Changes in Abdominal Muscles Performance in Postpartum Women.

NCT ID: NCT03425916

Last Updated: 2019-05-07

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 196 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2017-09-01
• Study Completion Date: 2019-05-06

Brief Summary

To describe and compare abdominal muscles and inter-rectus distance conditions in postpartum period in comparison with nulliparous women. Also to describe the activation changes during different abdominal exercises.

Detailed Description

Pregnancy and childbirth cause corporal changes in women, altering the structure and function of the abdominal and pelvic floor muscles. The distension of the muscular tissue and the possible diastasis recti can alter the performance of the abdominal musculature in the control of intra-abdominal pressure and the lumbo-pelvic stabilization in postpartum term. Abdominal exercise is highly recommended to restore these changes but there is not enough evidence about the effects of exercise modalities.

Conditions

Recti Diastasis; Pregnancy Related

Study Design

• Observational Model Type: CASE_CONTROL
• Study Time Perspective: PROSPECTIVE

Study Groups

Primiparous women

Women after normal, not operative, vaginal one-child delivery

Physical therapy intervention

Intervention Type: OTHER

Primiparous women start a physical therapy intervention in week 6 after normal one-child delivery, based on abdominal and pelvic floor exercises, education and behavior advices. Abdominal muscle condition and activation are measured by transabdominal ultrasound and surface electromiography. This group is going to be examined after treatment and 6 and 12 months after treatment.

Nulliparous women

Women without any child or pregnancy, age-matched

No interventions assigned to this group

Interventions

Physical therapy intervention

Primiparous women start a physical therapy intervention in week 6 after normal one-child delivery, based on abdominal and pelvic floor exercises, education and behavior advices. Abdominal muscle condition and activation are measured by transabdominal ultrasound and surface electromiography. This group is going to be examined after treatment and 6 and 12 months after treatment.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Primiparous women
• Normal not operative delivery
• One child delivery

Exclusion Criteria

• Two or more previous gestation
• Previous abdominal surgery
• Systemic disease, neurologic or metabolic disease

• Minimum Eligible Age: 18 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: Yes

Sponsors

University of Alcala

OTHER

Sponsor Role: lead

Responsible Party

Beatriz Arranz Martin

Physiotherapist

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Maria Torres, PhD

Role: STUDY_DIRECTOR

University of Alcala

Locations

Beatriz Arranz Martin

Alcalá de Henares, Madrid, Spain

Countries

Spain

Other Identifiers

BAM2018

Identifier Type: -

Identifier Source: org_study_id