Actively Recruiting

Phase Not Applicable
Age: 18Years - 40Years
FEMALE
ID07521085

Combined Effects Of Stability Oriented Breathing Exercises and Kegel's Exercises On Inter-recti Distance, Lumbopelvic Pain and Strength In Postpartum Women

Led by Riphah International University · Updated on 2026-04-09

60

Participants Needed

2

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

This research aims to study postpartum women who often face challenges like increased separation of abdominal muscles (inter-recti distance), lower back and pelvic pain, and weakened core strength. The trial evaluates how combining stability-focused breathing exercises with Kegel exercises affects these conditions. The study uses a randomized controlled design and plans to include 66 women in each group, accounting for possible dropouts. Participants are women aged 18 to 40 years with a history of cesarean sections and a specific range of abdominal muscle separation. Participants will be randomly assigned to one of two groups: one group will perform Kegel exercises alone, while the other group will combine Kegel exercises with specialized breathing exercises. Both groups will train three times a week for eight weeks. The breathing exercises progress from static breathing techniques in the first two weeks to resistance band exercises in weeks three and four, and finally dynamic breathing exercises in the last four weeks. The Kegel exercise group also follows a structured progression in repetitions and contraction duration, including warm-up and cool-down periods. During the study, researchers will measure outcomes such as abdominal muscle separation using finger width, pelvic floor muscle strength through manual testing, and pain levels using a numeric pain rating scale. These assessments will occur over the eight-week training period. Data will be analyzed to understand the effects of the interventions. The trial includes safety monitoring to exclude participants with conditions that could interfere with exercise, and the total participation duration is eight weeks.

CONDITIONS

Brief Title

Combined Effects Of Stability Oriented Breathing Exercises and Kegel's Exercises in Postpartum Women

Who Can Participate

Age: 18Years - 40Years
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Age between 18-40 years
  • Postpartum duration of 42-49 days
  • Inter-recti distance (IRD) between 3-5 cm
  • Numeric pain scale score 6 for pain
  • No prior physiotherapy or exercise guidance received
Not Eligible

You will not qualify if you...

  • Pain during the training period
  • Patients with any heart or respiratory disease including excessive coughing and sneezing
  • Patients with any kind of pelvic or abdominal surgery
  • Significant organ dysfunction or psychiatric illness
  • Diagnosis of malignant tumors

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 8 weeks

Participants perform stability-oriented breathing exercises combined with Kegel exercises or Kegel exercises alone to improve inter-recti distance, reduce lumbopelvic pain, and increase muscle strength in postpartum women.

Training sessions three times weekly for 8 weeks

Trial Site Locations

Total: 2 locations

1

UOL teaching hospital and sehat medical complex lahore

Lahore, Punjab Province, Pakistan, 54000

Actively Recruiting

2

UOL teaching hospital and sehat medical complex

Lahore, Punjab Province, Pakistan, 54000

Actively Recruiting

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Research Team

I

imran amjad, phd

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

Clinical assessment of pelvic floor and abdominal muscles 3 months post partum: an inter-rater reliability study.

Sabine Vesting, Monika Fagevik Olsen, Annelie Gutke...

https://pubmed.ncbi.nlm.nih.gov/34475166

Normal width of the linea alba, prevalence, and risk factors for diastasis recti abdominis in adults, a cross-sectional study.

R L Kaufmann, C S Reiner, U A Dietz...

https://pubmed.ncbi.nlm.nih.gov/34609664