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This study aims to determine the comparative effects of Pilates and Progressive Prone Plank exercises on pain, strength and inter rectus distance in Diastasis Recti
This will be a randomized clinical trial collected from University of Lahore Teaching hospital and Sehat Medical Complex Lahore by using non-probability convenience sampling technique. Multiparous women with a BMI less than 30 kg/m² and have been clinically diagnosed with Diastasis Recti will be included in this study. Participants must be able to perform physical activity without contraindications and must provide informed consent. Women currently pregnant, with significant pelvic floor dysfunction, unmanaged chronic illnesses (e.g., heart disease or hypertension), recent abdominal surgeries within the last six months will be excluded. The sample size is calculated to be 34, with 17 participants in each group. Group A will receive Pilates training, while Group B will undergo progressive prone plank exercises. Each session will last for 45 minute, thrice weekly for four weeks. Pre- and post-treatment evaluations will include pain (Numeric Pain Rating Scale), strength (Manual Muscle Testing), and inter-rectus distance (measured by finger-width method with a Vernier caliper). Data will be analyzed by using SPSS version 27.0.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pilates exercises | Experimental | All exercises in the Pilates training group will be performed on a mat in a controlled environment under the supervision of a qualified instructor. The focus will be on core activation, controlled breathing, and maintaining neutral spine alignment throughout all movements |
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| Progressive Prone Plank Exercises | Experimental | Participants will follow a structured progressive prone plank protocol designed to strengthen the core muscles, particularly targeting the transverse abdominus and rectus abdominus, which are crucial in managing Diastasis Recti. All exercises will be performed under supervision, with emphasis on correct posture, controlled breathing, and spinal alignment |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Experimental: Pilates exercises | Other | It will be delivered three times per week for four weeks, with each session lasting approximately 25 minutes |
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| Measure | Description | Time Frame |
|---|---|---|
| Numeric Pain Rating Scale (NPRS) | The Numerical Pain Rating Scale (NPRS) is a widely used subjective pain measurement tool. It was created as a simple way to assess pain severity. It has a rating range of 0 to 10, with 0 representing no pain, 5 indicating severe discomfort, and 10 denoting the greatest conceivable agony | 4th week |
| Manual muscle testing | Manual muscle testing (MMT) is a fundamental assessment method used by healthcare professionals to evaluate muscle strength, including the gluteus medius and gluteus maximus. (34) It has a scoring range from 0 to 5 where 5 shows maximum strength. It has a reliability range from 0.88 to 0.94. It also has a good validity with 0.62 to 1.00 range | 4th week |
| Finger width method | In this patient were asked to lie in a supine position in crook lying. Patient is instructed to do abdominal crunch till their shoulder is off the couch. By palpation around the protrusion along the linea alba diastasis recti is assessed with 4.5 cm above and below of umbilical. In case of less than 2 fingers breadth there is no diastasis recti. In case of 2 to 3 fingers breadth the diastasis recti is considered mild. In case of 3 to 4 fingers breadth it is considered as moderate and in case of 4 or more than 4 fingers breadth the diastasis recti is considered severe. The measurement will be done with the help of a Vernier caliper. Measurements were taken 4.5 cm above and below the umbilicus during an abdominal crunch, with the caliper placed between the palpated borders of the rectus abdominis. Three readings were taken at each point, and the average was used for analysis | 4th week |
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Inclusion Criteria:
Exclusion Criteria:
Diastasis Recti
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| imran amjad | Contact | 03324390125 | imran.amjad@riphah.edu.pk |
| Name | Affiliation | Role |
|---|---|---|
| sobia ghafoor, MSPT-OM | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sehat Medical Complex | Recruiting | Lahore | Punjab Province | 6400 | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34363190 | Background | Cavalli M, Aiolfi A, Bruni PG, Manfredini L, Lombardo F, Bonfanti MT, Bona D, Campanelli G. Prevalence and risk factors for diastasis recti abdominis: a review and proposal of a new anatomical variation. Hernia. 2021 Aug;25(4):883-890. doi: 10.1007/s10029-021-02468-8. Epub 2021 Aug 6. | |
| 36324105 | Background |
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Progressive Prone Plank Exercises | Other | It will be delivered three times per week for four weeks, with each session lasting approximately 25 minutes |
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| Gluppe S, Ellstrom Engh M, Bo K. Primiparous women's knowledge of diastasis recti abdominis, concerns about abdominal appearance, treatments, and perceived abdominal muscle strength 6-8 months postpartum. A cross sectional comparison study. BMC Womens Health. 2022 Nov 2;22(1):428. doi: 10.1186/s12905-022-02009-0. |
| 39465305 | Background | Lin S, Lu J, Wang L, Zhang Y, Zhu C, Qian S, Xu H, Gu Y. Prevalence and risk factors of diastasis recti abdominis in the long-term postpartum: a cross-sectional study. Sci Rep. 2024 Oct 27;14(1):25640. doi: 10.1038/s41598-024-76974-x. |
| 33227494 | Background | Fuentes Aparicio L, Rejano-Campo M, Donnelly GM, Vicente-Campos V. Self-reported symptoms in women with diastasis rectus abdominis: A systematic review. J Gynecol Obstet Hum Reprod. 2021 Sep;50(7):101995. doi: 10.1016/j.jogoh.2020.101995. Epub 2020 Nov 20. No abstract available. |
| 34313855 | Background | Tung RC, Towfigh S. Diagnostic techniques for diastasis recti. Hernia. 2021 Aug;25(4):915-919. doi: 10.1007/s10029-021-02469-7. Epub 2021 Jul 27. |