Effects of Tupler's Technique on the Management of Diastasis Rectus Abdominis.

Riphah International University

Status: Completed

Conditions: Diastasis Rectus Abdominis

Treatments: Other: Traditional Exercises; Other: Tupler's Technique

Study type: Interventional

Funder types: Other

Identifiers

NCT06530589

Aqsa Shahid

Details and patient eligibility

About

Diastasis Rectus Abdominis is the condition in which two abdominal muscles rectus abdominis separated and cause widening and thinning of Linea alba. The Tupler's Technique is Evidence Based intervention for the management of Diastasis Rectus Abdominis. The purpose of this study is to see the Effectiveness of Tupler's Technique on the Management of Diastasis Rectus Abdomins in Post-Partum Females.

Full description

Literature suggest that during pregnancy due to hormonal changes such as increased in Relaxin, estrogen and progesterone level and also increased in the size of uterus affect the aponeurosis connection of abdominal muscles and due to these changes Diastasis Rectus Abdominis is common during pregnancy especially in third trimester and in the post-partum period. we can measure diastasis rectus abdominis by different methods such as palpatory, caliper and ultrasound. The condition can be mild (two fingers gap), moderate (two to three fingers gap) and severe (more than three fingers gap). The separation of greater than 2cm is considered as Diastasis Rectus Abdominis.

In this study effectiveness of Tupler's Technique will be assessed in post-partum diastasis rectus abdominis patients. Patients will have to wear diastasis rehab splints and then perform tupler's technique exercises. The mechanism behind this is when patients wear splint the splint will keep the connective tissues in narrow position for better healing and strengthening of muscles will be done by Tuper's Technique exercises and Diastasis of Rectus Abdominis willl be treated.

Enrollment: 36 patients

Sex: Female

Ages: 18 to 30 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Primiparous and multiparous females (Vaginal delivery).
• Greater than and equal to 12 weeks post-partum
• Age limit will be18-30 years
• BMI under or equa to 29kg/m2
• Visiting with the complain of low back pain
• Diastasis of rectus abdominis at the level of umbilicus with mild, moderate and severe condition.

Exclusion criteria

• Other musculoskeletal disease (disc prolapse and disc bulge)
• Trauma of bowel and bladder
• Heart and respiratory conditions including sneezing and excessive coughing
• Any pelvic floor, abdominal and spinal surgery

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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36 participants in 2 patient groups

Interventional Group

Experimental group

Description:

Tupler's Technique will be applied to this group. This technique includes Tupler's technique exercises and patients will also wears diastasis rehab splints. Patients will perform seated isometric exercises (elevator and contracting exercises) after wearing diastasis rehab splint. Repetitions of exercises will be 100 and whole intervention will be provided for 6 weeks.

Treatment:

Other: Tupler's Technique

Control Group

Active Comparator group

Description:

Traditional treatment protocol will be applied to this group that includes traditional exercises for diastasis rectus abdominis and this protocol will be followed 3 times per week for 6 weeks.

Treatment:

Other: Traditional Exercises