Abdominal Muscles Recovery Response to Kinesiotaping in Women With Postnatal Diastasis

NCT ID: NCT04932772

Last Updated: 2021-06-29

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 24 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-05-15
• Study Completion Date: 2022-03-15

Brief Summary

This study aims to investigate abdominal muscle recovery in response to KT by using objective method for assessment as digital caliper, and waist circumference. KT technique will include rectus abdominis, internal and external oblique muscles among females after normal vaginal delivery.

Conditions

Diastasis Recti

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Group A (kinesiotaping group)

include 24 women will receive kinesiotaping combined with abdominal exercise (2sessions /week for eight weeks).

Group Type: EXPERIMENTAL

Kinesiotaping

Intervention Type: OTHER

Technique: Include Rectus Abdominas Muscles (RAM), Oblique Abdominal Muscles (OAM). Tape will be applied on RAM using muscles technique from origin to insertion of muscle with a tension between15-35%. Band will be start on symphysis pubis with no tension and then women make stretch on the abdominal region by deep abdominal inspiration and will end at xyphoid process. Finally will perform on the right and left external oblique muscles the procedure will be start with no tension from bottom and of 6-12 ribs and then the hip will be place in flexion and rotation to opposite direction and the band will tape on pubic bone with tension between 15-35% (Kase et al., 2003).

Abdominal Exercises

Intervention Type: OTHER

Women in group B will receive abdominal muscles exercise (2 sessions/ week) for eight weeks. This program will be applied in both group A and B. The women will repeat the same exercise program on other days as home routine. This program is proposed by Kamel and Yousif, 2017, as based on the literature (Kamel and Yousif, 2017), there is no golden standard exercise program for DRAM. Illustrations of the exercises will be provided, so that the women could repeat the same exercise program on other days as a home routine. All the exercises will be performed while the subject tied a scarf around her abdomen. The following proposed one included sit ups, reverse sit-ups, reverse trunk twists, and U-seat exercises (Fig. 5). Each exercise was repeated 20 times and was increased by four repetitions each week throughout the interventions. In addition, a respiratory rehabilitation maneuver to involve the abdominal muscles, especially the transverse abdominis will be performed.

Group B (abdominal exercise group)

include 24 women will receive abdominal exercise only.

Group Type: ACTIVE_COMPARATOR

Abdominal Exercises

Intervention Type: OTHER

Women in group B will receive abdominal muscles exercise (2 sessions/ week) for eight weeks. This program will be applied in both group A and B. The women will repeat the same exercise program on other days as home routine. This program is proposed by Kamel and Yousif, 2017, as based on the literature (Kamel and Yousif, 2017), there is no golden standard exercise program for DRAM. Illustrations of the exercises will be provided, so that the women could repeat the same exercise program on other days as a home routine. All the exercises will be performed while the subject tied a scarf around her abdomen. The following proposed one included sit ups, reverse sit-ups, reverse trunk twists, and U-seat exercises (Fig. 5). Each exercise was repeated 20 times and was increased by four repetitions each week throughout the interventions. In addition, a respiratory rehabilitation maneuver to involve the abdominal muscles, especially the transverse abdominis will be performed.

Interventions

Kinesiotaping

Technique: Include Rectus Abdominas Muscles (RAM), Oblique Abdominal Muscles (OAM). Tape will be applied on RAM using muscles technique from origin to insertion of muscle with a tension between15-35%. Band will be start on symphysis pubis with no tension and then women make stretch on the abdominal region by deep abdominal inspiration and will end at xyphoid process. Finally will perform on the right and left external oblique muscles the procedure will be start with no tension from bottom and of 6-12 ribs and then the hip will be place in flexion and rotation to opposite direction and the band will tape on pubic bone with tension between 15-35% (Kase et al., 2003).

Intervention Type: OTHER

Abdominal Exercises

Women in group B will receive abdominal muscles exercise (2 sessions/ week) for eight weeks. This program will be applied in both group A and B. The women will repeat the same exercise program on other days as home routine. This program is proposed by Kamel and Yousif, 2017, as based on the literature (Kamel and Yousif, 2017), there is no golden standard exercise program for DRAM. Illustrations of the exercises will be provided, so that the women could repeat the same exercise program on other days as a home routine. All the exercises will be performed while the subject tied a scarf around her abdomen. The following proposed one included sit ups, reverse sit-ups, reverse trunk twists, and U-seat exercises (Fig. 5). Each exercise was repeated 20 times and was increased by four repetitions each week throughout the interventions. In addition, a respiratory rehabilitation maneuver to involve the abdominal muscles, especially the transverse abdominis will be performed.

Intervention Type: OTHER

Other Intervention Names

KT Tape; Medical Tape

Eligibility Criteria

Inclusion Criteria

1. Age will range from 25-35 years.

2. All women give birth by normal vaginal delivery.

3. Diastasis recti more than 2.5 cm at any point along linea alba.

4. Body mass index (BMI) less than 30 kg/m2.

5. After the end of Puerperium period i.e. after eight weeks postnatal.

Exclusion Criteria

1. Women with skin over sensitivity to tape.

2. Women with abdominal skin diseases.

3. Abdominal hernia.

4. Previous cesarean section.

5. Multiple pregnancies more than 3 times.

6. Other abdominal or back operation.

7. Pregnancy related complications such as polyhydramnios, fetal macrostomia, diabetes, and hypertension.

8. Spinal disorders.

9. Lower limbs deformities.

• Minimum Eligible Age: 25 Years
• Maximum Eligible Age: 35 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

October 6 University

OTHER

Sponsor Role: lead

Responsible Party

Mohammed Khalaf Sayed ElArabi

Demonstrator, Department of Physical Therapy for Women's health, Faculty of Physical Therapy

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Dalia M Kamel, Professor

Role: STUDY_CHAIR

Cairo University

Locations

October 6 University Hospital

Al Ḩayy Ath Thāmin, Giza Governorate, Egypt

Site Status: RECRUITING

Countries

Egypt

Central Contacts

Mohammed K Sayed Elarabi, Bsc.

Role: CONTACT

mohamedkhalaf.pt@o6u.edu.eg

00201145554592

Facility Contacts

Mohammed K Elarabi, BSc.

Role: primary

mohamedkhalaf.pt@o6u.edu.eg

00201145554592

Other Identifiers

012/003222

Identifier Type: -

Identifier Source: org_study_id