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Completed

NCT Number: NCT07062653

Comparison of the Effect of Supervised and Non-Supervised Tele-exercise in Women With Diastasis Recti Abdominis

The aim of this study was to determine the effect of supervised and unsupervised telerehabilitation exercise program on inter-rectus distance, abdominal endurance, pelvic floor dysfunction and body image perception in women with diastasis recti abdominis.

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Key information

Conditions

Diastasis Recti Abdominis Diastasis Recti And Weakness Of The Linea Alba

Age range

18 year–45 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Atlas University, İstanbul, Kağıthane 34413

Istanbul, Turkey (Türkiye)

About this study

Rectus abdominis diastasis is defined as the separation of the two rectus abdominis muscles along the linea alba, disrupting the structure of the linea alba. It can be caused by increased volume in the abdominal cavity, hormonal changes during pregnancy, neurodevelopmental differences or abdominal wall laxity. It is very common during pregnancy and can persist in the postpartum period. Loss of abdominal wall stability and weakening of the pelvic floor muscles can occur with DRA. can cause various problems in women. Core stability exercises, pelvic floor training and trunk muscle training are some of the exercise regimen options for the management of DRA. However, to our knowledge, studies on telerehabilitation are insufficient in the literature.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Post- partum women (min 8 weeks - max 3 years)

Exclusion criteria

  • History of abdominal surgery
  • Any neurological disease, systemic musculoskeletal system disease

Treatment and study plan

Supervised Group

Other

A progressive core stability exercise program based on motor control principles will be applied on an online platform through videos under the control of a physiotherapist.

Non-Supervised group

Other

A core stability exercise program with detailed exercise videos will be implemented at home.

Primary outcomes

  1. Inter-recti distance

    Time frame: baseline

    The subjects are assessed the inter-recti distance (IRD) in the supine position, knees bent and feet resting position on the table, the subjects is going to be asked to elevate the head and shoulders upwards until the inferior angles of the scapulae were just off the table.The subjects palpated the medial edges of RA muscles and IRD was measured using finger palpation in previously marked five-point: on the umbilicus, 4.5 cm, and 2.5 cm above and below the umbilicus

  2. Inter-recti distance

    Time frame: after 6 weeks

    The subjects are assessed the inter-recti distance (IRD) in the supine position, knees bent and feet resting position on the table, the subjects is going to be asked to elevate the head and shoulders upwards until the inferior angles of the scapulae were just off the table.The subjects palpated the medial edges of RA muscles and IRD was measured using finger palpation in previously marked five-point: on the umbilicus, 4.5 cm, and 2.5 cm above and below the umbilicus

Secondary outcomes

  1. Abdominal muscle endurance test

    Time frame: baseline

    The static abdominal flexion endurance test is also performed once in the same position as the IRD test. The subjects are asked to raise their head and shoulders upwards until the scapulae cleared the table and keep the position as long as possible. The time was recorded as the score of the test.

  2. Abdominal muscle endurance test

    Time frame: after 6 weeks

    The static abdominal flexion endurance test is also performed once in the same position as the IRD test. The subjects are asked to raise their head and shoulders upwards until the scapulae cleared the table and keep the position as long as possible. The time was recorded as the score of the test.

  3. Pelvic floor dysfunction

    Time frame: baseline

    Every subject will complete the Turkish version of the short-form of Pelvic Floor Distress Inventory (PFDI-20) which consists of three subscales: the Pelvic Organ Prolapse Distress Inventory short-form (POPDI6), the Urogenital Distress Inventory short-form (UDI-6), and the Colorectal-Anal Distress Inventory short-form (CRADI-8) to assess prolapse and pelvic pressure, urinary symptoms, and bowel symptoms, respectively

  4. Pelvic floor dysfunction

    Time frame: after 6 weeks

    Every subject will complete the Turkish version of the short-form of Pelvic Floor Distress Inventory (PFDI-20) which consists of three subscales: the Pelvic Organ Prolapse Distress Inventory short-form (POPDI6), the Urogenital Distress Inventory short-form (UDI-6), and the Colorectal-Anal Distress Inventory short-form (CRADI-8) to assess prolapse and pelvic pressure, urinary symptoms, and bowel symptoms, respectively

  5. Body-self relation

    Time frame: baseline

    Every subject will complete the Turkish version of Multi-Dimensional Body-Self Relations Questionnaire.

  6. Body-self relation

    Time frame: after 6 weeks

    Every subject will complete the Turkish version of Multi-Dimensional Body-Self Relations Questionnaire.

  7. Postnatal Depression

    Time frame: baseline

    Every subject will complete the Turkish version of the Edinburgh Postnatal Depression Scale

  8. Postnatal Depression

    Time frame: after 6 weeks

    Every subject will complete the Turkish version of the Edinburgh Postnatal Depression Scale

  9. balance

    Time frame: baseline

    each participant performed a one-leg stand test for the dominant leg

  10. balance

    Time frame: after 6 weeks

    each participant performed a one-leg stand test for the dominant leg

Sponsors and collaborators

Lead sponsor

Atlas University

Other

Registry information

Official study title

Comparison of the Effect of Supervised and Non-Supervised Tele-exercise Program on Inter-recti Distance, Abdominal Muscle Endurance and Balance in Women With Diastasis Recti Abdominis

Important dates

Study start
2024
Primary completion
2024
Study completion
2024
First posted
Jul 14, 2025
Registry last updated
Jul 14, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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