Effect of Exercise on the Width and Stiffness of the Linea Alba in Postpartum Women With Diastasis
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Exercise program.
- Кому может быть актуально
- Состояния в реестре: Diastasis Recti And Weakness Of The Linea Alba. Базовые параметры: от 18 лет · Женщины.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Испания
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Обзор
his study aims to evaluate the effect of an exercise program in postpartum women with diastasis recti, defined as an inter-rectus distance greater than 2 cm at any of three ultrasound measurement points . Participants will be divided into two groups: an intervention group that will follow a 6-week exercise program and a control group that will receive usual care. Ultrasound assessment of the linea alba will be performed before the intervention and after 6 weeks. The main outcomes will be inter-rectus distance and the stiffness of the linea alba measured using shear wave elastography, along with obstetric and personal clinical variables. Participants will be recruited from primary care centers in the Community of Madrid through midwives during postpartum consultations.
Подробное описание
In this study, the effect of an exercise program on postpartum women with diastasis will be evaluated. Diastasis will be defined as an inter-rectus distance greater than 2 cm at any of the points assessed by ultrasound (5 cm above the navel, at the level of the navel, and 2 cm below the navel).
Participants will be divided into two groups: one group will receive an exercise program for 6 weeks, while the other group will serve as the control group, receiving usual care. An ultrasound assessment of the linea alba will be performed before the start of the study and after 6 weeks.
The main variables evaluated will be inter-rectus distance and the stiffness of the linea alba measured by shear wave elastography, in addition to obstetric and personal variables obtained from the medical history. Participants will be recruited from primary care centers in the Community of Madrid through midwives during postpartum consultations.
Вмешательства
- Другое Exercise program
Structured therapeutic exercise program aimed at restoring functional integritu of the abdominal-lumbo-pelvic complex over a six week period. The exercise program was based on activation of the transversus abdominis muscle, synergistic co-activation with the pelvic floor muscles, breathing re-education, and the integration of hypopressive abdominal exercises.
Первичные конечные точки
- Interrectus distance [Срок оценки: From enrollment to the end of treatment at 6 weeks.]
- Stiffness of the linea Alba [Срок оценки: From enrollment to the end of treatment at 6 weeks.]
Критерии участия
Критерии включения
- Adult woman (> 18 years old)
- Women who agreed to participate and provided written informed consent
- Women between 6 and 12 weeks postpartum at the time of recruitment.
Критерии исключения
- History of previous abdominal surgery ( except cesarean section)
- Presence of abdominal or umbilical hernias
- Current pregnancy
- Neuromuscular or systemic conditions affectinf the abdominal wall
- Active infections
- Any condition that could intervere with the correct execution of the measurement protocol.
- Incomplete records or measurements that do not meet elastography quality criteria will be excluded.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Нерандомизированное
- Модель
- Параллельные группы
- Маскирование
- Открытое
- Основная цель
- Лечение
Центры проведения
Испания · 1 центр
- Maternatal center — Madrid
Публикации
- Wang L, Yun T, Zhang D, Zhong J, Yi D, Fu W, Li M, Zhang Y, Wang Y. A prospective study of two-dimensional ultrasonography combined with shear wave elastography for pregnancy-related diastasis recti abdominis. Front Physiol. 2024 May 27;15:1382982. doi: 10.3389/fphys.2024.1382982. eCollection 2024. PMID 38860113
- Garcia Gonzalez P, Escoda Menendez S, Meana Moris AR. Elastography in musculoskeletal imaging: A tool or a toy? Radiologia (Engl Ed). 2022 Nov-Dec;64(6):566-572. doi: 10.1016/j.rxeng.2021.08.003. PMID 36402542
- de Oliveira LC, de Almeida LIM, Lucio MCF, Campos Junior JF, de Oliveira RG. Effects of conservative approaches for treating diastasis recti abdominis in postpartum women: A systematic review and meta-analysis. Medicine (Baltimore). 2025 Jun 6;104(23):e42723. doi: 10.1097/MD.0000000000042723. PMID 40489856
- Canamero-de Leon S, Soto-Gonzalez M, Da Cuna-Carrera I, Pascoal AG. Using Shear Wave Elastography for Morphofunctional Analysis of Abdominal Muscles: A Scoping Review. Ultrasound Med Biol. 2025 Oct;51(10):1629-1638. doi: 10.1016/j.ultrasmedbio.2025.04.016. Epub 2025 Jul 12. PMID 40653396
- Huang M, Huang Z, Huang H. Precision medicine exploration of postpartum rectus abdominis muscle separation: from basic research to clinical practice. BMC Surg. 2025 Nov 14;25(1):550. doi: 10.1186/s12893-025-03285-x. PMID 41239353
- Beamish N, Green N, Nieuwold E, McLean L. Differences in Linea Alba Stiffness and Linea Alba Distortion Between Women With and Without Diastasis Recti Abdominis: The Impact of Measurement Site and Task. J Orthop Sports Phys Ther. 2019 Sep;49(9):656-665. doi: 10.2519/jospt.2019.8543. Epub 2019 Mar 26. PMID 30913968
Идентификаторы
NCT: NCT07639125 · Postpartum_exercise