Diaphragmatic Breathing With and Without Abdominal Muscles Strength Training Program

NCT ID: NCT05474469

Last Updated: 2022-12-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

74 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-01-01

Study Completion Date

2022-08-10

Brief Summary

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The postpartum period is excessively weak and have hypotonic abdominal muscles, making the ligaments and connective tissue softer and more elastic. The importance of exercise in the postpartum period is very important in this regard.

This study will be a Randomized control trial used to compare the effects of diaphragmatic breathing with and without abdominal muscles strength training program on pelvic floor strength and endurance and quality of life in postnatal women. Subjects meeting the inclusion and exclusion criteria will be divided into two groups using lottery method. Assessment will be done using PERFECT scheme questionnaire and SF- 36 quality of life questionnaire. Subjects in one group will receive diaphragmatic breathing exercises along with pelvic muscle strength training and subjects in other group will receive only diaphragmatic breathing exercises. Each subject will receive 12 treatment sessions for 4 weeks. Results will be analyzed for any change by using SPSS25.

Detailed Description

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The postpartum period is excessively weak and have hypotonic abdominal muscles, making the ligaments and connective tissue softer and more elastic. These changes result in anatomical, physiological and biomechanical alterations. Therefore, these factors are responsible for the lack of necessary support for the waist region, pain, disability and negative impact on health-related quality of life. The importance of exercise in the postpartum period is very important in this regard. Postnatal exercises have several benefits such as improving pelvic floor strength and endurance and quality of life and increasing the general well-being, preventing the diastasis of the rectus Abdominis muscle (RAM) increasing cardiovascular endurance and bone mineral density.

This study will be a Randomized control trial used to compare the effects of diaphragmatic breathing with and without abdominal muscles strength training program on pelvic floor strength and endurance and quality of life in postnatal women. Subjects meeting the inclusion and exclusion criteria will be divided into two groups using lottery method. Assessment will be done using PERFECT scheme questionnaire and SF- 36 quality of life questionnaire. Subjects in one group will receive diaphragmatic breathing exercises along with pelvic muscle strength training and subjects in other group will receive only diaphragmatic breathing exercises. Each subject will receive 12 treatment sessions for 4 weeks. Results will be analyzed for any change by using SPSS25.

Conditions

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Pelvic Floor Muscle Weakness Endurance Quality of Life

Keywords

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Abdominal Muscles Breathing Exercises Exercise Pelvic Floor Quality Of Life

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Diaphragmatic breathing in combination with abdominal muscle strengthening exercises

Exprimental Group ( Group A) will receive diaphragmatic breathing in combination with abdominal muscle strengthening exercises .12 treatment sessions for 4 weeks period, which consisted of 03 treatment sessions per week.

Group Type EXPERIMENTAL

Diaphragmatic breathing exercises

Intervention Type OTHER

12 treatment sessions for 4 weeks period, which consisted of 03 treatment sessions per week.

Abdominal muscle strengthening exercises

Intervention Type OTHER

12 treatment sessions for 4 weeks period, which consisted of 03 treatment sessions per week.

Diaphragmatic breathing Exercises only without abdominal muscle strengthening exercises

Active comparator (Group B) will receive diaphragmatic breathing only. 12 treatment sessions for 4 weeks period, which consisted of 03 treatment sessions per week.

Group Type ACTIVE_COMPARATOR

Diaphragmatic breathing exercises

Intervention Type OTHER

12 treatment sessions for 4 weeks period, which consisted of 03 treatment sessions per week.

Interventions

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Diaphragmatic breathing exercises

12 treatment sessions for 4 weeks period, which consisted of 03 treatment sessions per week.

Intervention Type OTHER

Abdominal muscle strengthening exercises

12 treatment sessions for 4 weeks period, which consisted of 03 treatment sessions per week.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age 20 to 35 years.
* Women between 2 to 6 months post-natal.
* Women with stable somatic state.
* Women with no cognitive dysfunction.

Exclusion Criteria

* Women with respiratory problems.
* Women with severe back pain.
* Patients with any pelvic pathology
* Patient with any previous neurological disorders
Minimum Eligible Age

20 Years

Maximum Eligible Age

35 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sabiha Arshad, M.Phil

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

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Islamic Center Sialkot

Sialkot, Punjab Province, Pakistan

Site Status

Countries

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Pakistan

References

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Gursen C, Inanoglu D, Kaya S, Akbayrak T, Baltaci G. Effects of exercise and Kinesio taping on abdominal recovery in women with cesarean section: a pilot randomized controlled trial. Arch Gynecol Obstet. 2016 Mar;293(3):557-65. doi: 10.1007/s00404-015-3862-3. Epub 2015 Sep 2.

Reference Type BACKGROUND
PMID: 26329802 (View on PubMed)

Ashton-Miller JA, DeLancey JO. Functional anatomy of the female pelvic floor. Ann N Y Acad Sci. 2007 Apr;1101:266-96. doi: 10.1196/annals.1389.034. Epub 2007 Apr 7.

Reference Type BACKGROUND
PMID: 17416924 (View on PubMed)

Bernardes BT, Resende AP, Stupp L, Oliveira E, Castro RA, Bella ZI, Girao MJ, Sartori MG. Efficacy of pelvic floor muscle training and hypopressive exercises for treating pelvic organ prolapse in women: randomized controlled trial. Sao Paulo Med J. 2012;130(1):5-9. doi: 10.1590/s1516-31802012000100002.

Reference Type BACKGROUND
PMID: 22344353 (View on PubMed)

Janakiraman B, Gebreyesus T, Yihunie M, Genet MG. Knowledge, attitude, and practice of antenatal exercises among pregnant women in Ethiopia: A cross-sectional study. PLoS One. 2021 Feb 19;16(2):e0247533. doi: 10.1371/journal.pone.0247533. eCollection 2021.

Reference Type BACKGROUND
PMID: 33606844 (View on PubMed)

Oliveira MC, Oliveira M, Silva H, Gomes A, Nascimento G, Marini G, Micussi MT. Evaluation of satisfaction of pelvic floor muscle training isolated and associated with tibial nerve stimulation in women with mixed urinary incontinence: A randomized, single-blinded clinical trial. Eur J Obstet Gynecol Reprod Biol. 2021 Oct;265:60-65. doi: 10.1016/j.ejogrb.2021.06.024. Epub 2021 Jun 24.

Reference Type BACKGROUND
PMID: 34461383 (View on PubMed)

Other Identifiers

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REC/RCR & AHS/22/0509

Identifier Type: -

Identifier Source: org_study_id