Comparative Effects of Hypopressive and Split Tummy Exercises in Postpartum Diastasis Recti
2026年6月4日 更新者：Riphah International University
Comparative Effects of Hypopressive and Split Tummy Exercises on Lifestyle, Inter Recti Distance, Strength and Function of Pelvic Floor Muscles in Postpartum Diastasis Recti
To compare the effects of hypopressive exercises and split tummy (transverse abdominal activation-based) exercises on inter-recti distance (IRD), pelvic floor muscle strength and function, and overall quality of life improvements in postpartum women with diastasis recti.
This study will be randomized clinical trial and will be conducted in Hameed Latif Hospital Lahore and Civil Hospital Sukkur.
The total duration of treatment will be 8 week.
Non-probability convenience sampling technique will be used and 50 participants will be recruited in study after randomization.
The subjects will be divided into two groups.
Group A will receive hypopressive exercise with baseline treatment abdominal binding.
Group B will receive baseline treatment with split tummy exercises.
調査の概要
詳細な説明
Postpartum diastasis recti abdominis (DRA) is a common condition affecting women after childbirth, characterized by the separation of the rectus abdominis muscles along the linea alba. This condition can lead to core instability, pelvic floor dysfunction, back pain, and a negative impact on daily function and quality of life. Rehabilitation through exercise is considered a primary non-surgical treatment. However, the most effective approach to improving both physical parameters and overall lifestyle remains under investigation.
To compare the effects of hypopressive exercises and split tummy (transverse abdominal activation-based) exercises on inter-recti distance (IRD), pelvic floor muscle strength and function, and overall quality of life improvements in postpartum women with diastasis recti. This study will be randomized clinical trial and will be conducted in Hameed Latif Hospital Lahore and Civil Hospital Sukkur. The total duration of treatment will be 8 week. Non-probability convenience sampling technique will be used and 50 participants will be recruited in study after randomization. The subjects will be divided into two groups. Group A will receive hypopressive exercise with baseline treatment abdominal binding. Group B will receive baseline treatment with split tummy exercises. The tools that will be used are digital vernier scale use for inter recti distance, oswestry disability index (ODI), Oxford Grading scale system use for strength and function of pelvic floor muscles and quality of life questionnaire. Data will be analyzed using SPSS version 21. With the significant P value < 0.05.
研究の種類
介入
入学 (推定)
50
段階
- 適用できない
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
研究連絡先
- 名前：Imran Amjad, PhD
- 電話番号：03324390125
- メール：imran.amjad@riphah.edu.pk
研究場所
-
-
Punjab Province
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Sukkur、Punjab Province、パキスタン、65200
- 募集
- Civil Hospital Sukkur
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主任研究者：
- Sarah Abid, MSWHPT
-
-
参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
- 大人
健康ボランティアの受け入れ
いいえ
説明
Inclusion Criteria:
- Age: 24 to 40years
- Weight: 50 to 70kg
- Height: 4.5 to 6ft
- BMI: Both underweight and overweight/ obese individuals can experience DRA.
- Parity: Multiparous
- Mode of delivery: vaginal delivery in split tummy.
- Subjects who gave vaginal birth with or without episiotomy in multiparous women in hypopressive.
Exclusion Criteria:
- Undergoing a severe illness
- Uncompleted inter-rectus distance (IRD) records
- Have a history of pelvic floor dysfunction
- Primiparous, polyhydramnios, uterine fibroids during pregnancy, previous abdominal, surgery caesarean delivery
- Subjects with untreated high blood pressure, cardiovascular illness, hernia, pregnant and underwent any recent surgeries.
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：ダブル
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
アクティブコンパレータ：hypopressive exercise
For participants in Group A, series of postural and breathing-based sequences will be given.
Base-line is abdominal binding I will performed hypopressive exercises in various positions (lying, sitting, leaning forward, standing and quadruped) to improve breath control, abdominal contraction and pelvic floor engagement.
Each session began with focused breathing, full increasing based on tolerance.
Exercises were repeated in different postures to assess endurance in each, as individual holding each contraction 5 seconds and relax for 10 seconds capacity varied by position.
Participants engaged in these exercises for 20 minutes, 3 times per week, over a 8 week period, with moderate to high intensity based on breath-hold duration and postural demand.
|
For participants in Group A, series of postural and breathing-based sequences will be given.
Base-line is abdominal binding I will performed hypopressive exercises in various positions (lying, sitting, leaning forward, standing and quadruped) to improve breath control, abdominal contraction and pelvic floor engagement.
Each session began with focused breathing, full increasing based on tolerance.
Exercises were repeated in different postures to assess endurance in each, as individual holding each contraction 5 seconds and relax for 10 seconds capacity varied by position.
Participants engaged in these exercises for 20 minutes, 3 times per week, over a 8 week period, with moderate to high intensity based on breath-hold duration and postural demand.
|
|
実験的：split tummy exercises
Base-line abdominal binding I will perform isometric exercises (1) Modified plank hold (2) Pelvic tilts (3) Transverse abdominis engagement.
For modified plank hold in this position participants with their knees on the ground instead of toes.
Engage core muscles and hold for 30 to 60 seconds.
For pelvic tilts participants lie on back with knees bent and feet flat on the floor.
Tilt the pelvic upwards and then back down again, repeating the motion in a slow and controlled manner.
Hold for 30 to 60 seconds.
For transverse abdominis engagement participants lies on back with knees bent and feet flat on the floor.
Engage transverse abdominis muscle and drawing belly button towards spine.
Hold for 30 to 60 seconds.
3 times in a week involving at least three sets of 10 repetitions each.
To improved core strength and stability, increased muscle endurance and isometric exercises can be low-impact, making them suitable for individuals with diastasis recti.
|
Base-line abdominal binding I will perform isometric exercises (1) Modified plank hold (2) Pelvic tilts (3) Transverse abdominis engagement.
For modified plank hold in this position participants with their knees on the ground instead of toes.
Engage core muscles and hold for 30 to 60 seconds.
For pelvic tilts participants lie on back with knees bent and feet flat on the floor.
Tilt the pelvic upwards and then back down again, repeating the motion in a slow and controlled manner.
Hold for 30 to 60 seconds.
For transverse abdominis engagement participants lies on back with knees bent and feet flat on the floor.
Engage transverse abdominis muscle and drawing belly button towards spine.
Hold for 30 to 60 seconds.
3 times in a week involving at least three sets of 10 repetitions each.
To improved core strength and stability, increased muscle endurance and isometric exercises can be low-impact, making them suitable for individuals with diastasis recti.
|
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Digital Vernier Calliper
時間枠：8 weeks
|
The Oswestry Disability Index (ODI) and inter-recti distance were measured at the start (baseline) and again at the 8th week.
A digital vernier caliper was used to assess the inter-recti distance at three specific locations: directly at the umbilicus, 4.5 cm above, and 4.5 cm below it.
The ODI evaluates functional disability based on ten factors: pain intensity, ability to maintain personal hygiene, lifting, work, standing, sitting, sleeping, sexual activity, social interaction, and travel.
ODI scores range as follows: 0-20% indicates minimal disability, 21-40% suggests moderate disability, 41-60% reflects severe disability, 61-80% indicates significant functional limitation, and 81-100% implies the patient is confined to bed.
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8 weeks
|
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Quality of life questionnaire
時間枠：8 weeks
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The SF-36 is regarded as a valid and reliable tool with strong discriminatory and convergent validity that allows it to differentiate across respondent groups according to age, gender, and socioeconomic position.
It has eight sub scales and 36 items.
(1) Physical functioning (PF), (2) Role-physical (RP), (3) Bodily pain (BP), (4) General health (GH), (5) Vitality (VT), (6) Social functioning (SF), (7) Role-emotional (RE), and (8) Emotional wellbeing (EW).
Higher ratings on each subscale, which range from 0 to 100, indicate better conditions .
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8 weeks
|
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Pelvic floor strength and function
時間枠：8 weeks
|
Digital assessment of PFM strength using the Oxford Grading Scale system will distributed as follows: weak (n = 1), moderate (n = 6), good (n = 10) and strong (n = 26)(16).
The reliability of oxford grading scale system is 0.53.
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8 weeks
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協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
捜査官
- 主任研究者：Hafiza Iqra Rubab, MSWHPT、Riphah International University
出版物と役立つリンク
研究に関する情報を入力する責任者は、自発的にこれらの出版物を提供します。これらは、研究に関連するあらゆるものに関するものである可能性があります。
一般刊行物
- Abdullah, Rehman KA, Ahmad B, Arshad MK, Saeed H, Keen MA, Anwar A, Saleem NUA, Salma Shabbar Banatwala UE, Bilal Z, Shahzad M, Shakoor P, Niazi MA. Comparative Efficacy of Abdominal Exercises and Abdominal Binding on Diastasis Recti Abdominis Reduction in Postpartum Women: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Physiother Res Int. 2025 Apr;30(2):e70038. doi: 10.1002/pri.70038.
- Rodriguez-Romero B, Senin-Camargo F, Sande-Fuentes J, Martinez-Bustelo S. Exercises to treat diastasis rectus abdominis and improve abdominal function: Two case reports. J Back Musculoskelet Rehabil. 2025 Sep;38(5):1180-1188. doi: 10.1177/10538127251325839. Epub 2025 Apr 10.
- Theodorsen NM, Moe-Nilssen R, Bo K, Haukenes I. Effect of exercise on the inter-rectus distance in pregnant women with diastasis recti abdominis: an experimental longitudinal study. Physiotherapy. 2023 Dec;121:13-20. doi: 10.1016/j.physio.2023.08.001. Epub 2023 Aug 23.
- Sekar R, Ramalingam V, Nirmala JG, Muniandy Y. Effectiveness of Abdominal Hypopressive Technique on Diastasis Recti among Postpartum Women. Indian Journal of Physiotherapy & Occupational Therapy. 2024;18.
- Shohaimi S, Husain NRN, Zaki FM, Atan IK. Split Tummy Exercise Program for Reducing Diastasis Recti in Postpartum Primigravidae: A Randomized Controlled Trial. Korean J Fam Med. 2023 Mar;44(2):102-108. doi: 10.4082/kjfm.22.0035. Epub 2023 Mar 20.
研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始 (実際)
2025年10月1日
一次修了 (推定)
2026年7月1日
研究の完了 (推定)
2026年7月1日
試験登録日
最初に提出
2026年6月1日
QC基準を満たした最初の提出物
2026年6月4日
最初の投稿 (実際)
2026年6月5日
学習記録の更新
投稿された最後の更新 (実際)
2026年6月5日
QC基準を満たした最後の更新が送信されました
2026年6月4日
最終確認日
2026年6月1日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。