Study of Postoperative Rehabilitation After Surgery for Abdominal Rectus Diastasis in Adults Aged 18 to 65

What this Trial Is About

Researchers are evaluating the effects of a postoperative rehabilitation program for patients undergoing surgical correction of abdominal rectus diastasis, a condition where the abdominal muscles separate. The study aims to determine if structured abdominal exercises after surgery improve abdominal wall function at three and twelve months and to compare connective tissue components in patients with this condition to healthy individuals. This randomized controlled trial is conducted in Sweden and sponsored by Ume University. Participants will all undergo surgery to correct the abdominal rectus diastasis by plication of the linea alba. They are randomly assigned to one of two groups one group follows a postoperative rehabilitation program designed by a physical therapist, while the other group is allowed to exercise freely without a structured program. Blood samples and tissue biopsies from skin, connective tissue, and rectus muscle are collected before and during surgery. Follow-up assessments occur at three and twelve months after surgery. During the study, participants will be evaluated using physical function tests such as the 5 times sit to stand test and repetitions of a 20-kilogram deadlift at three and twelve months post-surgery. They will also complete questionnaires assessing pain, disability, and pelvic floor distress. Safety and progress are monitored through clinical visits and sample collections. The total participation time covers pre-surgery, surgery day procedures, and follow-ups at three and twelve months.

Abdominal Rectus Diastasis Microscopy and Rehabilitation (AMIRE)