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?
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
48
The rehabilitation program is created by a physical therapist
Surgical clinic at Mora Hospital
Mora, Dalarna County, Sweden
RECRUITINGSurgical clinic at Gällivare Hospital
Gällivare, Norrbotten County, Sweden
RECRUITINGSurgical clinic at the district hospital of Skellefteå
Skellefteå, Västerbotten County, Sweden
5 times sit to stand test time
Abdominal wall function measured with the 5 times sit to stand test
Time frame: Three and twelve months after surgery
Number of repetitions of deadlift with 20 kilograms
Abdominal wall function measured
Time frame: Three and twelve months after surgery
VHPQ
Ventral hernia pain questionnaire collect information on the patients experience of pain
Time frame: Three and twelve months after surgery
PDI-score
Pain disability index collect information on how pain influence daily life attributes. Minimum score 0, maximum score 70. A lower score means less disability.
Time frame: Three and twelve months after surgery
PGPQ
Patient goal priority questionnaire collect information on activities the patient wish to improve using the intervention
Time frame: Three and twelve months after surgery
PFDI-20 short form
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).
Time frame: Three and twelve months after surgery
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University Hospital of Umeå
Umeå, Västerbotten County, Sweden
RECRUITING