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Completed

NCT Number: NCT04238156

Hypopressive Abdominal Exercise in Postpartum Abdominal Diastasis

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.

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Key information

Conditions

Abdominal Diastasis

Age range

30 year–50 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

University of Córdoba

Córdoba, 14004, Spain

Who can participate

Healthy volunteers accepted: No

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

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

Treatment and study plan

Hypopressive abdominal exercises

Other

Three sessions per week during four consecutive weeks (Total: 12 sessions). Each session time: 30 minutes.

Primary outcomes

  1. Abdominal Diastasis - Baseline

    Time frame: Pre-intervention

    Supraumbilical distance between the rectus abdominis

    • Assessment tool: caliper (electronic, calibrated, precision: 1 mm)
    • Subject position: supine
    • Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical

  2. Abdominal Diastasis - post-intervention 1

    Time frame: Immediately after the intervention

    Supraumbilical distance between the rectus abdominis

    • Assessment tool: caliper (electronic, calibrated, precision: 1 mm)
    • Subject position: supine
    • Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical

  3. Abdominal Diastasis - post-intervention 2

    Time frame: One month after the intervention

    Supraumbilical distance between the rectus abdominis

    • Assessment tool: caliper (electronic, calibrated, precision: 1 mm)
    • Subject position: supine
    • Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical

  4. Abdominal Diastasis - post-intervention 3

    Time frame: Two months after the intervention

    Supraumbilical distance between the rectus abdominis

    • Assessment tool: caliper (electronic, calibrated, precision: 1 mm)
    • Subject position: supine
    • Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical

Secondary outcomes

  1. Abdominal tonometry - Baseline

    Time frame: Pre-intervention

    Tonometric evaluation on the white line (linea alba) and the abdominal muscles

    • Assessment tool: (MyotonPro (R))
    • Subject position: supine
    • Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical

  2. Perineal tonometry - Baseline

    Time frame: Pre-intervention

    Tonometric evaluation on the perineal muscles

    • Assessment tool: (MyotonPro (R))
    • Subject position: supine
    • Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical

  3. Waist circumference - Baseline

    Time frame: Pre-intervention

    Waist circumference

    • Assessment tool: tape measure (flexible, precision: 1mm)
    • Subject position: standing
    • Localization: minimum perimeter

  4. Chest circumference - Baseline

    Time frame: Pre-intervention

    Chest circumference

    • Assessment tool: tape measure (flexible, precision: 1mm)
    • Subject position: standing
    • Localization: maximum perimeter

  5. Abdominal tonometry - post-intervention 1

    Time frame: Immediately after the intervention

    Tonometric evaluation on the white line (linea alba) and the abdominal muscles

    • Assessment tool: (MyotonPro (R))
    • Subject position: supine
    • Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical

  6. Perineal tonometry - post-intervention 1

    Time frame: Immediately after the intervention

    Tonometric evaluation on the perineal muscles

    • Assessment tool: (MyotonPro (R))
    • Subject position: supine
    • Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical

  7. Waist circumference - post-intervention 1

    Time frame: Immediately after the intervention

    Waist circumference

    • Assessment tool: tape measure (flexible, precision: 1mm)
    • Subject position: standing
    • Localization: minimum perimeter

  8. Chest circumference - post-intervention 1

    Time frame: Immediately after the intervention

    Chest circumference

    • Assessment tool: tape measure (flexible, precision: 1mm)
    • Subject position: standing
    • Localization: maximum perimeter

  9. Abdominal tonometry - post-intervention 2

    Time frame: One month after the intervention

    Tonometric evaluation on the white line (linea alba) and the abdominal muscles

    • Assessment tool: (MyotonPro (R))
    • Subject position: supine
    • Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical

  10. Perineal tonometry - post-intervention 2

    Time frame: One month after the intervention

    Tonometric evaluation on the perineal muscles

    • Assessment tool: (MyotonPro (R))
    • Subject position: supine
    • Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical

  11. Waist circumference - post-intervention 2

    Time frame: One month after the intervention

    Waist circumference

    • Assessment tool: tape measure (flexible, precision: 1mm)
    • Subject position: standing
    • Localization: minimum perimeter

  12. Chest circumference - post-intervention 2

    Time frame: One month after the intervention

    Chest circumference

    • Assessment tool: tape measure (flexible, precision: 1mm)
    • Subject position: standing
    • Localization: maximum perimeter

  13. Abdominal tonometry - post-intervention 3

    Time frame: Two months after the intervention

    Tonometric evaluation on the white line (linea alba) and the abdominal muscles

    • Assessment tool: (MyotonPro (R))
    • Subject position: supine
    • Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical

  14. Perineal tonometry - post-intervention 3

    Time frame: Two months after the intervention

    Tonometric evaluation on the perineal muscles

    • Assessment tool: (MyotonPro (R))
    • Subject position: supine
    • Localization: 3 cm, 6 cm, 9 cm, 12 cm supraumbilical

  15. Waist circumference - post-intervention 3

    Time frame: Two months after the intervention

    Waist circumference

    • Assessment tool: tape measure (flexible, precision: 1mm)
    • Subject position: standing
    • Localization: minimum perimeter

  16. Chest circumference - post-intervention 3

    Time frame: Two months after the intervention

    Chest circumference

    • Assessment tool: tape measure (flexible, precision: 1mm)
    • Subject position: standing
    • Localization: maximum perimeter

Sponsors and collaborators

Lead sponsor

Universidad de Córdoba

Other

Registry information

Official study title

Hypopressive Abdominal Exercise Effectiveness in Postpartum Abdominal Diastasis, Tone of the Transverse Muscle and the Pelvic Floor Muscles - Case Series

Acronym: HipoDiastasi

Important dates

Study start
2020
Primary completion
2020
Study completion
2020
First posted
Jan 23, 2020
Registry last updated
Jul 21, 2020

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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