Effects of Pilates and Progressive Prone Plank Exercises in Diastasis Recti
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Experimental: Pilates exercises, Progressive Prone Plank Exercises.
- Who it may be relevant to
- Registry conditions: Diastasis Recti. Basic parameters: 18 years — 45 years · Female.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Pakistan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Comparative Effects of Pilates and Progressive Prone Plank Exercises on Pain, Strength and Inter-Rectus Distance in Diastasis Recti
Overview
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
Detailed description
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.
Interventions
- Other Experimental: Pilates exercises
It will be delivered three times per week for four weeks, with each session lasting approximately 25 minutes - Other Progressive Prone Plank Exercises
It will be delivered three times per week for four weeks, with each session lasting approximately 25 minutes
Primary outcome measures
- Numeric Pain Rating Scale (NPRS) [Time frame: 4th week]
- Manual muscle testing [Time frame: 4th week]
- Finger width method [Time frame: 4th week]
Eligibility criteria
Inclusion criteria
- Multiparous women
- Postpartum women (within 6 to 12 months postpartum)
- BMI <30
- IRD ≥2 cm diagnosed with Diastasis Recti (verified by ultrasound or clinical assessment)
- Participants who have undergone either vaginal delivery or cesarean section (C-section).
Exclusion criteria
- Significant pelvic floor dysfunction or pelvic organ prolapse or other related conditions
- Patient with unmanaged chronic conditions, like heart disease or hypertension
- Recent abdominal or related surgeries within the past six months
- Women who are currently pregnant or experiencing postpartum complications.
- Patient with presence of hernia.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Pakistan · 1 center
- Sehat Medical Complex — Lahore
Publications
- 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. PMID 34363190
- 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. PMID 36324105
- 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. PMID 39465305
- 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. PMID 33227494
- 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. PMID 34313855
Identifiers
NCT: NCT07576218 · REC/RCR & AHS/25/0503