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Trial registered on ANZCTR
Registration number
ACTRN12611000395932
Ethics application status
Not yet submitted
Date submitted
7/04/2011
Date registered
14/04/2011
Date last updated
14/04/2011
Type of registration
Prospectively registered
Titles & IDs
Public title
The incidence of lumbo-pelvic pain, pelvic floor dysfunction and body image effects in post-natal women with a clinically significant diastasis of the rectus abdominus muscles (DRAM).
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Scientific title
The incidence of lumbo-pelvic pain, pelvic floor dysfunction and body image effects in post-natal women with a clinically significant diastasis of the rectus abdominus muscles (DRAM).
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Secondary ID [1]
259947
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Nil
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Universal Trial Number (UTN)
U1111-1120-5595
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Diastasis Recti Abdominus Muscle
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Urinary Incontinence
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Lumbo-pelvic pain
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Pelvic floor dysfunction
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Body Image
265572
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Condition category
Condition code
Musculoskeletal
265714
265714
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0
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Other muscular and skeletal disorders
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Reproductive Health and Childbirth
265780
265780
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0
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Childbirth and postnatal care
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Observational research. Outcome measures for incontinence, lumbo-pelvic pain, pelvic floor dysfunction, body image and measurement of the abdominal muscle seperation. The aim of this study is to investigate the incidence of lumbo-pelvic pain and incontinence and body image in post-natal women, six weeks post birth , (clinically significant DRAM) and then six months after child birth. The incidence of any dysfunction as mentioned will be compared between women with either a) no DRAM (healthy age-matched nulligravida women); b) a clinically insignificant DRAM and c) a clinically significant DRAM. The study will also aim to determine the factors associated with lumbo-pelvic pain and incontinence and body image in post-natal women. The findings of this study will inform the development of a randomized, controlled trial of physiotherapy intervention in women at risk of morbidity following DRAM.
Will aim to recruit all participants and analyse data over a 6 month period.
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Intervention code [1]
264358
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Not applicable
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Comparator / control treatment
Control group will have their diastasis recti measured on one occasion and will complete the objective measures on the same occasion regarding body image, lumbo-pelvic pain, pelvic floor dysfunction and incontinence.
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Control group
Active
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Outcomes
Primary outcome [1]
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The Roland-Morris Disability Questionnaire
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Assessment method [1]
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Timepoint [1]
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at 6 weeks and 6 months
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Secondary outcome [1]
273851
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Visual Analogue Scale for pelvic pain
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Assessment method [1]
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Timepoint [1]
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At 6 weeks and 6 months post giving birth
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Secondary outcome [2]
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ICIQ Incontinence Questionnaire
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Assessment method [2]
273877
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Timepoint [2]
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6 weeks and 6 months
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Secondary outcome [3]
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Pelvic Floor Distress Inventory- Short Form 20
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Assessment method [3]
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Timepoint [3]
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6 weeks and 6 months
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Secondary outcome [4]
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Body Image Disturbance Questionairre
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Assessment method [4]
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Timepoint [4]
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6 weeks and 6 months
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Secondary outcome [5]
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The MBSRQ (Multidimensional Body-Self Relations Questionairre) for Body Image
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Assessment method [5]
273880
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Timepoint [5]
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at 6 weeks and 6 months
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Eligibility
Key inclusion criteria
Post-natal women- 18-45 yrs, english speaking
Healthy Controls-18-45 yrs, engilsh speaking, nulligravida
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Minimum age
18
Years
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Maximum age
45
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Post-natal women- c-section for current birth, older than 45 yrs or younger than 18yrs, non-english speaking
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Study design
Purpose
Screening
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Duration
Longitudinal
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Selection
Convenience sample
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
18/04/2011
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
180
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
264828
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Hospital
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Name [1]
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Monash Medical Centre
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Address [1]
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246 Clayton Rd
Clayton
VIC 3168
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Monash Medical Centre
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Address
246 Clayton Rd
Clayton
VIC 3168
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
263935
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Country [1]
263935
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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Southern Health
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Ethics committee address [1]
266801
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246 Clayton Rd Clayton VIC 3168
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Ethics committee country [1]
266801
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Date submitted for ethics approval [1]
266801
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02/03/2011
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Approval date [1]
266801
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Ethics approval number [1]
266801
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11073B
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Summary
Brief summary
Diastasis recti (also known as abdominal separation or DRAM) is a disorder defined as a separation of the rectus abdominis muscle into right and left halves. In pregnant or post-natal women, the defect is caused by the stretching of the rectus abdominis by the growing uterus and the increased hormones associated with pregnancy that cause flexibility in the body’s tissues. A clinically significant (larger) DRAM is defined as being greater than or equal to three fingers wide. Although these larger DRAMs are treated by physiotherapists at Southern Health, there is limited evidence into the physical/psychological problems suffered by women in association with a larger DRAM. The aim of this study is to investigate the incidence of back and pelvic pain, incontinence and body image in post-natal women, immediately post birth (incontinence only), six weeks (whether there is a clinically significant DRAM or other problems) and then six months after child birth. The incidence of any dysfunction as mentioned will be compared between women with either a) no DRAM (healthy age-matched women who have never been pregnant); b) a clinically insignificant DRAM (less than three fingers width) and c) a clinically significant DRAM (three fingers or greater wide). The study will also aim to determine the factors associated with back or pelvic pain, incontinence and body image in post-natal women. The findings of this study will inform the development of a randomized, controlled trial of physiotherapy intervention in women at risk of morbidity following DRAM.
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Trial website
nil
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Trial related presentations / publications
nil
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
32450
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Phone
32450
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Fax
32450
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Email
32450
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Contact person for public queries
Name
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Alesha Southby
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Address
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Monash Medical Centre
246 Clayton Rd
Clayton
VIC
3168
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Country
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Australia
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Phone
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+61 3 95942250
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Fax
15697
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Email
15697
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[email protected]
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Contact person for scientific queries
Name
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Alesha Southby
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Address
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Monash Medical Centre
246 Clayton Rd
Clayton
VIC
3168
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Country
6625
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Australia
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Phone
6625
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+61 3 95942250
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Fax
6625
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Email
6625
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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