Abdominal Rectus Diastasis Microscopy and Rehabilitation (AMIRE) (AMIRE)
Abdominal Rectus Diastas Mikroskopi och Rehabilitering
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:
- Does structured postoperative abdominal exercise improve abdominal wall function in three months and twelve months after surgical correction of abdominal rectus diastasis
- Does connective tissue components differ in patients with abdominal rectus diastasis when compared to healthy individuals?
Studieöversikt
Status
Betingelser
Intervention / Behandling
Detaljerad beskrivning
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.
Studietyp
Inskrivning (Beräknad)
Fas
- Inte tillämpbar
Kontakter och platser
Studieorter
-
-
Dalarna County
-
Mora, Dalarna County, Sverige, 79251
- Surgical clinic at Mora Hospital
-
-
Norrbotten County
-
Gällivare, Norrbotten County, Sverige, 98234
- Surgical clinic at Gällivare Hospital
-
-
Västerbotten County
-
Skellefteå, Västerbotten County, Sverige, 93141
- Surgical clinic at the district hospital of Skellefteå
-
Umeå, Västerbotten County, Sverige, 90737
- University Hospital of Umeå
-
-
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
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
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Trippel
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
|
Experimentell: Intervention
24 patients that receive a postoperative rehabilitation program to follow after they undergo surgery for abdominal rectus diastasis. |
The rehabilitation program is created by a physical therapist |
|
Inget ingripande: Control
24 patients that undergo surgery for abdominal rectus diastasis and can exercise freely after surgery. |
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
5 times sit to stand test time
Tidsram: Three and twelve months after surgery
|
Abdominal wall function measured with the 5 times sit to stand test |
Three and twelve months after surgery
|
|
Number of repetitions of deadlift with 20 kilograms
Tidsram: Three and twelve months after surgery
|
Abdominal wall function measured |
Three and twelve months after surgery
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
VHPQ
Tidsram: Three and twelve months after surgery
|
Ventral hernia pain questionnaire collect information on the patients experience of pain |
Three and twelve months after surgery
|
|
PDI-score
Tidsram: 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. |
Three and twelve months after surgery
|
|
PGPQ
Tidsram: Three and twelve months after surgery
|
Patient goal priority questionnaire collect information on activities the patient wish to improve using the intervention |
Three and twelve months after surgery
|
|
PFDI-20 short form
Tidsram: 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). |
Three and twelve months after surgery
|
Samarbetspartners och utredare
Sponsor
Studieavstämningsdatum
Studera stora datum
Studiestart (Faktisk)
Primärt slutförande (Beräknad)
Avslutad studie (Beräknad)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Andra studie-ID-nummer
- 2022-06512-01
Plan för individuella deltagardata (IPD)
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