFrame: One month after the intervention
measure: Perineal tonometry - post-intervention 2
timeFrame: One month after the intervention
measure: Waist circumference - post-intervention 2
timeFrame: One month after the intervention
measure: Chest circumference - post-intervention 2
timeFrame: One month after the intervention
measure: Abdominal tonometry - post-intervention 3
timeFrame: Two months after the intervention
measure: Perineal tonometry - post-intervention 3
timeFrame: Two months after the intervention
measure: Waist circumference - post-intervention 3
timeFrame: Two months after the intervention
measure: Chest circumference - post-intervention 3
timeFrame: Two months after the intervention
Other outcomes:
Locations:
city: Córdoba
country: Spain
facility: University of Córdoba
Study officials:
affiliation: Universidad de Córdoba
name: Daiana Priscila Rodrigues-de-Souza, PhD
role: STUDY_DIRECTOR
affiliation: Universidad de Córdoba
name: Miriam Ramírez Jiménez, Phys Ther
role: PRINCIPAL_INVESTIGATOR
References: