Effects of TENS With and Without Core Stabilization Exercises on Low Back Pain, Inter-Recti Distance, and Transversus Abdominis Thickness in Postpartum Women With Diastasis Recti Abdominis
Diastasis Recti Abdominis (Postpartum)
De qué trata este estudio
El registro no identifica actualmente este estudio como reclutando. Consulta su estado antes de planificar una evaluación.
- Tipo de estudio
- De intervención
- Fase
- No aplica
- Rango de edad
- 21 años - 45 años
- Sexo admitido
- Femenino
- Voluntarios sanos
- No aceptados
- Participantes
- 36 Estimado
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Las explicaciones y la navegación están en español. Los textos proporcionados por el registro, incluidos títulos, resúmenes y criterios, se conservan en su idioma original. Puedes pedir orientación en español a WCR.
Acerca de la investigación
Low back pain is a common complaint among postpartum females, often associated with diastasis recti abdominis (DRA), a condition characterized by the separation of the rectus abdominis muscles. This separation can lead to reduced core stability, altered biomechanics, and impaired functional performance. Effective rehabilitation strategies are essential to address pain, restore abdominal muscle integrity, and improve overall function in this population. This study aims to investigate the effects of Transcutaneous Electrical Nerve Stimulation (TENS) with and without core stabilization exercises on low back pain, inter-recti distance (IRD), and transversus abdominis (TrA) thickness in postpartum females with diastasis recti abdominis. A randomized clinical trial will be conducted in which participants will be divided into two groups: one receiving TENS alone and the other receiving TENS combined with core stabilization exercises. Outcome measures will include pain intensity assessed through standardized scales, inter-recti distance measured using musculoskeletal ultrasound, and transversus abdominis thickness evaluated at rest and during contraction. These measures will be recorded before and after the intervention period to determine treatment effectiveness. Group A will receive TENS for pain relief.
Group B will receive TENS combined with core stabilization exercises such as abdominal drawing-in, pelvic tilts, and bridging for 4-6 weeks. Data will be analyzed using SPSS. Paired t-tests will assess within-group changes, and independent t-tests will compare between groups. A p-value ≤ 0.05 will be considered significant. The findings of this study are expected to provide evidence regarding the added benefit of core stabilization exercises when combined with TENS in postpartum rehabilitation.
This may help in developing more effective physiotherapy protocols for managing low back pain and abdominal muscle dysfunction in females with diastasis recti abdominis.
¿Quién podría participar?
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Inclusion Criteria:
- Patients diagnosed with Diastasis Recti Abdominis (DRA).
- Inter-recti distance of ≥2 cm confirmed by clinical examination
- Pain intensity ≥4 on the Numeric Pain Rating Scale (NPRS).
- Females aged 21-45 years
- Postpartum females at least 6 weeks after delivery.
- Not undergoing any other physiotherapy treatment for DRA
Exclusion Criteria:
- • Previous abdominal surgery within the last 6 months.
- Presence of abdominal hernia requiring surgical intervention.
- Pregnancy or high-risk pregnancy.
- Neurological disorders affecting trunk muscle function.
- Severe musculoskeletal disorders limiting participation in exercise.
- Cardiac pacemaker or other implanted electrical devices contraindicating the use of TENS
Tratamiento, grupos y participación
El registro puede describir tratamientos y duración sin incluir un calendario completo. Pide al equipo las visitas, procedimientos, riesgos, costos y alternativas. Mantén tu atención habitual salvo que tu médico te indique un cambio.
- Asignación
- Asignación al azar
- Enmascaramiento
- Enmascaramiento simple
Transcutaneous Electrical Nerve Stimulation (TENS) alone,
Continuous mode (burst mode), frequency 80-100 Hz, pulse duration 100-150 μs, intensity adjusted to a comfortable sensory level without muscle contraction, applied for 20 minutes. The intervention will be administered 3 sessions per week for 6 weeks..
Other: Transcutaneous Electrical Nerve Stimulation (TENS) alone.
TENS combined with Core Stabilization Exercises
Participants will receive TENS using the same parameters as Group A for 20 minutes. Abdominal drawing-in maneuver: 3 sets × 10 repetitions .Pelvic tilts: 3 sets
× 10 repetitions . Heel slides: 3 sets × 10 repetitions Bridging exercises: 3 sets × 10 repetitions. The intervention will be administered 3 sessions per week for 6 weeks.
Other: TENS combined with Core Stabilization Exercises
Transcutaneous Electrical Nerve Stimulation (TENS) alone. OTHER
Continuous mode (burst mode), frequency 80-100 Hz, pulse duration 100-150 μs, intensity adjusted to a comfortable sensory level without muscle contraction, applied for 20 minutes. The intervention will be administered 3 sessions per week for 6 weeks..
TENS combined with Core Stabilization Exercises OTHER
Participants will receive TENS using the same parameters as Group A for 20 minutes. Abdominal drawing-in maneuver: 3 sets × 10 repetitions .Pelvic tilts: 3 sets
× 10 repetitions . Heel slides: 3 sets × 10 repetitions Bridging exercises: 3 sets × 10 repetitions. The intervention will be administered 3 sessions per week for 6 weeks.
Qué evalúan los investigadores
Estas medidas indican qué se estudia. No prueban que un tratamiento funcione.
Medidas principales
DIGITAL VERNIER CALIPER
Plazo: baseline and after 6 weeks
A Digital Vernier Caliper is a precision measuring instrument used to measure linear distances accurately. In patients with Diastasis Recti Abdominis (DRA), it can be used to assess the Inter-Recti Distance (IRD), which is the separation between the two rectus abdominis muscles. The device provides measurements in millimeters (mm) and offers high accuracy and reliability for clinical assessment.
MSK ULTRASOUND
Plazo: baseline and after 6 weeks
Musculoskeletal Ultrasound (MSK-US) is a real-time, non-invasive imaging tool used to measure the thickness and activation of the Transversus Abdominis (TrA), especially in postpartum females with Diastasis Recti.
OSWESTRY DISABILITY INDEX
Plazo: baseline and after 6 weeks
The Oswestry Disability Index (also known as the Oswestry Low Back Pain Disability Questionnaire) is an extremely important tool that researchers and disability evaluators use to measure a patient's permanent functional disability. The test is considered the "gold standard" of low back functional outcome tools.
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1 centros
University of Management & TechnologyLahore, Punjab Province, PakistanEstado desconocido
Equipo y fechas
- Patrocinador principal
- University of Management and Technology Lahore
- Inicio del estudio
- 5 nov 2026 Real
- Finalización primaria
- 31 dic 2026 Estimado
- Finalización del estudio
- 31 dic 2026 Estimado
- Primera publicación
- 10 nov 2026 Real
- Última actualización
- 10 nov 2026 Real
Contactos oficiales del estudio
No hay un contacto central indicado. Revisa los centros y el registro oficial.
Título oficial del estudio
Effects of Transcutaneous Electrical Nerve Stimulation With and Without Core Stabilization Exercises on Low Back Pain, Inter-Recti Distance and Transversus Abdominis Thickness in Postpartum Females With Diastasis Recti Abdominis.
Consulta a Wellness Clinical Research
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Fuente: API v2 de ClinicalTrials.gov. Patrocinadores e investigadores envían la información. La NLM no aprueba la seguridad ni la ciencia de todos los estudios registrados. Aviso del registro.
Consultado: 12 nov 2026 · Última actualización del registro: 10 nov 2026