Ignite Creation Date:
2024-05-06 @ 8:03 PM
Last Modification Date:
2024-10-26 @ 3:19 PM
Study NCT ID:
NCT06239753
Status:
RECRUITING
Last Update Posted:
2024-04-30
First Post:
2023-12-21
Brief Title:
The Impact of Dynamic Neuromuscular Stabilization on Pregnancy
Sponsor:
Dondu Kurnaz
Organization:
Lütfi Kırdar City Hospital
Study Overview
Official Title:
The Effect of Dynamic Neuromuscular Stabilization Applied in the Second Trimester of Pregnancy on Pregnancy A Randomized Controlled Study
Status:
RECRUITING
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The aim of this randomized controlled study is to determine the pregnancy and childbirth outcomes of using the DNS method to facilitate anatomical and physiological adaptations during pregnancy
Detailed Description:
During pregnancy significant anatomical and physiological changes occur as the baby grows inside the uterus As pregnancy progresses body mass index increases the uterus expands towards the abdominal cavity and the womans center of gravity shifts This change in the center of gravity leads to a backward shift in the trunk hyperextension of the knees and the formation of lumbar lordosis thoracic kyphosis and pelvic curvature The increased weight can cause pelvic floor collapse and weakness in pelvic floor muscles leading to urinary incontinence pelvic organ prolapse fecal incontinence sexual dysfunction and pelvic pain
Proper management of the body during this period can not only facilitate childbirth but also reduce potential problems that may arise during pregnancy Exercises play a crucial role in managing the body correctly during pregnancy Aerobic exercises strength training and specific Kegel exercises are commonly performed during pregnancy However despite the frequent occurrence of musculoskeletal and postural changes during pregnancy it is observed that postural exercises to regulate these changes are not widely implemented Studies have indicated that stabilization exercises are more effective than traditional strength exercises in reducing complaints during pregnancy
There is a lack of sufficient research in the literature on core stabilization related to posture alignment during pregnancy Core stabilization is defined as the ability to control the position and movement of the trunk on the pelvis to allow optimal force production transfer and movement of the extremities It is essential to prevent excessive load on the pelvis spine and kinetic chain When this system functions effectively loads on the body are distributed evenly reducing excess load on the joints of the kinetic chain Core strength training primarily focuses on strengthening deep core muscles especially the multifidus and transversus abdominis muscles which may weaken during pregnancy Current exercise programs for pregnant women include exercises targeting core muscles such as Pilates antigravity fitness birth support belts stability balls and Dynamic Neuromuscular Stabilization DNS Although studies on the benefits of stabilization exercises during pregnancy are available in the literature there is no specific research on the application of DNS during pregnancy
DNS is a system that emphasizes coordination and strength focusing on the overall harmony of the body and foundational stability It is based on developmental kinesiology models DNS encompasses motor patterns and programs that infants inherently possess allowing them to develop ideal posture functional joint centering optimal respiration and locomotor skills during ontogenesis The main goal is to restore physiological movement patterns defined by developmental kinesiology DNS has been widely accepted in clinical practice as a method that provides balanced subcortical or reflexive core stabilization coordinating diaphragm transversus abdominis internal oblique multifidus and pelvic floor coactivation with intra-abdominal pressure and coordinated activation of superficial abdominal muscles
Understanding the physiological and anatomical adaptations during pregnancy is crucial for the pregnant woman to cope with the increased metabolic demands vital for the developing fetus and meet the requirements of childbirth Recognizing pathological deviations in pregnant women and ensuring core stabilization using appropriate methods are essential to optimize outcomes for both the mother and the baby In the context of critically ill pregnant women the DNS method can be used effectively during pregnancy taking into account that different modifications may be needed to optimize their treatment Well-designed studies are needed to determine the effectiveness of the DNS method
Proper management of the body during this period can not only facilitate childbirth but also reduce potential problems that may arise during pregnancy Exercises play a crucial role in managing the body correctly during pregnancy Aerobic exercises strength training and specific Kegel exercises are commonly performed during pregnancy However despite the frequent occurrence of musculoskeletal and postural changes during pregnancy it is observed that postural exercises to regulate these changes are not widely implemented Studies have indicated that stabilization exercises are more effective than traditional strength exercises in reducing complaints during pregnancy
There is a lack of sufficient research in the literature on core stabilization related to posture alignment during pregnancy Core stabilization is defined as the ability to control the position and movement of the trunk on the pelvis to allow optimal force production transfer and movement of the extremities It is essential to prevent excessive load on the pelvis spine and kinetic chain When this system functions effectively loads on the body are distributed evenly reducing excess load on the joints of the kinetic chain Core strength training primarily focuses on strengthening deep core muscles especially the multifidus and transversus abdominis muscles which may weaken during pregnancy Current exercise programs for pregnant women include exercises targeting core muscles such as Pilates antigravity fitness birth support belts stability balls and Dynamic Neuromuscular Stabilization DNS Although studies on the benefits of stabilization exercises during pregnancy are available in the literature there is no specific research on the application of DNS during pregnancy
DNS is a system that emphasizes coordination and strength focusing on the overall harmony of the body and foundational stability It is based on developmental kinesiology models DNS encompasses motor patterns and programs that infants inherently possess allowing them to develop ideal posture functional joint centering optimal respiration and locomotor skills during ontogenesis The main goal is to restore physiological movement patterns defined by developmental kinesiology DNS has been widely accepted in clinical practice as a method that provides balanced subcortical or reflexive core stabilization coordinating diaphragm transversus abdominis internal oblique multifidus and pelvic floor coactivation with intra-abdominal pressure and coordinated activation of superficial abdominal muscles
Understanding the physiological and anatomical adaptations during pregnancy is crucial for the pregnant woman to cope with the increased metabolic demands vital for the developing fetus and meet the requirements of childbirth Recognizing pathological deviations in pregnant women and ensuring core stabilization using appropriate methods are essential to optimize outcomes for both the mother and the baby In the context of critically ill pregnant women the DNS method can be used effectively during pregnancy taking into account that different modifications may be needed to optimize their treatment Well-designed studies are needed to determine the effectiveness of the DNS method
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None