Core Strengthening for DRA in Postpartum Women



Status:Active, not recruiting
Conditions:Back Pain, Back Pain
Therapuetic Areas:Musculoskeletal
Healthy:No
Age Range:18 - 40
Updated:3/3/2019
Start Date:October 1, 2018
End Date:August 2019

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Effect of a Core Strengthening Program on Diastasis Rectus Abdominus in Postpartum Women

This study will prospectively measure the effectiveness of a core strengthening program on
reducing the inter-rectus distance (IRD) and abdominal wall muscle contraction in postpartum
women with diastasis rectus abdominus (DRA). Additionally, this study will aim to investigate
and clarify the association between IRD and low back pain.

DRA is a separation of the abdominal wall muscles that commonly occurs during pregnancy and
is caused by the stretching of the linea alba to accommodate a growing fetus. Separation of
core muscles is thought to be factor in postpartum low back pain, stress urinary
incontinence, and core strength, as well as being cosmetically undesirable. This study will
evaluate the effect of a core strengthening program on shortening the IRD and improving the
connectivity and strength of abdominal wall muscles in postpartum women with a DRA. It will
also investigate the relationship between IRD and low back pain.

Inclusion Criteria:

- Healthy women who have given birth within the last 36 months but are at least 12 weeks
postpartum

- Not currently pregnant

- Current DRA diagnosed using ultrasound with an IRD of at least 2.0 cm

Exclusion Criteria:

- History of ventral/umbilical hernia prior to pregnancy

- >36 months postpartum

- Currently pregnant

- Beighton's score >5/9

- Unable to participate in a regular core strengthening program

- Unable to attend the three data collection sessions
We found this trial at
1
site
535 E 70th St
New York, New York 10021
(212) 606-1000
Principal Investigator: Ellen Casey, MD
Phone: 646-714-6870
Hospital for Special Surgery Founded in 1863, Hospital for Special Surgery is the nation
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mi
from
New York, NY
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