Abdominal Rectus Diastasis
Conditions
Keywords
Randomised controlled trial, Rehabilitation
Brief summary
The goal of this randomised controlled trial is to evaluate the effect of a postoperative rehabilitation program after surgical correction of abdominal rectus diastasis. The main questions to answer are: 1. Does structured postoperative abdominal exercise improve abdominal wall function in three months and twelve months after surgical correction of abdominal rectus diastasis 2. Does connective tissue components differ in patients with abdominal rectus diastasis when compared to healthy individuals?
Detailed description
The investigators want to include patients in Sweden that are eligible for surgical correction of their abdominal rectus diastasis. Patients will be recruited at the surgical clinic at four hospitals in Sweden. After being informed about the study and potential risks, all patient give written informed consent. Randomisation is performed upon inclusion. All patients undergo surgery by plication of the linea alba. A blood sample is collected prior to the surgery. During the surgery the skin, connective tissue and rectus muscle are biopsied. On the first postoperative day, another blood sample is collected. Follow up is conducted three and twelve months after surgery.
Interventions
OTHERPostoperative rehabilitation program
The rehabilitation program is created by a physical therapist
Sponsors
Umeå University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Caregiver, Investigator, Outcomes Assessor)
Intervention model description
One intervention group that receive a postoperative rehabilitation programme. One control group that can train freely.
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Diastasis \> 3 cm * At least 1 year since child birth * One year of steady weight after weightloss * BMI \< 30 * Males with diastasis above and below umbilicus
Exclusion criteria
* New planned pregnancy * Smoker * Connective tissue disease * Immunosuppressive treatment * Umbilical hernia \> 2 cm
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 5 times sit to stand test time | Three and twelve months after surgery | Abdominal wall function measured with the 5 times sit to stand test |
| Number of repetitions of deadlift with 20 kilograms | Three and twelve months after surgery | Abdominal wall function measured |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| VHPQ | Three and twelve months after surgery | Ventral hernia pain questionnaire collect information on the patients experience of pain |
| PDI-score | Three and twelve months after surgery | Pain disability index collect information on how pain influence daily life attributes. Minimum score 0, maximum score 70. A lower score means less disability. |
| PGPQ | Three and twelve months after surgery | Patient goal priority questionnaire collect information on activities the patient wish to improve using the intervention |
| PFDI-20 short form | Three and twelve months after surgery | Pelvic floor disability index short form collect information on symptoms from the urogenital organs. Minimum score 0, maximum score 40. Absence of symptoms (score 0), symptoms with mild distress (1-15), symptoms with moderate distress (16-34), symptoms with severe distress (35-40). |
Countries
Sweden
Contacts
Primary ContactAnnie Silfvenius, Phd-student
Backup ContactKarin Strigård, Professor
Outcome results
None listed