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Efectos de los ejercicios correctivos frente a los ejercicios de plancha sobre la diástasis de rectos

23 de septiembre de 2026 actualizado por: Riphah International University

Efectos de los ejercicios correctivos frente a los ejercicios de plancha sobre la fuerza, la distancia interrecti y el dolor en mujeres con diástasis de rectos

This study will be randomized clinical trial and will be conducted in Services Hospital and poly clinics. The total duration of treatment will be 12 weeks. Non-probability convenience sampling technique will be used and 56 participants will be recruited in study after randomization. The participants are randomly assigned to one of two groups: Group A performs corrective exercises focused on deep core engagement, while Group B performs plank exercises aimed at overall abdominal activation. Each group follows their respective regimen three times per week for 12 weeks. Baseline EMS and pelvic floor exercises are conducted for all participants to ensure core stability before the interventions begin. Outcome measures, including manual muscle testing (MMT) for strength, and the Numerical Pain Rating Scale (NPRS) for pain, are recorded both before and after the 12-week intervention. After data collection data will be analyzed by using SPSS version 25.

Descripción general del estudio

Estado

Reclutamiento

Tipo de estudio

Intervencionista

Inscripción (Estimado)

56

Fase

  • No aplica

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Estudio Contacto

Ubicaciones de estudio

    • Punjab Province
      • Lahore, Punjab Province, Pakistán, 6400
        • Reclutamiento
        • Services Hospital
        • Contacto:
          • adeela arif, t-DPT
        • Investigador principal:
          • Fazeela Tahir, MSPT(WH)

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

25 años a 40 años (Adulto)

Acepta Voluntarios Saludables

Sí

Géneros elegibles para el estudio

Femenino

Descripción

Inclusion Criteria:

  • If IRD is greater than 4cm and above
  • Postpartum females
  • Three months to three years postpartum with presence of diastasis rectus abdominis
  • Vaginal delivery
  • Multiparous
  • Pain greater than 6 on NPRS

Exclusion Criteria:

  • Subjects with any heart condition, respiratory condition
  • Any pelvic or abdominal surgery
  • Any neurological disease eg preeclampsia, epilepsy
  • Trauma to bowel or bladder
  • Prior history of physical therapy treatment for pelvic floor issues
  • Postpartum depression

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Tratamiento
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Ninguno (etiqueta abierta)

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: corrective exercises

During weeks 1-4, the program emphasized low-load activation, including transversus abdominis (TrA) drawing-in activation, posterior pelvic tilting, and modified heel slides performed with strict abdominal control. In weeks 5-8, progression was achieved through increased hold times, higher repetitions, slower tempo, and the gradual introduction of light resistance or functional integration cues where tolerated. In weeks 9-12, participants progressed toward functional core integration and advanced control exercises such as dead bug variations,

restoration of trunk stability, and reduction of IRD through improved tensioning of the linea alba. During weeks 1-4, the program emphasized low-load activation, including transversus abdominis (TrA) drawing-in activation, posterior pelvic tilting, and modified heel slides performed with strict abdominal control. In weeks 5-8, progression was achieved through increased hold times, higher repetitions, slower tempo, and the gradual introduction of light resistance or functional integration cues where tolerated. In weeks 9-12, participants progressed toward functional core integration and advanced control exercises such as dead bug variations,

Experimental: PLANK EXERCISES

In weeks 1-4, the program began with modified plank positions using knee-and-elbow support and modified side planks, with short hold durations and adequate rest intervals. During weeks 5-8, hold times were progressively increased, and participants were introduced to controlled plank variations such as weight-shifts or arm reach tasks depending on tolerance and maintenance of neutral spine control. In weeks 9-12, progression was aimed toward longer holds and more advanced stabilization tasks, including leg lifts in plank and progression toward full plank positions

In weeks 1-4, the program began with modified plank positions using knee-and-elbow support and modified side planks, with short hold durations and adequate rest intervals. During weeks 5-8, hold times were progressively increased, and participants were introduced to controlled plank variations such as weight-shifts or arm reach tasks depending on tolerance and maintenance of neutral spine control. In weeks 9-12, progression was aimed toward longer holds and more advanced stabilization tasks, including leg lifts in plank and progression toward full plank positions

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
NPRS
Periodo de tiempo: 12th week

The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain. The NPRS is a widely used patient reported outcome scale.27-29 The ordinal 11-point NPRS (0-no pain, 10-most intense pain) is the most commonly used version which has good test-retest reliability (r=.79-.96) in individuals with chronic pain and musculoskeletal pathology.

12th week
• MMT
Periodo de tiempo: 12th week

MMT is the most commonly used method for documenting impairments in muscle strength. Manual muscle testing is used in rehabilitation and recovery to evaluate contractile units, including muscles and tendons, and their ability to generate forces. Reliability of strength MMT grade of lower extremity is 66-0.90. There are six grades of MMT i.e. Grade 5 (Normal), Grade 4 (Good), Grade 3+ (Fair), Grade 2+ (Poor), Grade 1 (Trace) and Grade 0 (Zero)

12th week
inter-recti distance
Periodo de tiempo: 12th week

The subjects were in supine resting position with the knees bent at 90° and feet resting on the plinth, arms alongside the body. After instruction in how to perform an abdominal crunch the subjects were asked to raise the head and shoulders upwards until the shoulder blades cleared the table. One physiotherapist placed the fingers vertically on the subject's Linea Alba in a way that fingers widths could fit the distance between the internal borders of the two rectus abdominis muscles. Using the center of the umbilicus as a reference, measurements were taken in two previously marked locations: one being 2 cm above the umbilicus and the other being 2 cm below the umbilicus.

12th week
Oswestry Disability Index
Periodo de tiempo: 12th week

The Oswestry Disability Index (ODI) is defined as a validated metric that assesses a patient's perceived level of disability through a 10-question assessment, yielding a numerical score from 0 to 100, where higher scores indicate greater disability

12th week

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Investigadores

  • Investigador principal: adeela arif, t-DPT, Riphah International University

Publicaciones y enlaces útiles

La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.

Publicaciones Generales

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

1 de enero de 2025

Finalización primaria (Estimado)

1 de octubre de 2026

Finalización del estudio (Estimado)

1 de octubre de 2026

Fechas de registro del estudio

Enviado por primera vez

23 de febrero de 2026

Primero enviado que cumplió con los criterios de control de calidad

23 de febrero de 2026

Publicado por primera vez (Actual)

27 de febrero de 2026

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

24 de septiembre de 2026

Última actualización enviada que cumplió con los criterios de control de calidad

23 de septiembre de 2026

Última verificación

1 de septiembre de 2026

Más información

Términos relacionados con este estudio

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

NO

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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