Tele-rehabilitation in Women With Diastasis Recti Abdominis

Effects of Tele-rehabilitation on Inter-Recti Distance, Postural Balance, Abdominal Endurance and Pelvic Floor Functions

The aim of this randomized controlled study is to determine the effect of motor-control based telerehabilitation exercise program on inter-recti distance, abdominal endurance, pelvic floor dysfunction, and body-image perception in women with diastasis recti abdominis.

Researchers will compare the effects of motor-control-based telerehabilitation exercise program and conventional exercise programs in women with DRA.

Study Overview

• Status: Completed
• Conditions: Diastasis Recti; Diastasis Recti and Weakness of the Linea Alba
• Intervention / Treatment: Other: Tele-rehabilitation exercise program; Other: Home-based exercise program

Detailed Description

Diastasis of recti abdominis (DRA) is defined as a separation of the two rectus abdominis muscles along the linea alba. Increased volume in the abdominal cavity, hormonal changes during pregnancy, neurodevelopmental differences, or abdominal wall laxity may caused. It is very common during pregnancy and may continue in the postnatal period. The loss of abdominal wall stability and weakened pelvic floor muscles may occur with DRA. The abdominal wall is one of the key point for body posture, trunk and pelvic stability. The core stability exercises, pelvic floor training and trunk muscle trainings are some of the exercise regimes options for management of DRA. However, in our best knowledge, there is no study in the literature that evaluates the effect of motor-control based telerehabilitation exercise program in women with DRA.

• Study Type: Interventional
• Enrollment (Actual): 50
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • KAgıthane
    • Istanbul, KAgıthane, Turkey
      • Istanbul Atlas University
  • Kağıthane
    • İstanbul, Kağıthane, Turkey, 34413
      • Atlas University

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

• Post- partum women (min 1 - max 5 years)

Exclusion Criteria:

• Having a neurological, orthopedical or any other condition which affect postural stability.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Tele-rehab group; The participants who performed exercise program via online platform.	Other: Tele-rehabilitation exercise program; A progressive core stability exercise program will be performed based on motor control principles via an online platform.
Experimental: Home-based group; The participants who performed exercise program in the home.	Other: Home-based exercise program; A core stability exercise program will be performed at home.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Inter-recti distance	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, 5 cm, and 2 cm above and below the umbilicus	baseline
Inter-recti distance	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, 5 cm, and 2 cm above and below the umbilicus	after 8 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Abdominal muscle endurance test	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.	baseline
Abdominal muscle endurance test	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.	After 8 weeks
Pelvic floor dysfunction	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	baseline
Pelvic floor dysfunction	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	After 8 weeks
Body-self relation	Every subject will complete the Turkish version of Multi-Dimensional Body-Self Relations Questionnaire.	baseline
Body-self relation	Every subject will complete the Turkish version of Multi-Dimensional Body-Self Relations Questionnaire.	After 8 weeks

Collaborators and Investigators

• Sponsor: Atlas University
• Investigators: Principal Investigator: Hilal DENİZOĞLU KÜLLİ, İSTANBUL ATLAS ÜNİVERSİTESİ

Study record dates

Study Major Dates

• Study Start (Actual): November 2, 2021
• Primary Completion (Actual): December 20, 2022
• Study Completion (Actual): November 20, 2024

Study Registration Dates

• First Submitted: November 21, 2024
• First Submitted That Met QC Criteria: November 28, 2024
• First Posted (Estimated): December 4, 2024

Study Record Updates

• Last Update Posted (Estimated): December 4, 2024
• Last Update Submitted That Met QC Criteria: November 28, 2024
• Last Verified: November 1, 2024

More Information

Terms related to this study

• Keywords: postural control; pelvic floor dysfunction; inter-recti distance; body-self relation; abdominal endurance
• Additional Relevant MeSH Terms: Musculoskeletal Diseases; Wounds and Injuries; Joint Diseases; Joint Dislocations; Diastasis, Muscle
• Other Study ID Numbers: hdenizkulli

Drug and device information, study documents

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