About this trial
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
Eligibility criteria
This trial accepts healthy volunteersQualifiers
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)
Disqualifiers
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.
Trial design
Parallel
Treatments tested in this trial
Experimental: Pilates exercises
Other interventionIt will be delivered three times per week for four weeks, with each session lasting approximately 25 minutes
Progressive Prone Plank Exercises
Other interventionIt will be delivered three times per week for four weeks, with each session lasting approximately 25 minutes
Treatment groups
Trial outcomes
Primary outcomes
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
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
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
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