Comparative Effects of Telerehabilitation Versus In-Person Core Stability Training in Postpartum Women

This randomized controlled trial aims to compare the effectiveness of tele rehabilitation-based versus in-person supervised core stability exercises in postpartum women diagnosed with diastasis recti abdominis. Fifty-four participants will be randomly allocated to either a tele rehabilitation group or an in-person supervised exercise group. Both groups will receive the same standardized 8-week core stability exercise program consisting of three supervised sessions per week. Outcomes will be assessed at baseline and after completion of the intervention. Primary outcome will be inter-recti distance measured using a digital nylon caliper. Secondary outcome will be body image measured using the Body Image State Scale (BISS). The findings will help determine whether tele rehabilitation provides comparable clinical outcomes to conventional supervised physiotherapy for postpartum rehabilitation.

Inclusion criteria

Participants falling in this category would be recruited into the study.

• 6 weeks to 6 months postpartum
• Multiparous or primiparous
• Diagnosis of diastasis recti (IRD ≥ 2cm)/
• Able to use or operate digital/electronic devices
• With internet access and the ability to participate in remote group sessions.

Exclusion criteria

Participants fall in this category would be excluded of the study.

• Significant musculoskeletal or systemic comorbidities i.e. diabetes mellitus, cardiovascular disease, Severe psychiatric disorders, Active malignancy.
• Prior major abdominal or pelvic surgery (except cesarean)
• Any Contraindications to exercise.
• Recent/Current pregnancy.