Physical Exercise for Colorectal Cancer Patients After Transanal Total Mesorectal Excision

Taipei Medical University

Status: Unknown

Conditions: Rectal Cancer

Treatments: Other: pelvic floor muscle exercise before stoma closure; Other: pelvic floor muscle exercise after stoma closure

Study type: Interventional

Funder types: Other

Identifiers

NCT03120104

N201610007

Details and patient eligibility

About

Fecal incontinence is common in patients with rectal cancer after surgery. Previous studies showed that pelvic floor muscle and external sphincter muscle training after stoma closure could improve the severity of incontinence and other fecal symptoms, but there is no study about the effects of pelvic floor muscle exercise intervention before stoma closure. We are wondering would the symptom of fecal incontinence recover sooner and better if we give the pelvic floor muscle exercise intervention before the stoma closure. This article aims at comparing the effects of pelvic floor muscle training before stoma closure on fecal incontinence (pre-intervention group) with pelvic floor muscle training after stoma closure (post-intervention group), and we hypothesise that the severity of fecal incontinence will improve sooner and better in pre-intervention group.

Enrollment: 20 estimated patients

Sex: All

Ages: 20 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• rectal cancer patients who have received transanal total mesorectal excision(TaTME) surgery; 20~75 years old

Exclusion criteria

• terminal stage of cancer; unable to following orders due to poor cognitive condition; too weak to follow the experimental procedures; central nervous system lesions

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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20 participants in 2 patient groups

Pre-intervention group

Active Comparator group

Description:

Pre-intervention group interventions:pelvic floor muscle training for one month (2\~3 times a week, for 4 weeks) just one month before the stoma closure

Treatment:

Other: pelvic floor muscle exercise before stoma closure

Post-intervention group

Active Comparator group

Description:

Post-intervention group: pelvic floor muscle training for one month (2\~3 times a week, for 4 weeks) two weeks after the stoma closure

Treatment:

Other: pelvic floor muscle exercise after stoma closure