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CompletedNCT06302816Updated Dec 27, 2024

Effects of Tupler and Scoop Exercises in Diastasis Recti

An interventional study of TUPLER exercises and SCOOP EXERCISES in Diastasis, sponsored by Riphah International University. Completed at 1 site in Pakistan. Open to female participants aged 18 Years to 40 Years. Per ClinicalTrials.gov, last updated 2024-12-27.

Sponsored by Riphah International University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year after the study started (first participant enrolled Feb 2023, registered Mar 2024).
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
Female
01

Study summary

To compare the effects of tupler and scoop exercises on inter recti distance, low back pain, abdominal strength and urogynecological symptoms in diastasis.

02

Conditions studied

  • Diastasis

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Keywords

  • Diastasis recti abdominis
  • low back pain
  • Muscle strength
  • Pilates-Based Exercises
  • Static stretching.
03

In context

Diastasis, Muscle

41 studies on the registry are indexed under Diastasis, Muscle; 9 are open to participants now.

This study's enrollment of 30 is below the median of 48 across 31 interventional studies indexed under Diastasis, Muscle.

Browse Diastasis, Muscle studies →

Lead sponsor

Riphah International University is the lead sponsor of 2,133 studies on the registry; 633 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • BMI 25kg\|m\^2 to 30kg\m\^2or greater
  • multiparous women
  • Participants included will be 3 months post-partum females
  • Caesarean delivery who will have with the presence of DRA >2 finger width and >2cm

Exclusion criteria

Exclusion Criteria:

  • patients who had hernia
  • trauma to bowel or bladder
  • malignancies
  • neurologic disease and its associated balance disorders,
  • pelvic or abdominal surgery (except for a caesarean section) were considered as the exclusion criteria of this study
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
30 participants (actual)

Study arms

  • Experimental
    TUPLER exercises

    Other: TUPLER exercises

  • Active comparator
    SCOOP EXERCISES

    Other: SCOOP EXERCISES

Interventions

  • OtherTUPLER exercises

    will be conducting tupler exercises, exercises that are designed to target core muscles in order to improve posture, regain core strength and reducing discomfort. Each exercise will be repeated 10reps for 3 times on 3 days a week for 8 weeks.

  • OtherSCOOP EXERCISES

    will be required to complete scoop exercises basically deals with Pilates which is deep core and hip strengthening and stability through breathing patterns with the utilization of transversus abdominis muscle majorly. In each exercise participant will be asked to hold pelvic floor muscles for 8sec, then relax the muscles and count to 10, repeat I for 10 times each day for 3 days a week for 8weeks. Basic commands about the positing, activation and engagement of core along with breathing control were given to the subjects.

06

What researchers measure

Primary outcomes

  1. Digital nylon calipers for inter recti distance

    Digital nylon calipers for inter recti distance (IRD) used for the evaluatiopn of the DRA using tracing paper can be used preliminary assessment tool as well as a method for documentation of measurements of the inter recti in both males and females above the umbilicus with the abdominal muscles during contraction i.e in hook lying position. Digital Nylon Calipers demonstrated excellent inter-rater (ICC = 0.80 to 0.99) and It is the strongest tool for the assessment of the distasis recti

    Time frame: 8th week

  2. Numeric pain rating scale

    Numeric pain scale is an objective tool for the assessment of pain, rating from 0 to 10 according to the severity of pain. It is categorized as mild(1to3), moderate (4to6) and severe (7to10). It reliability is ICCs for the test-retest reliability were over 0.75

    Time frame: 8th week

  3. Manual muscle testing for intra-abdominal strength

    Manual muscle testing (MMT) is the objective assessment tool for the muscular strength measurement having grading of 0 to 5 according to the muscle response to an active resistance applied passively by some external force that can be therapist's hand. The intra-rater (ICC=0.95) and inter-rater (0.99) reliability (20) . 0 3 4 5 None Fair Good Normal No visible or palpable contraction Full ROM against gravity Full ROM against gravity, moderate resistance Full ROM against gravity, maximal resistance

    Time frame: 8th week

  4. Short form Pelvic Floor Distress Inventory for Urogynaecological symptoms

    Pelvic Floor Distress Inventory (PFDI-20) is a reliable instrument for evaluating the quality of life in women with pelvic dysfunction. They have been translated and validated in many languages. The study was aimed at validating the Estonian translations of the PFDI-20 and PFIQ-7 tools. Intra-class correlation coefficient (ICC) 0.765-0.969, p \< 0.001

    Time frame: 8th week

07

Study locations

1 site
  • Innovative Health Concepts
    Lahore, 05499, Pakistan
08

References and documents

Publications

  • Gluppe S, Engh ME, Bo K. What is the evidence for abdominal and pelvic floor muscle training to treat diastasis recti abdominis postpartum? A systematic review with meta-analysis. Braz J Phys Ther. 2021 Nov-Dec;25(6):664-675. doi: 10.1016/j.bjpt.2021.06.006. Epub 2021 Jul 21. PubMed 34391661 ↗
  • Tung RC, Towfigh S. Diagnostic techniques for diastasis recti. Hernia. 2021 Aug;25(4):915-919. doi: 10.1007/s10029-021-02469-7. Epub 2021 Jul 27. PubMed 34313855 ↗
  • Cavalli M, Aiolfi A, Bruni PG, Manfredini L, Lombardo F, Bonfanti MT, Bona D, Campanelli G. Prevalence and risk factors for diastasis recti abdominis: a review and proposal of a new anatomical variation. Hernia. 2021 Aug;25(4):883-890. doi: 10.1007/s10029-021-02468-8. Epub 2021 Aug 6. PubMed 34363190 ↗
  • Laframboise FC, Schlaff RA, Baruth M. Postpartum Exercise Intervention Targeting Diastasis Recti Abdominis. Int J Exerc Sci. 2021 Apr 1;14(3):400-409. doi: 10.70252/GARZ3559. eCollection 2021. PubMed 34055160 ↗
  • Kaufmann RL, Reiner CS, Dietz UA, Clavien PA, Vonlanthen R, Kaser SA. Normal width of the linea alba, prevalence, and risk factors for diastasis recti abdominis in adults, a cross-sectional study. Hernia. 2022 Apr;26(2):609-618. doi: 10.1007/s10029-021-02493-7. Epub 2021 Oct 5. PubMed 34609664 ↗
  • Sułkowski L, Matyja A. Diastasis recti abdominis (DRA): review of risk factors, diagnostic methods, conservative and surgical treatment. 2022.
  • Radhakrishnan M, Ramamurthy K. Efficacy and Challenges in the Treatment of Diastasis Recti Abdominis-A Scoping Review on the Current Trends and Future Perspectives. Diagnostics (Basel). 2022 Aug 24;12(9):2044. doi: 10.3390/diagnostics12092044. PubMed 36140446 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 27, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06302816
Lead sponsor
Riphah International University
Responsible party
Sponsor
First posted
Mar 12, 2024
Start date
Feb 23, 2023
Primary completion
Aug 1, 2024
Completion
Sep 1, 2024
Last update
Dec 27, 2024

Study contacts

hina gul gul
principal investigator · Riphah International University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Dec 2024. You cannot join it, but the record below documents what was studied.

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