Effects of Tupler's Technique on Postpartum Diastasis Rec... | NCT05111483

NCT05111483

Protocol Section

Identification Module

Results Section

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Annotation Section

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Document Section

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Derived Section

Miscellaneous Info Module

Status Module

Oversight Module

Description Module

Brief Summary

Diastasis rectus is the separation of the muscles along the midline of the abdomen, typically as seen in women after pregnancy. Separation is mostly larger than 2cm width at above, below or level of umbilicus. With this muscular pathology women do not feel any pain symptom just perceiving symptoms of physical discomfort, abdomen muscle weakness and its bulging. Excess weight of mother or baby and multiple birth pregnancy is the common risk factor for the DRA. Various tools will be used for the diagnosis of DRA such as vernier caliper by using centimeter ruler, diagnostic ultrasonography that give the exact measurement, pressure biofeedback unit which is used to assess the strength of weak muscles, and patient specific functional scale that used to determine the functional limitation and its improvement.

To treat the DRA conservatively, Tupler's technique and conventional physical therapy will be directed. Electrical muscular stimulations will also be given as a baseline before applying both treatments. In Tupler's technique, diastasis rehab splint and Tupler's exercises will be used whereas in conservative physical therapy, scarf tie around abdomen while performing exercises, Respiratory rehabilitation manoeuvre and abdominal muscle exercises will be used. The aim of the study is to find the the effects of Tupler's technique and conventional physical therapy treatment for abdominal muscle strength regaining and in reducing the diastasis recti among females with diastasis recti after their postpartum period. It is a Randomized clinical trial and convenient random sampling is to be used with an inclusion criterion of patients having age between 20-40 years, Both primiparous and multiparous women and Diastasis recti more than 2.5cm within 6 weeks or more postpartum. Patients will be randomly allocated into two groups, Group A will receive Tupler's technique and Group B will receive conventional physical therapy intervention. Total duration of study will be six months. Assessment will be done before and after the treatment. Pressure biofeedback unit, vernier caliper, ultrasound and patient specific functional scale are to be used to measure the outcomes. Data will be assessed by using parametric/non parametric test after completion of study.

Design Module

Interventional Study Design

Biospecimen

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No data is available for this block.

Arms/Interventions Module

Arm Groups

Label	Type	Description	Intervention Names
Tupler's technique	Experimental	The subjects with DRA will receive Tupler's technique treatment plan for 18 weeks in which four steps will be followed. Repositioning with diastasis rehab splint : Protect the connective tissue Tupler's technique exercises (elevators, contractions, standing pelvic tilt, head lifts, leg slides, low back stretch) with 10 repetitions for each exercise. Diastasis safe exercises program to maintain the gains	Other: Tupler technique
conventional therapy	Experimental	The subjects with DRA will receive conventional physical therapy treatment for 16 weeks in which researcher will follow these steps: Tie a scarf around abdomen while performing exercises Exercise program for diastasis recti abdominal muscles; sit ups, reverse sit ups, reverse trunk twist and U-seat exercises. (10 repetitions for each exercise) Respiratory rehabilitation manoeuvre	Other: conventional therapy

Interventions

Name	Type	Description	Arm Group Labels	Other Names
Tupler technique	Other	The subjects with DRA will receive Tupler's technique treatment plan for 18 weeks in which four steps will be followed. Repositioning with diastasis rehab splint : Protect the connective tissue Tupler's technique exercises (elevators, contractions, standing pelvic tilt, head lifts, leg slides, low back stretch) with 10 repetitions for each exercise. Diastasis safe exercises program to maintain the gains

Outcomes Module

Primary Outcomes

Measure	Description	Time Frame
strength of muscle	Pressure biofeedback is a tool designed to facilitate muscle re-education by detecting movement of the lumbar spine associated with a deep abdominal contraction in relation to an air-filled reservoir. gauge is attached increase in pressure tell more strength.	6 months
Inter-recti distance	through vernier caliper distance will be measured the distance between 2 arms can be checked.	6 months
Patient Specific Functional Scale	Patient Specific Functional Scale was developed by Stratford et al 1995 as a self-report outcome measure of function that could be used in patients with varying levels of independence. Scale is from 0 - 10. In Which "0" represents "unable to perform" and "10" represents "able to perform at prior level"	6 months

Eligibility Module

Contacts/Locations Module

Name	Affiliation	Role
Rabiya Noor, PhD	Riphah International University	Principal Investigator

Facility	Status	City	State	ZIP	Country	Contacts
Lahore General Hospital		Lahore	Punjab Province	54000	Pakistan

References Module

Citations

PubMed Identifier	Type	Citation	Retractions
29512814	Background	Michalska A, Rokita W, Wolder D, Pogorzelska J, Kaczmarczyk K. Diastasis recti abdominis - a review of treatment methods. Ginekol Pol. 2018;89(2):97-101. doi: 10.5603/GP.a2018.0016.
30839304	Background	Thabet AA, Alshehri MA. Efficacy of deep core stability exercise program in postpartum women with diastasis recti abdominis: a randomised controlled trial. J Musculoskelet Neuronal Interact. 2019 Mar 1;19(1):62-68.

IPD Sharing Statement Module