Effect of Exercise on the Width and Stiffness of the Linea Alba in Postpartum Women With Diastasis

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18+
SponsorUniversity of Vigo

About this trial

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.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

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.

Disqualifiers

History of previous abdominal surgery ( except cesarean section)

Presence of abdominal or umbilical hernias

Current pregnancy

Neuromuscular or systemic conditions affectinf the abdominal wall

Trial design

Design model

Parallel

Treatments tested in this trial

  • Exercise program

    Other intervention

    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.

Treatment groups

30 Participants
are divided into 2 treatment groups
Group A: Exercise groupExperimental treatment 1 intervention
Group B: Control groupNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Interrectus distance

This group does not follow the exercise program and continues with their usual care through the public healthcare system, which does not include any intervention for diastasis.

Time frame
From enrollment to the end of treatment at 6 weeks.
2

Stiffness of the linea Alba

CopilotThe stiffness of the linea alba will be measured at three points (5 cm above the navel, at the level of the navel, and 2 cm below the navel) using shear wave elastography.

Time frame
From enrollment to the end of treatment at 6 weeks.

Secondary outcomes

Other outcomes

Sponsors and contacts

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