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IRCT20241104063588N1 IRCT 2024-12-06 Lincoln University College Effects of Visceral Manipulation and Kinesio Taping on Abdominal Separation, Pain, Bladder Control, Pelvic Strength, and Overall Wellness in Postpartum Women VITAL-MOMS Effects of Visceral Manipulation combined with Kinesio Taping on Diastasis Recti, Pain Intensity, Stress Incontinence, Pelvic Floor Strength, and Overall Wellness in Postpartum Women 2024-04-01 anticipated 72 Complete https://irct.ir/trial/79954 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: all participants in the groups to which they were originally assigned, regardless of whether they completed the intervention or followed the protocol, Blinding description: double -blind experiment where participants & treatment provider will be unaware of the specific treatment group to which they have been assigned. The trial will include four distinct groups to compare the effects of different treatment modalities on Diastasis Recti Abdominis (DRA) and overall well-being in postpartum women. The groups are organized as follows:. 1 Diastasis Recti. Intervention 1: Intervention Group 1: Kinesio Taping (KT) Alone. Designation: Experimental. Description: This group will receive Kinesio Taping (KT) as the sole intervention. Kinesio Tape will be applied directly to the abdominal area affected by Diastasis Recti Abdominis (DRA). The taping will be done using a crisscross pattern to provide mechanical support to the weakened abdominal muscles, aiming to decrease the Inter-Recti Distance (IRD) and alleviate associated discomfort such as lower back pain and pelvic instability. Taping will be applied by trained professionals and maintained throughout the study period, with changes and adjustments made during weekly visits over the six-week intervention period. This method is expected to improve muscle functionality and contribute to the recovery of abdominal integrity postpartum. Intervention 2: Intervention Group 2: Visceral Manipulation (VM) Alone. Designation: Experimental. Description: Participants in this group will undergo Visceral Manipulation (VM) therapy, which involves gentle manual techniques aimed at restoring the natural mobility of the internal organs and associated connective tissues. This intervention focuses on addressing the structural and functional aspects of abdominal health affected by Diastasis Recti Abdominis (DRA). The manipulation will be performed by a skilled physical therapist with expertise in visceral techniques. Treatments will occur once a week over a six-week period, with each session designed to progressively enhance organ function and support abdominal recovery. Intervention 3: Intervention Group 3: Visceral Manipulation (VM) and Kinesio Taping (KT). Designation: Experimental. Description: This group will receive a combined treatment of Visceral Manipulation (VM) and Kinesio Taping (KT). The dual approach aims to synergize the benefits of manual therapy with supportive taping. VM will address the internal dynamics of the abdominal cavity, improving organ mobility and reducing tension, while KT will provide external support to the abdominal muscles, enhancing muscle function and stability. The combination is intended to offer comprehensive treatment for DRA, potentially leading to improved outcomes in terms of abdominal muscle separation and overall postpartum recovery. Therapy sessions will be administered weekly for six weeks. Intervention 4: Intervention Group 4: Core Strengthening Exercises. Designation: Active Comparator. Description: This group, known as the Exercise group, will participate in a series of core strengthening exercises specifically tailored for postpartum rehabilitation. The exercise regimen will focus on strengthening the transverse abdominis, multifidus, pelvic floor muscles, and other core muscles critical for postpartum recovery. The exercises will be supervised by a physical therapist to ensure proper form and progression, aiming to enhance core stability and reduce IRD. Participants will engage in these exercises three times per week over a six-week period, designed to incrementally build core strength and support overall pelvic and abdominal health. Yes - There is a plan to make this available What will be shared: demographics and outcomes When: March 2025 2 years after publication To whom: open access Conditions: open access policy Where to obtain: DOI number How to obtain: NA Comments: NA
public Mehwish Khan
Wisma Lincoln, No. 12-18, Jalan SS 6/12, 47301 Petaling Jaya, Selangor Darul Ehsan, Malaysia
Patelang Jaya Malaysia 47301 +92 307 2910332 drduakhan@yahoo.com Lincoln University College scientific Mehwish Khan
Wisma Lincoln, No. 12-18, Jalan SS 6/12, 47301 Petaling Jaya, Selangor Darul Ehsan, Malaysia
Patelang Jaya Malaysia 47301 +92 307 2910332 drduakhan@yahoo.com Lincoln University College Pakistan • DRA: Finger width palpation shows >2.5 cm • Postpartum females bearing at least 1 child • Age between 35 to 45 years old • Post-partum females who had gone through normal vaginal delivery, vacuum delivery, forceps delivery, and lower section caesarian section (at least 1 month after) 35 years 45 years Female • Any other abdominal surgery • Sensitivity with taping (specific for those will have KT) • Diagnosed with abdominal hernia • Open abdominal wound Rehabilitation Rehabilitation Rehabilitation Rehabilitation Intervention Group 1: Kinesio Taping (KT) Alone. Designation: Experimental. Description: This group will receive Kinesio Taping (KT) as the sole intervention. Kinesio Tape will be applied directly to the abdominal area affected by Diastasis Recti Abdominis (DRA). The taping will be done using a crisscross pattern to provide mechanical support to the weakened abdominal muscles, aiming to decrease the Inter-Recti Distance (IRD) and alleviate associated discomfort such as lower back pain and pelvic instability. Taping will be applied by trained professionals and maintained throughout the study period, with changes and adjustments made during weekly visits over the six-week intervention period. This method is expected to improve muscle functionality and contribute to the recovery of abdominal integrity postpartum. Intervention Group 2: Visceral Manipulation (VM) Alone. Designation: Experimental. Description: Participants in this group will undergo Visceral Manipulation (VM) therapy, which involves gentle manual techniques aimed at restoring the natural mobility of the internal organs and associated connective tissues. This intervention focuses on addressing the structural and functional aspects of abdominal health affected by Diastasis Recti Abdominis (DRA). The manipulation will be performed by a skilled physical therapist with expertise in visceral techniques. Treatments will occur once a week over a six-week period, with each session designed to progressively enhance organ function and support abdominal recovery. Intervention Group 3: Visceral Manipulation (VM) and Kinesio Taping (KT). Designation: Experimental. Description: This group will receive a combined treatment of Visceral Manipulation (VM) and Kinesio Taping (KT). The dual approach aims to synergize the benefits of manual therapy with supportive taping. VM will address the internal dynamics of the abdominal cavity, improving organ mobility and reducing tension, while KT will provide external support to the abdominal muscles, enhancing muscle function and stability. The combination is intended to offer comprehensive treatment for DRA, potentially leading to improved outcomes in terms of abdominal muscle separation and overall postpartum recovery. Therapy sessions will be administered weekly for six weeks. Intervention Group 4: Core Strengthening Exercises. Designation: Active Comparator. Description: This group, known as the Exercise group, will participate in a series of core strengthening exercises specifically tailored for postpartum rehabilitation. The exercise regimen will focus on strengthening the transverse abdominis, multifidus, pelvic floor muscles, and other core muscles critical for postpartum recovery. The exercises will be supervised by a physical therapist to ensure proper form and progression, aiming to enhance core stability and reduce IRD. Participants will engage in these exercises three times per week over a six-week period, designed to incrementally build core strength and support overall pelvic and abdominal health. PAIN. Timepoint: Before the Intervention (Baseline), 2 Weeks, 4 Weeks, 6 Weeks After the Intervention Commences. Method of measurement: viual analogue scale. NA Approved 2024-03-29 Lincoln University College 2, Jalan Stadium SS 7/15, Ss 7, 47301 Petaling Jaya, Selangor Petaling Jaya Selangor Malaysia