Clinical Research Directory

Manual Therapy for Diastasis Recti Abdominis

This randomized, single-blind trial compared the effects of a standardized manual therapy closure protocol, delivered alone or combined with therapeutic exercise, with therapeutic exercise alone on inter-rectus distance (IRD) in women with diastasis recti abdominis (DRA). Sixty-four participants were allocated to one of three groups: a single session of the manual protocol alone; the same protocol followed immediately by therapeutic exercise; or a group performing therapeutic exercise three times per week for three months without the manual protocol. IRD was measured by ultrasound at three abdominal levels, under passive and active conditions, at diagnostic assessment (baseline), immediately after the intervention (manual therapy groups only), and after three months. Secondary outcomes included trunk mobility, respiratory chest excursion, and waist circumference.

Risk Factors and Exercise Effects on Abdominal Separation in Seniors

This study aims to evaluate the prevalence of diastasis recti abdominis (DRA) in the geriatric population and assess the effectiveness of a targeted exercise program on inter-recti distance (IRD) and linea alba stability. Diastasis recti abdominis is a common condition characterized by the separation of the rectus abdominis muscles, which can affect trunk stability, posture, and pelvic floor function. While heavily researched in postpartum women, data regarding DRA in older adults remains limited. In the first observational phase, 500 participants aged 60 and older will undergo ultrasonographic (USG) measurement of the inter-recti distance (2 cm above and 2 cm below the umbilicus) and an assessment of linea alba stability during active movements (cervical flexion, leg raise, and trunk extension). Abdominal circumference will also be measured. Risk factors, functional status, physical activity, urinary incontinence, and low back pain will be evaluated using standardized questionnaires (IPAQ, ICIQ-UI SF, Revised Oswestry Low Back Pain Disability Index) and a custom survey. Participants diagnosed with DRA (IRD 2 cm and/or linea alba instability) will be invited to join the second, interventional phase. They will be randomly allocated to either an experimental exercise group or a control group. The exercise group will perform a structured 8-to-10-week exercise program, while the control group receives no intervention. Follow-up assessments (USG, stability testing, and questionnaires) will be conducted for both groups after the 8-10 week period to compare outcomes.

Comparative Effects of Telerehabilitation Versus In-Person Core Stability Training in Postpartum Women

Diastasis recti abdominis (DRA) is common among postpartum women and can negatively affect abdominal muscle function and body image. Core stability exercises are widely recommended for postpartum rehabilitation; however, access to supervised physiotherapy may be limited. Tele rehabilitation may improve accessibility while maintaining treatment effectiveness. This randomized controlled trial compares tele rehabilitation-based and in-person supervised core stability exercise programs in postpartum women with diastasis recti. The primary objective is to compare changes in inter-recti distance, while the secondary objective is to compare changes in body image after an 8-week intervention

Diaphragm and Breathing Muscle Characteristics in Women With and Without Diastasis Recti Abdominis After Childbirth

Diastasis Recti Abdominis (DRA) is a common condition experienced postpartum, in which the abdominal muscles separate along the midline of the abdomen due to stretching and thinning of the linea alba. It's a common condition, affecting 66-100% of women post-birth and may be associated with changes in abdominal support, posture, breathing, and trunk function. Although DRA primarily affects the muscles of the abdominal wall, it is speculated that other muscles controlling and stabilizing the trunk, such as the pelvic floor muscles or the diaphragm, might be affected as well. Currently, several studies have investigated the possible negative effects of DRA on pelvic floor function. However, little is known about how it may be related to diaphragm function and accessory breathing muscles. The purpose of this observational study is to compare diaphragm characteristics and function, and accessory breathing muscle strength in women who have given birth, with and without DRA. To make this possible, adult parous women from the broader Achaia region are assessed and allocated into two predefined groups based on the presence or absence of DRA. Participants undergo a single assessment session including rehabilitative ultrasound imaging (RUSI) of the diaphragm and standardized tests of inspiratory muscle strength. Additional demographic and clinical information related to pregnancy and physical activity is also recorded. The main hypothesis of this study is that women with DRA demonstrate altered diaphragm function, as well as reduced inspiratory muscle strength, compared to women without DRA. The study aims to improve understanding of the possible relationship between DRA and breathing function after childbirth and to support future research and rehabilitation approaches for women with the condition.

Effects of Transverse Abdominis Activation and Rectus Abdominis Strengthening on Inter-rectus Distance and Core Stability

This randomized controlled trial aims to compare the effects of Transverse Abdominis (TrA) activation, Rectus Abdominis (RA) strengthening, and their combined approach on inter-rectus distance (IRD) and core stability in postpartum women diagnosed with diastasis rectus abdominis (DRA). Thirty-three participants will be randomly allocated into three groups and will complete a six-week exercise program at the Pakistan Society for the Rehabilitation of the Disabled (PSRD) Hospital, Lahore. The study will use real-time ultrasound and pressure biofeedback assessment to evaluate changes in IRD and core stability. It is hypothesized that TrA activation and the combined intervention will produce greater improvements compared to RA strengthening alone.

Effect of Capacitive and Resistive Radiofrequency on Postpartum Diastasis Recti

To evaluate the effect of capacitive and resistive radiofrequency on postpartum rectus abdominis diastasis.

Effects of Visceral Manipulation Combined with Kinesio Taping on Diastasis Recti, Pain Intensity, Stress Incontinence, Pelvic Floor Strength, and Overall Wellness in Postpartum Women

This clinical trial aims to evaluate the effectiveness of different therapies for treating Diastasis Recti Abdominis (DRA) in postpartum women. DRA, commonly experienced after childbirth, involves the separation of abdominal muscles, which can lead to discomfort and decreased core stability. The main questions this study seeks to answer are: How effective are Visceral Manipulation (VM), Kinesio Taping (KT), and core strengthening exercises in reducing the gap between abdominal muscles (Inter-Recti Distance or IRD)? Do these treatments improve pain levels, pelvic floor muscle strength, and urinary incontinence? This study will compare the effects of VM, KT, a combination of both, and core strengthening exercises to determine which therapy-or combination of therapies-most effectively treats DRA. Participants will: Be randomly assigned to one of four treatment groups: VM, KT, VM combined with KT, or core strengthening exercises. Undergo their designated treatments for a period of 6 weeks. Visit the clinic for assessments at the start, mid-point, and end of the treatment period. Complete surveys and undergo physical tests to measure changes in IRD, pain levels, pelvic floor strength, and urinary function. This research will provide valuable insights into the most effective treatments for DRA, aiming to enhance the well-being and recovery of postpartum women.