Comparative Effects of Telerehabilitation Versus In-Person Core Stability Training in Postpartum Women

Официальное название

Comparative Effects Of Telerehabilitation And In-Person Core Stability Training On Inter Recti Distance And Body Image In Postpartum Women.

Обзор

Diastasis recti abdominis (DRA) is common among postpartum women and can negatively affect abdominal muscle function and body image. Core stability exercises are widely recommended for postpartum rehabilitation; however, access to supervised physiotherapy may be limited. Tele rehabilitation may improve accessibility while maintaining treatment effectiveness. This randomized controlled trial compares tele rehabilitation-based and in-person supervised core stability exercise programs in postpartum women with diastasis recti. The primary objective is to compare changes in inter-recti distance, while the secondary objective is to compare changes in body image after an 8-week intervention

Подробное описание

This randomized controlled trial aims to compare the effectiveness of tele rehabilitation-based versus in-person supervised core stability exercises in postpartum women diagnosed with diastasis recti abdominis. Fifty-four participants will be randomly allocated to either a tele rehabilitation group or an in-person supervised exercise group. Both groups will receive the same standardized 8-week core stability exercise program consisting of three supervised sessions per week. Outcomes will be assessed at baseline and after completion of the intervention. Primary outcome will be inter-recti distance measured using a digital nylon caliper. Secondary outcome will be body image measured using the Body Image State Scale (BISS). The findings will help determine whether tele rehabilitation provides comparable clinical outcomes to conventional supervised physiotherapy for postpartum rehabilitation.

Вмешательства

• Другое Telerehabilitation
  Participants were assessed at baseline by a physiotherapist and attended supervised in-clinic follow-up sessions every two weeks to monitor progress and ensure correct exercise performance. Individualized exercise demonstrations were recorded on participants' mobile devices to facilitate home-based practice. The intervention consisted of an 8-week progressive postpartum exercise program beginning at 6 weeks postpartum, including pelvic floor muscle (Kegel) exercises, abdominal bracing, trtransve
• Другое In-Person
  Participants were assessed at baseline by a physiotherapist and participated in supervised in-person group exercise sessions for 8 weeks, beginning at 6 weeks postpartum. The intervention followed the same progressive exercise protocol as the telerehabilitation group and included pelvic floor muscle (Kegel) exercises, abdominal bracing, transversus abdominis (TrA) activation, and pelvic tilts, with weekly progression in sets, repetitions, hold duration, and fast contractions. The physiotherapist

Первичные конечные точки

• Digital Nylon Caliper [Срок оценки: Baseline (pre-Intervention) Post-Intervention (after 8 weeks)]
• Body Image Scale (BISS) [Срок оценки: Baseline Post-Intervention (after 8 weeks)]

Критерии участия

Inclusion Criteria: Participants falling in this category would be recruited into the study.

• 6 weeks to 6 months postpartum
• Multiparous or primiparous
• Diagnosis of diastasis recti (IRD ≥ 2cm)/
• Able to use or operate digital/electronic devices
• With internet access and the ability to participate in remote group sessions.

Exclusion Criteria: Participants fall in this category would be excluded of the study.

• Significant musculoskeletal or systemic comorbidities i.e. diabetes mellitus, cardiovascular disease, Severe psychiatric disorders, Active malignancy.
• Prior major abdominal or pelvic surgery (except cesarean)
• Any Contraindications to exercise.
• Recent/Current pregnancy.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Другое

Центры проведения

Пакистан · 1 центр

• Lifezone medical and diagnostic center lahore — Lahore

Идентификаторы

NCT: NCT07751952 · Rida Ijaz

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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