RecruitingNot ApplicableNCT07440836

Effects of Corrective Versus Plank Exercises on Diastasis Recti

Effects of Corrective Versus Plank Exercises on Strength, Inter Recti Distance and Pain in Females With Diastasis Recti


Sponsor

Riphah International University

Enrollment

56 participants

Start Date

Jan 1, 2025

Study Type

INTERVENTIONAL

Summary

This study will be randomized clinical trial and will be conducted in Services Hospital and poly clinics. The total duration of treatment will be 12 weeks. Non-probability convenience sampling technique will be used and 56 participants will be recruited in study after randomization. The participants are randomly assigned to one of two groups: Group A performs corrective exercises focused on deep core engagement, while Group B performs plank exercises aimed at overall abdominal activation. Each group follows their respective regimen three times per week for 12 weeks. Baseline EMS and pelvic floor exercises are conducted for all participants to ensure core stability before the interventions begin. Outcome measures, including manual muscle testing (MMT) for strength, and the Numerical Pain Rating Scale (NPRS) for pain, are recorded both before and after the 12-week intervention. After data collection data will be analyzed by using SPSS version 25.


Eligibility

Sex: FEMALEMin Age: 25 YearsMax Age: 40 Years

Inclusion Criteria6

  • If IRD is greater than 4cm and above
  • Postpartum females
  • Three months to three years postpartum with presence of diastasis rectus abdominis
  • Vaginal delivery
  • Multiparous
  • Pain greater than 6 on NPRS

Exclusion Criteria6

  • Subjects with any heart condition, respiratory condition
  • Any pelvic or abdominal surgery
  • Any neurological disease eg preeclampsia, epilepsy
  • Trauma to bowel or bladder
  • Prior history of physical therapy treatment for pelvic floor issues
  • Postpartum depression

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Interventions

OTHERcorrective exercises

restoration of trunk stability, and reduction of IRD through improved tensioning of the linea alba. During weeks 1-4, the program emphasized low-load activation, including transversus abdominis (TrA) drawing-in activation, posterior pelvic tilting, and modified heel slides performed with strict abdominal control. In weeks 5-8, progression was achieved through increased hold times, higher repetitions, slower tempo, and the gradual introduction of light resistance or functional integration cues where tolerated. In weeks 9-12, participants progressed toward functional core integration and advanced control exercises such as dead bug variations,

OTHERPlank Exercise

In weeks 1-4, the program began with modified plank positions using knee-and-elbow support and modified side planks, with short hold durations and adequate rest intervals. During weeks 5-8, hold times were progressively increased, and participants were introduced to controlled plank variations such as weight-shifts or arm reach tasks depending on tolerance and maintenance of neutral spine control. In weeks 9-12, progression was aimed toward longer holds and more advanced stabilization tasks, including leg lifts in plank and progression toward full plank positions


Locations(1)

Services Hospital

Lahore, Punjab Province, Pakistan

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NCT07440836