Prone Plank Exercises for Diastasis Rectus Abdominis in Postpartum Women

Prone Plank Exercises Versus Electrical Stimulation in Treatment of Diastasis Rectus Abdominis in Postpartum Women

The purpose of this study was to compare between the effects of prone plank exercises versus ES for DRA in postpartum women.

Study Overview

• Status: Recruiting
• Conditions: Post Partum Women
• Intervention / Treatment: Other: Prone plank exercises; Device: Electrical Stimulation

Detailed Description

The study conducted on forty-two woman. They had diastasis rectus abdominis12 weeks to 36 months postpartum. They were randomly divided into two equal groups; group A received prone plank exercises while group B recieved electrical stimulation.All patients recieved three sessions per week foe eight weeks.

• Study Type: Interventional
• Enrollment (Estimated): 42
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Doaa Salah, Senior; Phone Number: 20 101 503 3456; Email: ptdoaasalah@gamil.com
• Study Contact Backup: Name: Fayiz Elshamy, Professor; Phone Number: 20 109 105 0154; Email: ff_elshamy@yahoo.com

Study Locations

• Egypt
  • Kafr Ash Shaykh, Egypt, 6850001
    • Recruiting
    • Faculty of physical therapy labs at kafr El sheikh University
    • Contact: Doaa Salah, Senior; Phone Number: 20 101 503 3456; Email: ptdoaasalah@gamil.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• they had DRA 12 weeks to 36 months postpartum, and were referred to physiotherapy by a gynaecologist, multiparous with the IRD measuring greater than two cm. Age ranged between 20-35 years. Body mass index didn't exceed 30 kg/m2.

Exclusion Criteria:

• they were in ongoing pregnancy, twin pregnancy, premature birth before gestation week 37, and exceeded more than thirty-six months postpartum.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Prone Plank Exercises; Forty two post partum woman will recieve progressive prone plank exercises, three times a week, for eight weeks, and with a moderate hard intensity.	Other: Prone plank exercises; Patients in this group will recieve prone plank exercises, three times a week, for eight weeks, and with a moderate hard intensity. During the first four weeks, the exercises session began with light walking for five minutes followed by corrected exercises. Firstly, women will perform stable prone plank exercises. Secondly, women will be asked to apply the unilateral position of prone plank. Thirdly, using a 65 cm diameter Swiss ball, women will be asked to assume the prone bridge position. During the last four weeks, women will be asked to repeat the same program noting that the progressive prone plank exercises should be applied in a dosage of 20 repetitions, three sets, holding the contraction for one minute, and taking a break for two minutes.
Sham Comparator: Electrical Stimulation; Forty two post partum woman will recieve electrical stimulation for the rectus abdominis muscle day after day for 8 weeks. The patient position was relaxed in the crook lying position. The session parameters were 30 minutes/session with a low frequency current (50-100Hz).	Device: Electrical Stimulation; Electrical Stimulation

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Ultrasound Imaging Device	Changes in Interrectus distance above umbilicus at rest from baseline to four weeks after the beginning of intervention	Eight weeks after the beginning of the intervention
Ultrasound Imaging Device	Changes in Interrectus distance below umblicus at rest from baseline to four weeks after the beginning of intervention	Eight weeks after the beginning of the intervention
Ultrasound Imaging Device	Changes in Interrectus distance above umbilicus at contraction from baseline to four weeks after the beginning of intervention	Eight weeks after the beginning of the intervention
Ultrasound Imaging Device	Changes in Interrectus distance below umbilicus at contractionfrom baseline to four weeks after the beginning of intervention	Eight weeks after the beginning of the intervention

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The measuring tape	Changes in waist hip ratio from baseline to four weeks after the beginning of intervention	Eight weeks after the beginning of the intervention

Collaborators and Investigators

• Sponsor: Cairo University
• Investigators: Study Director: Fayiz Elshamy, Professor, Kafrelsheikh University

Study record dates

Study Major Dates

• Study Start (Actual): March 1, 2023
• Primary Completion (Estimated): April 20, 2024
• Study Completion (Estimated): April 30, 2024

Study Registration Dates

• First Submitted: February 6, 2024
• First Submitted That Met QC Criteria: February 13, 2024
• First Posted (Actual): February 14, 2024

Study Record Updates

• Last Update Posted (Actual): April 4, 2024
• Last Update Submitted That Met QC Criteria: April 3, 2024
• Last Verified: April 1, 2024

More Information

Terms related to this study

• Other Study ID Numbers: Plank Exercises in Diastasis

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No