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Impact of Core Muscle Training on Incisional Hernia and Pain After Abdominal Surgery
Sponsor: Insel Gruppe AG, University Hospital Bern
Summary
The current practice to avoid incisional hernia, one of the most frequent complications following abdominal surgery, is to minimize core muscle activity in the postoperative phase. However, there is no evidence to support the association of core muscle activity and increased incidence of incisional hernia. On the contrary, it is likely that reduced physical activity could lead to physical deconditioning, chronic postsurgical pain (CPSP), and sarcopenia. The investigators will conduct a prospective multicentric randomized clinical trial to compare standard of care to core muscle exercises targeting the abdominal muscles immediately postsurgery. The principle hypothesis is that neither specific exercises of core muscles before and after surgery nor physical restriction alter the incidence of incisional hernias. Secondly the impact of postoperative rehabilitation on CPSP and sarcopenia will be assessed.
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
588
Start Date
2019-05-20
Completion Date
2026-12
Last Updated
2023-12-22
Healthy Volunteers
No
Conditions
Interventions
Physiotherapy
4 specific core muscle exercises, targeting abdominal muscles, to be performed daily from postoperative day one to 2 months postsurgery.
Locations (5)
BundeswehrZentralkrankenhaus
Koblenz, Germany
Kantonsspital Olten
Olten, Canton of Solothurn, Switzerland
University Hospital of Bern, Inselspital
Bern, Switzerland
CHUV, University Hospital of Lausanne
Lausanne, Switzerland
Bürgerspital Solothurn
Solothurn, Switzerland