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

Condition(s) studied

Investigational drug(s) / intervention(s)

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.

Study summary

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

Primary outcome measure(s)

• Interrectus distance — From enrollment to the end of treatment at 6 weeks.
  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.
• Stiffness of the linea Alba — From enrollment to the end of treatment at 6 weeks.
  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.

Trial sites (1)

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