Abdominal Trunk Function After Surgical Repair of Abdominal Rectus Muscle Diastasis

Karolinska Institute

Status: Completed

Conditions: Rectus Abdominus; Diastasis, Complicating Delivery

Treatments: Procedure: Surgical repair of the diastasis

Study type: Interventional

Funder types: Other

Identifiers

NCT03623594

ARD

Details and patient eligibility

About

There is insufficient evidence regarding the benefit from surgical reconstruction of post-partum abdominal rectus muscle diastasis. The purpose of this study is to evaluate the abdominal trunk function preoperatively and postoperatively in a group of women undergoing surgery for abdominal rectus muscle diastasis.

Full description

There is little evidence regarding the various treatment options of abdominal rectus muscle diastasis in post-partum women. The lack of evidence may, to a great extent, be explained by the lack of uniform criteria for assessing the trunk function and how the trunk function affects the ability to perform daily activities. To be able to evaluate the condition with symptomatic ARD a more comprehensive, multimodal instrument is therefore needed.

In collaboration with the surgical clinic and the physiotherapy clinic at Södersjukhuset a multimodal examination test was developed with the purpose to be able to evaluate the full picture of the condition.

The purpose of this study was to evaluate the effect of surgical reconstruction of post-partum abdominal rectus muscle diastasis in women with insufficient improvement after adequate physical training using a novel multimodal evaluation tool.

Enrollment: 60 patients

Sex: Female

Ages: 18 to 55 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Non-smoking women
• BMI <35
• Inter-recti distance >3cm
• Lack of response to standardized core stabilizing training
• >1 year since last partus
• No intention of further pregnancies

Exclusion criteria

• Inability to quit smoking
• BMI >35
• Inter-recti distance <3cm
• <1 year since last partus
• Further pregnancies not excluded

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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60 participants in 1 patient group

Surgical repair of the diastasis

Experimental group

Description:

Repair of the diastasis with a double row plication using absorbable Quill suture

Treatment:

Procedure: Surgical repair of the diastasis