Abdominal Rectus Diastasis Microscopy and Rehabilitation
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Abdominal Rectus Diastasis
- Sponsor
- Umeå University
- Enrollment
- 48
- Locations
- 4
- Primary Endpoint
- Number of repetitions of deadlift with 20 kilograms
- Status
- Recruiting
- Last Updated
- last year
Overview
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:
- 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?
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.
Investigators
Karin Strigård
Professor
Umeå University
Eligibility Criteria
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
- •Connective tissue disease
- •Immunosuppressive treatment
- •Umbilical hernia \> 2 cm
Outcomes
Primary Outcomes
Number of repetitions of deadlift with 20 kilograms
Time Frame: Three and twelve months after surgery
Abdominal wall function measured
5 times sit to stand test time
Time Frame: Three and twelve months after surgery
Abdominal wall function measured with the 5 times sit to stand test
Secondary Outcomes
- VHPQ(Three and twelve months after surgery)
- PDI-score(Three and twelve months after surgery)
- PGPQ(Three and twelve months after surgery)
- PFDI-20 short form(Three and twelve months after surgery)