[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100642320":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":29,"centralContacts":33,"locations":41,"responsibleParty":61,"collaborators":24,"id":63,"slug":64,"hasResults":65,"nctId":66,"briefTitle":67,"officialTitle":68,"acronym":24,"eligibilityCriteria":69,"healthyVolunteers":65,"sex":70,"minAge":71,"maxAge":72,"enrollmentInfo":73,"targetDuration":24,"studyType":76,"phases":77,"briefSummary":79,"conditions":80,"keywords":82,"overallStatus":44,"whyStopped":24,"lastUpdateSubmitDate":86,"lastUpdatePostDateStruct":87,"startDateStruct":90,"completionDateStruct":92,"leadSponsor":94,"locationsCount":95},{"fullName":5,"class":6},"Riphah International University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Group A: Hypopressive Exercise and Abdominal Bracing","EXPERIMENTAL","The hypopressive exercise protocol included maintaining spinal elongation, a neutral pelvis, knee flexion, and scapular muscle activation. Participants performed diaphragmatic breathing followed by full expiration and a 10-second apnea with rib cage expansion, causing inward abdominal contraction without inhalation. Exercises were performed in lying, sitting, standing, kneeling, and four-point kneeling positions. Each exercise was repeated three times with 30-second rest intervals. The intervention lasted 6 weeks with 12 sessions.\n\nParticipants in Group A also used an ITA-Med postnatal abdominal binder made of breathable elastic material. The binder covered the area from the pubis to the lower ribs and was worn during waking hours for 6 weeks, except during sleep and bathing. It was applied while lying down and adjusted for a snug but comfortable fit. Participants were instructed to avoid excessive tightness and monitor the skin for irritation.",[13],"Other: Hypopressive exercise and Abdominal Bracing",{"label":15,"type":16,"description":17,"interventionNames":18},"Group B: Hypopressive Exercise only","ACTIVE_COMPARATOR","Each exercise was performed during the expiratory phase and required the contraction of the pelvic floor muscles. Participants were instructed to perform between 1 to 3 sets of 10 repetitions per exercise, holding each contraction for 5 seconds followed by 10 seconds of relaxation. The number of sets and the difficult level were progressively adjusted over time.",[19],"Other: Hypopressive Exercise",[21,25],{"type":6,"name":22,"description":11,"armGroupLabels":23,"otherNames":24},"Hypopressive exercise and Abdominal Bracing",[9],null,{"type":6,"name":26,"description":27,"armGroupLabels":28,"otherNames":24},"Hypopressive Exercise","Each exercise was performed during the expiratory phase and required the contraction of the pelvic floor muscles. Participants were instructed to perform between 1 to 3 sets of 10 repetitions per exercise, holding each contraction for 5 seconds followed by 10 seconds of relaxation. The number of sets and the difficult level were progressively adjusted over time. This treatment protocol will be performed over a time period of 6 weeks",[15],[30],{"name":31,"affiliation":5,"role":32},"Muzzammil Akhtar","PRINCIPAL_INVESTIGATOR",[34,39],{"name":35,"role":36,"phone":37,"phoneExt":24,"email":38},"Imran Amjad, PHD*","CONTACT","03324390125","imran.amjad@riphah.edu.pk",{"name":35,"role":36,"phone":40,"phoneExt":24,"email":38},"0515481826",[42],{"facility":43,"status":44,"city":45,"state":46,"zip":47,"country":48,"countryCode":49,"cosmosGeoPoint":50,"geoPoint":55,"contacts":56},"Jinnah Hospital","RECRUITING","Lahore","Punjab Province","54000","Pakistan","PK",{"type":51,"coordinates":52},"Point",[53,54],74.35071,31.558,{"lat":54,"lon":53},[57],{"name":58,"role":36,"phone":59,"phoneExt":24,"email":60},"Ghulam Fatima, PhD*","03034073057","ghulam.fatima@riphah.edu.pk",{"type":62,"investigatorFullName":24,"investigatorTitle":24,"investigatorAffiliation":24,"oldNameTitle":24,"oldOrganization":24},"SPONSOR","100642320","combined-effects-of-hypopressive-exercises-and-abdominal-bracing-on-diastasis-recti-outcomes-100642320",false,"NCT07642141","Combined Effects of Hypopressive Exercises and Abdominal Bracing on Diastasis Recti Outcomes","Combined Effects of Hypopressive Exercises and Abdominal Bracing on Interrecti Distance, Lumbopelvic Pain, and Abdominal Muscle Strength in Diastasis Recti","Inclusion Criteria:\n\n* Age group of 23 to 30 years\n\n  * Inter recti distance \\> 2 to 5 cm\n  * A women who had undergone a vaginal delivery at least 8 weeks before the first measurement\n  * A postpartum female with the presence of diastasis rectus abdominis\n  * BMI under or equal to 29kg\u002Fm2\n\nExclusion Criteria:\n\n* Pregnant females (29)\n\n  * Subjects who underwent any recent abdominal surgeries\n  * Patient diagnosed with a Fibroid uterus\n  * Patient diagnosed with abdominal hernia\n  * Cesarean section (C-section)\n  * Chronic medical conditions such as diabetes, uncontrolled hypertension, cardiovascular disease, or thyroid disorders.","FEMALE","23 Years","30 Years",{"count":74,"type":75},34,"ESTIMATED","INTERVENTIONAL",[78],"NA","Diastasis Recti Abdominis (DRA) is the separation of the rectus abdominis muscles along the linea alba, commonly seen after childbirth due to the mechanical and hormonal changes that occur during pregnancy. DRA can negatively affect posture, trunk stability, and breathing patterns, and may result in persistent lumbopelvic pain and weakened core muscles if not properly managed. Although hypopressive exercises and abdominal bracing have individually demonstrated positive effects in reducing inter-recti distance and improving core function, limited research exists regarding their combined effects. This randomized clinical trial aims to evaluate the combined impact of hypopressive exercises and abdominal bracing on inter-recti distance, lumbopelvic pain, and abdominal muscle strength in postpartum women with DRA. The study will include 34 postpartum women recruited from Jinnah Hospital, Lahore, who will be randomly assigned into two groups. Group A will receive both hypopressive exercises and abdominal bracing, while Group B will receive only hypopressive exercises along with standard postpartum physiotherapy. Outcome measures will include pain intensity, lumbopelvic disability, abdominal muscle strength, and inter-recti distance, with data analyzed using SPSS version 25.",[81],"Diastasis Recti",[83,84,85],"Lumbopelvic pain","Hypopresive Exercise","Abdominal Bracing","2026-06-08",{"date":88,"type":89},"2026-06-11","ACTUAL",{"date":91,"type":89},"2025-04-02",{"date":93,"type":75},"2026-08-15",{"name":5,"class":6},1]