None listed
Conditions
Brief summary
he investigators are investigating whether pelvic floor physiotherapy can reduce the risk of repeated episodes of diverticulitis. As far as the investigators are aware, this would be the first prospective study to explore this relationship. An understanding of the nonoperative options available to patients with diverticulosis is necessary for limiting further readmissions, operations and morbidity related to diverticular disease.
Interventions
Pelvic floor physiotherapy will include individualised assessment of each subject with a tailored treatment program based on the assessment findings. Treatment may include education, lifestyle advice, toileting techniques, pelvic floor training (strength or down-training exercises), electromyography (EMG) or rectal balloon biofeedback, tibial nerve stimulation with a transcutaneous electrical nerve stimulation (TENS) machine, interferential therapy, abdominal massage or other therapies relevant
Pelvic floor physiotherapy will include individualised assessment of each subject with a tailored treatment program based on the assessment findings. Treatment may include education, lifestyle advice, toileting techniques, pelvic floor training (strength or down-training exercises), electromyography (EMG) or rectal balloon biofeedback, tibial nerve stimulation with a transcutaneous electrical nerve stimulation (TENS) machine, interferential therapy, abdominal massage or other therapies relevant for that subject. The duration of intervention will be tailored based on individualised patient assessment by the pelvic floor physiotherapist. All patients in the PFPT group will have a one-hour initial assessment with further review appointments as required every 3-4 weeks for a maximum of six months. For the remainder of the 12 month follow-up, there are no expected further appointments with PFPT.
Sponsors
Queen Elizabeth II Jubilee Hospital
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Adult patients admitted to QEII Hospital or Logan Hospital with acute diverticulitis within a 12 month period.
Exclusion criteria
Patients requiring emergency surgery or interventional radiology management on index presentation will be excluded. Patients admitted for elective procedures for diverticular disease will be excluded. Patients who do not consent to inclusion or who withdraw consent during the study period will be excluded. Patients randomised to the PFPT group but who do not attend at least one physiotherapy appointment within 6 months of discharge will be excluded.
Outcome results
None listed