Motor Imagery in High-Risk Pregnants

NCT ID: NCT05946252

Last Updated: 2024-01-31

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 76 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-08-01
• Study Completion Date: 2024-01-05

Brief Summary

The aim of this study is to determine the acute effects of motor imagery exercises on fetal heart rate, uterine contractions, maternal heart rate, blood pressure, oxygen saturation and well-being in high-risk pregnant women.

Detailed Description

Bed rest is often recommended in high-risk pregnant women to prevent complications from reaching dangerous levels.

Pregnant women recommended bed rest can benefit from exercise in order to overcome this process more easily, to reduce the negative consequences of inactivity and to prevent possible risks.

However, there may be differences between the view of high-risk pregnant women and the view of healthy pregnant women. Motor imagery refers to a mental process in which an individual mentally imagines that movement without actually eliciting an active movement. Studies have shown that similar brain regions are activated during movement performance and movement imagery. It has been reported in the literature that progressive relaxation exercises performed under mental/motor imagery guidance in healthy pregnant women and pregnant women lead to an improvement in maternal anxiety, stress and fetal attachment scales and a decrease in maternal systolic/diastolic blood pressure. However, as far as the investigators know, there is no study that applies the exercise protocol that can be given to healthy pregnant women to high-risk pregnant women with motor imagery and examines acute responses on fetal and maternal parameters.

Conditions

Pregnancy, High Risk

Study Design

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

Study Groups

Motor Imagery Group

Risky pregnant women who have completed the 12th week of pregnancy, received inpatient treatment and have any of the following risk factors will be included in the study:

• Pregnant women who are at risk for obstetric outcomes such as cervical insufficiency, multiple pregnancy and uncontrolled gestational diabetes, and physical activity restriction is recommended due to these conditions, and exercise is contraindicated,
• Pregnant women with a maternal body mass index above 30, which causes them to be physically inactive

Group Type: EXPERIMENTAL

Motor imagery

Intervention Type: OTHER

Motor imagery will be performed according to the PETTLEP (Physical,Environment,Task,Time,Learn,Emotion,Perspective) model for 15 minutes.

1. To imagine walking activity in different environments (seaside, beach, walking path).

2. The rest activity will be imagined by sitting on a bench.

3. Upper extremity strengthening exercises with dumbbells, lower extremity strengthening exercises with elastic band and trunk-oriented bridging, posterior pelvic tilt and table top stabilization exercises will be visualized.

4. The rest activity will be imagined by sitting on a bench.

5. Imagination will end with homecoming and domestic activities.

Diaphragmatic breathing

Intervention Type: OTHER

Diaphragmatic breathing will be shown to pregnant women in the supine position, eyes closed, with one hand on the chest and the other hand on the abdomen. This practice will last for five minutes.

Control Group

Risky pregnant women who have completed the 12th week of pregnancy, received inpatient treatment and have any of the following risk factors will be included in the study:

• Pregnant women who are at risk for obstetric outcomes such as cervical insufficiency, multiple pregnancy and uncontrolled gestational diabetes, and physical activity restriction is recommended due to these conditions, and exercise is contraindicated,
• Pregnant women with a maternal body mass index above 30, which causes them to be physically inactive

Group Type: ACTIVE_COMPARATOR

Diaphragmatic breathing

Intervention Type: OTHER

Diaphragmatic breathing will be shown to pregnant women in the supine position, eyes closed, with one hand on the chest and the other hand on the abdomen. This practice will last for five minutes.

Interventions

Motor imagery

Motor imagery will be performed according to the PETTLEP (Physical,Environment,Task,Time,Learn,Emotion,Perspective) model for 15 minutes.

1. To imagine walking activity in different environments (seaside, beach, walking path).

2. The rest activity will be imagined by sitting on a bench.

3. Upper extremity strengthening exercises with dumbbells, lower extremity strengthening exercises with elastic band and trunk-oriented bridging, posterior pelvic tilt and table top stabilization exercises will be visualized.

4. The rest activity will be imagined by sitting on a bench.

5. Imagination will end with homecoming and domestic activities.

Intervention Type: OTHER

Diaphragmatic breathing

Diaphragmatic breathing will be shown to pregnant women in the supine position, eyes closed, with one hand on the chest and the other hand on the abdomen. This practice will last for five minutes.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

Risky pregnant women who have completed the 12th week of pregnancy, received inpatient treatment and have any of the following risk factors will be included in the study:

• Pregnant women who are at risk for obstetric outcomes such as cervical insufficiency, multiple pregnancy and uncontrolled gestational diabetes, and physical activity restriction is recommended due to these conditions, and exercise is contraindicated,
• Pregnant women with a maternal body mass index above 30, which causes them to be physically inactive

Exclusion Criteria

• Pregnant women who are at risk for obstetric outcomes such as gestational diabetes mellitus and pregnancy-induced hypertension, but physical activity is recommended
• Pregnant women with severe cardiovascular, pulmonary and systemic disorders
• Pregnant women with psychological seizure disorders
• Pregnant women who do not have any mental problems that prevent cooperation and understanding
• Pregnant women with any medical condition that prevents the safe and effective implementation of interventions.
• Pregnant women in other high-risk groups (such as early membrane rupture, placenta previa, preeclampsia) that may have early intervention in terms of obstetric outcomes.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 45 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Izmir University of Economics

OTHER

Sponsor Role: lead

Responsible Party

Seda Yakit Yesilyurt

Lecturer Dr

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Seda Yakıt Yeşilyurt, PT, PhD

Role: PRINCIPAL_INVESTIGATOR

Izmir University of Economics

Locations

Health Sciences University İzmir Tepecik Education and Research Hospital Gynecology and Obstetrics Clinic

Izmir, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

İEU_SYY_1

Identifier Type: -

Identifier Source: org_study_id