Actively Recruiting

Age: 18Years - 50Years
FEMALE
Healthy Volunteers
ID07389993

Diaphragm Characteristics and Respiratory Muscle Function in Parous Women With and Without Diastasis Recti Abdominis

Led by University of Patras · Updated on 2026-04-13

42

Participants Needed

1

Research Sites

5 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Diastasis Recti Abdominis (DRA) is a common condition affecting many women after childbirth, where the abdominal muscles separate along the midline due to stretching. This condition may impact abdominal support, posture, breathing, and trunk function. Researchers are studying how DRA relates to diaphragm function and accessory breathing muscles, as little is currently known about this connection. The study aims to compare these muscle characteristics in women who have given birth, with and without DRA. This observational study divides adult women who have given birth into two groups based on the presence or absence of DRA, determined by standardized ultrasound imaging of the abdominal muscles. Participants undergo a single assessment session that includes rehabilitative ultrasound imaging (RUSI) to examine diaphragm thickness and movement during breathing. Inspiratory muscle strength is also tested using a POWERbreathe KH2 device. Additional information about pregnancy history and physical activity is collected. Women involved in the study will have one session where measurements of diaphragm thickness during inhalation and exhalation, diaphragm movement, and inspiratory muscle strength are taken. Demographic and clinical data such as age, body mass index, number of births, and time since last delivery are recorded. The main focus is to understand if women with DRA have altered diaphragm function or weaker respiratory muscles compared to those without DRA, which may guide future postpartum rehabilitation strategies.

CONDITIONS

Brief Title

Diaphragm and Breathing Muscle Characteristics in Women With and Without Diastasis Recti Abdominis After Childbirth

Who Can Participate

Age: 18Years - 50Years
FEMALE
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Female sex
  • Aged 18 to 50 years
  • Have given birth to at least one child
  • At least 6 months postpartum and within 5 years after last delivery
  • Able to understand and communicate in Greek
  • Willing to participate and provide informed consent
Not Eligible

You will not qualify if you...

  • Currently pregnant
  • Delivered a baby within the previous 6 months
  • History of severe chronic respiratory diseases such as chronic obstructive pulmonary disease, chronic bronchitis, pulmonary emphysema, or pulmonary fibrosis
  • Presence of connective tissue disorders
  • Presence of neurological disorders
  • Severe musculoskeletal conditions affecting trunk or respiratory function, like severe low back pain or sciatica
  • Previous abdominal surgery, except cesarean section

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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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)

Diagnostic Evaluation

Duration - Single assessment session

Participants undergo ultrasonographic assessment of the diaphragm and inspiratory muscle testing to measure diaphragm thickness, excursion, and respiratory muscle strength.

1 visit (in-person)

Trial Site Locations

Total: 1 location

1

Laboratory of Clinical Rehabilitation and Research (CPRlab), University of Patras

Pátrai, Achaia, Greece, 26504

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Research Team

A

Anastasia Skoura, PhD

E

Evdokia Billis, PhD

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

2

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Published Research Related To This Trial

Relationship between diastasis of the rectus abdominis muscle (DRAM) and musculoskeletal dysfunctions, pain and quality of life: a systematic review.

Deenika R Benjamin, Helena C Frawley, Nora Shields...

https://pubmed.ncbi.nlm.nih.gov/30217494

Diastasis Recti Abdominis Rehabilitation in the Postpartum Period: A Scoping Review of Current Clinical Practice.

Anastasia Skoura, Evdokia Billis, Dimitra Tania Papanikolaou...

https://pubmed.ncbi.nlm.nih.gov/38340172

Women with diastasis recti abdominis might have weaker abdominal muscles and more abdominal pain, but no higher prevalence of pelvic floor disorders, low back and pelvic girdle pain than women without diastasis recti abdominis.

Sandra Gluppe, Marie Ellström Engh, Bø Kari

https://pubmed.ncbi.nlm.nih.gov/33691943

Intervertebral stiffness of the spine is increased by evoked contraction of transversus abdominis and the diaphragm: in vivo porcine studies.

Paul Hodges, Allison Kaigle Holm, Sten Holm...

https://pubmed.ncbi.nlm.nih.gov/14652476