Pilot Trial of Abdominal Core Rehabilitation To Improve Outcomes After Ventral Hernia Repair

NCT ID: NCT05142618

Last Updated: 2024-12-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

138 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-04-19

Study Completion Date

2025-12-31

Brief Summary

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This study aims to evaluate the potential role of physical therapy in improving outcomes after ventral hernia repair.

Detailed Description

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After being informed about the study and potential risks, all patients giving written informed consent will perform assessments of several activities of daily living and complete several surveys detailing their pre-surgical abilities, quality of life, and pain. Immediately after their surgical procedure, patients will be randomized in a single-blind manner (investigator) in a 1:1 ratio to supervised physical therapy (8 weeks, twice weekly) or standard post-surgical precautions. Assessments and surveys will be repeated by the blinded investigator at 30 days, 10 weeks, 6 months, and 1 year after surgery.

Conditions

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Ventral Hernia Hernia Herniorrhaphy Abdominal Wall Postoperative Period Physical Therapy Modalities

Keywords

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ventral hernia repair abdominal core health physical therapy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Standard Post-operative Instructions

Participants in the control group will be told upon post-operative discharge that they should follow the post-operative instructions.

Group Type ACTIVE_COMPARATOR

Post-operative Precautions

Intervention Type OTHER

This intervention includes standard of care post-operative instructions typically given to patients undergoing ventral hernia repair across the world. These include limiting strenuous physical activity and a lifting restriction of no more than 10 pounds for 6 weeks. Binder use is also encouraged for 4-6 weeks after the operation.

Supervised Physical Therapy

Participants in the physical therapy group will be scheduled for visits to the physical therapy clinic beginning two weeks after surgery, and will undergo supervised physical therapy treatments approximately twice per week for eight weeks according to a standardized evidence-based post-operative abdominal core surgery rehabilitation program.

Group Type EXPERIMENTAL

Supervised Physical Therapy

Intervention Type OTHER

The twice-per-week 8-week course of supervised physical therapy begins 2 weeks after surgery. It targets abdominal core function through progressive muscle retraining and strengthening, and patient-specific posture and body mechanics education.

Interventions

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Supervised Physical Therapy

The twice-per-week 8-week course of supervised physical therapy begins 2 weeks after surgery. It targets abdominal core function through progressive muscle retraining and strengthening, and patient-specific posture and body mechanics education.

Intervention Type OTHER

Post-operative Precautions

This intervention includes standard of care post-operative instructions typically given to patients undergoing ventral hernia repair across the world. These include limiting strenuous physical activity and a lifting restriction of no more than 10 pounds for 6 weeks. Binder use is also encouraged for 4-6 weeks after the operation.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Ages 18+
* Diagnosis of ventral hernia
* Scheduled for elective ventral hernia repair
* Independent functional status
* Transverse hernia width of 2cm or greater

Exclusion Criteria

* Previously diagnosed movement or balance disorder
* Use of ambulatory assistive device (walker or cane)
* Not currently undergoing or planning to undergo physical therapy or other skilled exercise intervention supervised by a medical rehabilitation professional
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

NIH

Sponsor Role collaborator

Ohio State University

OTHER

Sponsor Role lead

Responsible Party

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Ajit Chaudhari

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Ohio State University Wexner Medical Center

Columbus, Ohio, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Informed Consent Form

View Document

Other Identifiers

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R01DK131207

Identifier Type: NIH

Identifier Source: secondary_id

View Link

2021H0336

Identifier Type: -

Identifier Source: org_study_id