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Comparative Effects of Telerehabilitation Versus In-Person Core Stability Training in Postpartum Women

10. august 2026 oppdatert av: Riphah International University

Comparative Effects Of Telerehabilitation And In-Person Core Stability Training On Inter Recti Distance And Body Image In Postpartum Women.

Diastasis recti abdominis (DRA) is common among postpartum women and can negatively affect abdominal muscle function and body image. Core stability exercises are widely recommended for postpartum rehabilitation; however, access to supervised physiotherapy may be limited. Tele rehabilitation may improve accessibility while maintaining treatment effectiveness. This randomized controlled trial compares tele rehabilitation-based and in-person supervised core stability exercise programs in postpartum women with diastasis recti. The primary objective is to compare changes in inter-recti distance, while the secondary objective is to compare changes in body image after an 8-week intervention

Studieoversikt

Status

Rekruttering

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

This randomized controlled trial aims to compare the effectiveness of tele rehabilitation-based versus in-person supervised core stability exercises in postpartum women diagnosed with diastasis recti abdominis. Fifty-four participants will be randomly allocated to either a tele rehabilitation group or an in-person supervised exercise group. Both groups will receive the same standardized 8-week core stability exercise program consisting of three supervised sessions per week. Outcomes will be assessed at baseline and after completion of the intervention. Primary outcome will be inter-recti distance measured using a digital nylon caliper. Secondary outcome will be body image measured using the Body Image State Scale (BISS). The findings will help determine whether tele rehabilitation provides comparable clinical outcomes to conventional supervised physiotherapy for postpartum rehabilitation.

Studietype

Intervensjonell

Registrering (Antatt)

54

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiekontakt

Studer Kontakt Backup

Studiesteder

  • Pakistan
    • Punjab Province
      • Lahore, Punjab Province, Pakistan, 0423
        • Rekruttering
        • Lifezone medical and diagnostic center lahore
        • Ta kontakt med:
        • Hovedetterforsker:
          • Rida Ijaz

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Voksen

Tar imot friske frivillige

Nei

Beskrivelse

Inclusion Criteria: Participants falling in this category would be recruited into the study.

  • 6 weeks to 6 months postpartum
  • Multiparous or primiparous
  • Diagnosis of diastasis recti (IRD ≥ 2cm)/
  • Able to use or operate digital/electronic devices
  • With internet access and the ability to participate in remote group sessions.

Exclusion Criteria: Participants fall in this category would be excluded of the study.

  • Significant musculoskeletal or systemic comorbidities i.e. diabetes mellitus, cardiovascular disease, Severe psychiatric disorders, Active malignancy.
  • Prior major abdominal or pelvic surgery (except cesarean)
  • Any Contraindications to exercise.
  • Recent/Current pregnancy.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Annen
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Enkelt

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: Telerehabilitation Group
Participants allocated to this arm will receive a hybrid telerehabilitation-based core stability exercise program over 8 weeks. Baseline assessment will be conducted in a clinical setting prior to intervention. The program consists of three sessions per week (45-60 minutes each) on non-consecutive days, including warm-up, structured core stability exercises, and cool-down.
Annen: Telerehabilitation
Participants were assessed at baseline by a physiotherapist and attended supervised in-clinic follow-up sessions every two weeks to monitor progress and ensure correct exercise performance. Individualized exercise demonstrations were recorded on participants' mobile devices to facilitate home-based practice. The intervention consisted of an 8-week progressive postpartum exercise program beginning at 6 weeks postpartum, including pelvic floor muscle (Kegel) exercises, abdominal bracing, trtransversus abdominis (TrA) activation, and pelvic tilts. Exercise dosage (sets, repetitions, hold time, and fast contractions) was progressively increased each week according to the study protocol to improve pelvic floor muscle strength, core stability, and lumbopelvic control.
Aktiv komparator: In-Person Exercise Group
Participants allocated to the in-person comparator arm will receive a supervised, clinic-based core stability exercise program for 8 weeks. Baseline assessment will be conducted prior to initiation in a clinical setting.
Annen: In-Person
Participants were assessed at baseline by a physiotherapist and participated in supervised in-person group exercise sessions for 8 weeks, beginning at 6 weeks postpartum. The intervention followed the same progressive exercise protocol as the telerehabilitation group and included pelvic floor muscle (Kegel) exercises, abdominal bracing, transversus abdominis (TrA) activation, and pelvic tilts, with weekly progression in sets, repetitions, hold duration, and fast contractions. The physiotherapist provided real-time supervision, exercise correction, and progression throughout the intervention.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Digital Nylon Caliper
Tidsramme: Baseline (pre-Intervention) Post-Intervention (after 8 weeks)
Digital nylon calipers are recognized as both reliable and valid for measuring inter-recti distance (IRD), Measurements of inter recti distance will be taken at the umbilicus and at standardized points 4.5 cm above and 4.5cm below umbilicus.
Baseline (pre-Intervention) Post-Intervention (after 8 weeks)
Body Image Scale (BISS)
Tidsramme: Baseline Post-Intervention (after 8 weeks)
The Body Image State Scale (15) is a validated, self-reported tool for assessing body image, satisfaction, and emotional responses. BISS scoring uses the mean of the six items (each scored 1-9) with certain items reverse-scored (items 2, 4, and 6), and higher totals signal higher body satisfaction. The scale is tested for reliability and validity in various populations, including postpartum women, with Cronbach's alpha generally reported around 0.82-0.83 for internal consistency.
Baseline Post-Intervention (after 8 weeks)

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Sponsor

Riphah International University

Etterforskere

  • Hovedetterforsker: Rida Ijaz, MSPT(WH), Riphah International University

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

10. august 2026

Primær fullføring (Antatt)

1. oktober 2026

Studiet fullført (Antatt)

1. desember 2026

Datoer for studieregistrering

Først innsendt

4. august 2026

Først innsendt som oppfylte QC-kriteriene

4. august 2026

Først lagt ut (Faktiske)

7. august 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

12. august 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

10. august 2026

Sist bekreftet

1. august 2026

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • Rida Ijaz

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