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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05142618
Other study ID # 2021H0336
Secondary ID R01DK131207
Status Recruiting
Phase N/A
First received
Last updated
Start date April 19, 2022
Est. completion date September 30, 2024

Study information

Verified date May 2023
Source Ohio State University
Contact Stephanie Di Stasi, PT, PhD
Phone 614-293-4220
Email abventuretrial@osumc.edu
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

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


Description:

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.


Recruitment information / eligibility

Status Recruiting
Enrollment 94
Est. completion date September 30, 2024
Est. primary completion date July 1, 2024
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility 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

Study Design


Intervention

Other:
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.
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.

Locations

Country Name City State
United States Ohio State University Wexner Medical Center Columbus Ohio

Sponsors (2)

Lead Sponsor Collaborator
Ohio State University National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Other Change in Hernia related quality of life survey from baseline Patient-reported questionnaire asking questions about abdominal wall function including activities of daily living, independent mobility, and mental health. baseline before surgery, 30 days after surgery
Other Change in Timed Up-And-Go time from baseline Starting seated in a standard chair, stand, walk forward 3 m, turn 180 deg, walk back to chair, sit down. Do all of these as quickly as can be done safely. baseline before surgery, 30 days after surgery
Other Change from baseline in International Physical Activity Questionnaire - Short Form Self-reported physical activity questions spanning sedentary behavior, job activity, transportation activity, household activity, and recreational activity. baseline before surgery, 30 days after surgery
Other Change from baseline in Tampa Scale of Kinesiophobia - Short Form Self-reported questions on how fear affects desire and ability to perform physical activities. baseline before surgery, 30 days after surgery
Other Change from Baseline in Five times sit-to-stand time From a standard chair, stand and sit back down five times in immediate succession as quickly as possible. baseline before surgery, 30 days after surgery
Other Change from Baseline in Patient-Reported Outcomes Measurement Information System (PROMIS) - Physical Function Computer-adaptive patient-reported questionnaire asking questions about physical function. baseline before surgery, 30 days after surgery
Other Change from Baseline in Quiet unstable sitting test Sit on an inflated cushion that creates an unstable surface for 60 seconds with eyes closed and arms crossed while counting to a metronome. baseline before surgery, 30 days after surgery
Other Change in Hernia related quality of life survey from baseline Patient-reported questionnaire asking questions about abdominal wall function including activities of daily living, independent mobility, and mental health. baseline before surgery, 6 months after surgery
Other Change in Timed Up-And-Go time from baseline Starting seated in a standard chair, stand, walk forward 3 m, turn 180 deg, walk back to chair, sit down. Do all of these as quickly as can be done safely. baseline before surgery, 6 months after surgery
Other Change from baseline in International Physical Activity Questionnaire - Long Form Self-reported physical activity questions spanning sedentary behavior, job activity, transportation activity, household activity, and recreational activity. baseline before surgery, 6 months after surgery
Other Change from baseline in Tampa Scale of Kinesiophobia - Short Form Self-reported questions on how fear affects desire and ability to perform physical activities. baseline before surgery, 6 months after surgery
Other Change from Baseline in Five times sit-to-stand time From a standard chair, stand and sit back down five times in immediate succession as quickly as possible. baseline before surgery, 6 months after surgery
Other Change from Baseline in Patient-Reported Outcomes Measurement Information System (PROMIS) - Physical Function Computer-adaptive patient-reported questionnaire asking questions about physical function. baseline before surgery, 6 months after surgery
Other Change from Baseline in Quiet unstable sitting test Sit on an inflated cushion that creates an unstable surface for 60 seconds with eyes closed and arms crossed while counting to a metronome. baseline before surgery, 6 months after surgery
Primary Change from Baseline in Five times sit-to-stand time From a standard chair, stand and sit back down five times in immediate succession as quickly as possible. Baseline before surgery, 10 weeks after surgery
Primary Change from Baseline in Patient-Reported Outcomes Measurement Information System (PROMIS) - Physical Function Computer-adaptive patient-reported questionnaire asking questions about physical function. Baseline before surgery, 10 weeks after surgery
Primary Change from Baseline in Quiet unstable sitting test Sit on an inflated cushion that creates an unstable surface for 60 seconds with eyes closed and arms crossed while counting to a metronome. Baseline before surgery, 10 weeks after surgery
Secondary Change in Hernia related quality of life survey from baseline Patient-reported questionnaire asking questions about abdominal wall function including activities of daily living, independent mobility, and mental health. baseline before surgery, 10 weeks after surgery
Secondary Change in Timed Up-And-Go time from baseline Starting seated in a standard chair, stand, walk forward 3 m, turn 180 deg, walk back to chair, sit down. Do all of these as quickly as can be done safely. baseline before surgery, 10 weeks after surgery
Secondary Change from baseline in International Physical Activity Questionnaire - Short Form Self-reported physical activity questions spanning sedentary behavior, job activity, transportation activity, household activity, and recreational activity. baseline before surgery, 10 weeks after surgery
Secondary Change from baseline in Tampa Scale of Kinesiophobia - Short Form Self-reported questions on how fear affects desire and ability to perform physical activities. baseline before surgery, 10 weeks after surgery
Secondary Hernia recurrence inventory Patient-reported questionnaire asking questions regarding a recurrence of the hernia based on pain and presence of a physical bulge. 1 year after surgery
Secondary Change in Hernia related quality of life survey from baseline Patient-reported questionnaire asking questions about abdominal wall function including activities of daily living, independent mobility, and mental health. baseline before surgery, 1 year after surgery
Secondary Change in Timed Up-And-Go time from baseline Starting seated in a standard chair, stand, walk forward 3 m, turn 180 deg, walk back to chair, sit down. Do all of these as quickly as can be done safely. baseline before surgery, 1 year after surgery
Secondary Change from baseline in International Physical Activity Questionnaire - Long Form Self-reported physical activity questions spanning sedentary behavior, job activity, transportation activity, household activity, and recreational activity. baseline before surgery, 1 year after surgery
Secondary Change from baseline in Tampa Scale of Kinesiophobia - Short Form Self-reported questions on how fear affects desire and ability to perform physical activities. baseline before surgery, 1 year after surgery
Secondary Change from Baseline in Five times sit-to-stand time From a standard chair, stand and sit back down five times in immediate succession as quickly as possible. baseline before surgery, 1 year after surgery
Secondary Change from Baseline in Patient-Reported Outcomes Measurement Information System (PROMIS) - Physical Function Computer-adaptive patient-reported questionnaire asking questions about physical function. baseline before surgery, 1 year after surgery
Secondary Change from Baseline in Quiet unstable sitting test Sit on an inflated cushion that creates an unstable surface for 60 seconds with eyes closed and arms crossed while counting to a metronome. baseline before surgery, 1 year after surgery
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