Comparison of Hypopressive Breathing and Noble Technique on DRA in Postpartum Women.

Riphah International University

Status: Completed

Conditions: Diastasis Recti Abdominis

Treatments: Other: noble technique; Other: hypopressive breathing

Study type: Interventional

Funder types: Other

Identifiers

NCT05916833

REC/01536 Saima Awan

Details and patient eligibility

About

The aim of study is to compare the effect of Hypopressive breathing and noble technique on width of Diastasis Recti Abdominis, lumbopelvic pain and maternal functioning in postpartum women.

Full description

Candido shows that Caesarean section increased the likelihood of experiencing an increase in the inter-rectus distance during the postpartum period. Diastasis recti abdominis (DRA) is a common condition in postpartum women that can cause abdominal muscle separation. However, there is a lack of direct comparison between these two techniques. This study aims to compare the effectiveness of the hypopressive breathing and the Noble Technique in improving DRA in postpartum women.

Enrollment: 50 patients

Sex: Female

Ages: 24 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Multiparous women
• History of Cesarean section and vaginal delivery
• > 12 weeks postpartum
• Measurement is 2cm or more then 2cm of DRA is included by using finger width palpation and Nylon digital caliper
• Lumbopelvic pain (NPRS 3 to 8)

Exclusion criteria

• Exclude women who need surgical correction for DRA
• Pelvic organ prolapse
• Para umbilical hernia
• Malignancy
• Bone tuberculosis
• Fibromyalgia

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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50 participants in 2 patient groups

hypopressive breathing technique

Experimental group

Description:

These exercises involved "sucking in the abdomen" and opening the ribs by engaging the accessory inspiratory muscles, such as the serratus anterior, external intercostalis, scalenes, and sternocleidomastoid, while maintaining the glottis closed, a process known as "diaphragmatic suction.

Treatment:

Other: hypopressive breathing

noble technique

Experimental group

Description:

The Noble technique is (partially sitting up while manually flexing the rectus Abdominis muscles.

Treatment:

Other: noble technique