Actively Recruiting

Phase Not Applicable
Age: 18Years - 45Years
FEMALE
Healthy Volunteers
ID07576218

Comparative Effects of Pilates and Progressive Prone Plank Exercises on Pain, Strength and Inter-Rectus Distance in Diastasis Recti

Led by Riphah International University · Updated on 2026-05-08

34

Participants Needed

1

Research Sites

4 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the comparative effects of Pilates and progressive prone plank exercises on pain, strength, and the separation of abdominal muscles (inter-rectus distance) in women diagnosed with Diastasis Recti. This randomized clinical trial focuses on multiparous women with a body mass index under 30 who can safely perform physical activity. The study aims to understand how these two exercise types influence recovery and muscle function in this condition. Participants will be randomly assigned to one of two exercise groups. Group A will receive Pilates training focused on core activation, controlled breathing, and maintaining neutral spine alignment during mat exercises supervised by a qualified instructor. Group B will follow a progressive prone plank exercise protocol designed to strengthen core muscles important for managing Diastasis Recti, also performed under supervision. Each group will complete 45-minute sessions three times a week for four weeks. During the study, participants' pain levels will be measured using the Numeric Pain Rating Scale, muscle strength via Manual Muscle Testing, and inter-rectus distance by the finger-width method using a Vernier caliper. These assessments will be done before and after the exercise period. Data collected will be analyzed to compare outcomes between the two groups. The total participation period includes these four weeks of exercise and evaluation. Safety and adherence will be monitored throughout the trial.

CONDITIONS

Brief Title

Effects of Pilates and Progressive Prone Plank Exercises in Diastasis Recti

Who Can Participate

Age: 18Years - 45Years
FEMALE
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Multiparous women
  • Postpartum women within 6 to 12 months after childbirth
  • Body mass index (BMI) less than 30
  • Diagnosed with Diastasis Recti with inter-rectus distance of 2 cm or more
  • Have had either vaginal delivery or cesarean section (C-section)
Not Eligible

You will not qualify if you...

  • Significant pelvic floor dysfunction, pelvic organ prolapse, or related conditions
  • Unmanaged chronic illnesses such as heart disease or hypertension
  • Abdominal or related surgeries within the past six months
  • Currently pregnant or experiencing postpartum complications
  • Presence of hernia

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 - 4 weeks

Participants receive supervised Pilates or progressive prone plank exercises focused on core strengthening to manage Diastasis Recti.

Three sessions per week, each lasting approximately 25 minutes

Follow-up

Duration - 1 day

Participants undergo post-treatment evaluations to assess pain, muscle strength, and inter-rectus distance.

1 visit (in-person) after completion of the 4-week treatment

Trial Site Locations

Total: 1 location

1

Sehat Medical Complex

Lahore, Punjab Province, Pakistan, 6400

Actively Recruiting

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Research Team

I

imran amjad

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

Primiparous women's knowledge of diastasis recti abdominis, concerns about abdominal appearance, treatments, and perceived abdominal muscle strength 6-8 months postpartum. A cross sectional comparison study.

Sandra Gluppe, Marie Ellström Engh, Kari Bø

https://pubmed.ncbi.nlm.nih.gov/36324105

Self-reported symptoms in women with diastasis rectus abdominis: A systematic review.

Laura Fuentes Aparicio, Montserrat Rejano-Campo, Gráinne Marie Donnelly...

https://pubmed.ncbi.nlm.nih.gov/33227494