Combined Effects of Visceral Manipulation and Noble Technique on Post-partum Females With Diastasis Recti

Riphah International University

Status: Not yet enrolling

Conditions: Diastasis Recti

Treatments: Other: noble technique; Other: visceral manipulation and noble technique

Study type: Interventional

Funder types: Other

Identifiers

NCT06459752

REC/RCR & AHS/23/0564

Details and patient eligibility

About

Diastasis recti is characterized by an abnormal expansion of the gap between the medial sides of the rectus abdominis muscle and a lengthening of the linea alba (increased inter-recti distance). It is mainly caused by excessive intra-abdominal pressure. The abdominal muscles and connective structures expand from the growing uterus during pregnancy. Low back pain is a prevalent complaint that can result from various factors, including weakened core muscles and functional disability. The aim of the study would assess of combined effect of visceral manipulation and noble technique on Inter-rectal distance, low back pain and functional disability in post-partum females with diastasis recti.

Full description

A randomized controlled trial will be conducted in DHQ Hospital Toba Tek Singh. A nonprobability convenience sampling technique will be used. There will be 34 participants. Participants will meet with inclusion criteria and be divided into two groups A and B. In Group A 17 participants will receive visceral manipulation technique with noble technique for 30 minutes per session, three sessions per week for 6 weeks. While in Group B 17 participants will just receive noble technique exercises for 15 min per session, three sessions per week for 6 weeks. Participants will be assessed before and after treatment through; Digital nylon calipers for diastasis recti, NPRS for pain, and Quebec Back Pain Disability Scale (QBPDS) to assess LBP-related functional. Data will be analyzed during SPSS software version 21

Enrollment: 30 estimated patients

Sex: Female

Ages: 22 to 35 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age between 22 to 35.
• Primiparous women with vaginal delivery and an IRD of >2 cm.
• Three to six months postpartum with the presence of diastasis rectus abdominis.
• Patients having moderate low back pain in NPRS.

Exclusion criteria

• Acute Malignancy
• Recent Abdominal or Pelvic surgery
• Having undergone spinal surgery in the previous six months
• Serious spinal pathology
• Serious cardiovascular or metabolic disease Pregnancy
• Herniation pain

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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30 participants in 2 patient groups

Group A

Experimental group

Description:

This group received three sessions a week for six weeks, with 30 minutes per session given to visceral manipulation and noble technique (15 minutes each technique).

Treatment:

Other: visceral manipulation and noble technique

Group B

Active Comparator group

Description:

This group receives three sessions a week for six weeks, with 15 minutes per session in which noble technique is applied.

Treatment:

Other: noble technique