[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100347809":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":24,"centralContacts":29,"locations":38,"responsibleParty":109,"collaborators":12,"id":111,"slug":112,"hasResults":113,"nctId":114,"briefTitle":115,"officialTitle":115,"acronym":12,"eligibilityCriteria":116,"healthyVolunteers":113,"sex":117,"minAge":118,"maxAge":12,"enrollmentInfo":119,"targetDuration":12,"studyType":122,"phases":123,"briefSummary":125,"conditions":126,"keywords":129,"overallStatus":41,"whyStopped":12,"lastUpdateSubmitDate":133,"lastUpdatePostDateStruct":134,"startDateStruct":137,"completionDateStruct":139,"leadSponsor":141,"locationsCount":142},{"fullName":5,"class":6},"Insel Gruppe AG, University Hospital Bern","OTHER",[8,13],{"label":9,"type":10,"description":11,"interventionNames":12},"Control group","NO_INTERVENTION","The patients in the control group will receive standard physiotherapy and will be instructed to limit core muscle activity and weight bearing according to their pain symptomatology. Standard physiotherapy for all hospitalised patients includes early mobilization and exercises to prevent thrombosis and pulmonary complications (atelectasis, pneumonia, diaphragmatic deconditioning), balance training and endurance and exercise training",null,{"label":14,"type":15,"description":16,"interventionNames":17},"Intervention group","EXPERIMENTAL","The patients in the intervention group will be given exercises to perform postoperatively.They will be instructed by a physiotherapist in how to perform the four specific exercises targeting core muscles. The patient will perform these exercises daily during hospitalization under the supervision of the physiotherapist and then at home for two months after the operation. The intensity of the exercises will be adjusted daily to the physical capabilities of the patient. They will also benefit from standard physiotherapy as described above.",[18],"Other: Physiotherapy",[20],{"type":6,"name":21,"description":22,"armGroupLabels":23,"otherNames":12},"Physiotherapy","4 specific core muscle exercises, targeting abdominal muscles, to be performed daily from postoperative day one to 2 months postsurgery.",[14],[25],{"name":26,"affiliation":27,"role":28},"Guido Beldi, MD","Department for visceral surgery, University Hospital Bern, Inselspital, Switzerland","STUDY_DIRECTOR",[30,35],{"name":26,"role":31,"phone":32,"phoneExt":33,"email":34},"CONTACT","31 632 48 18","0041","guido.beldi@insel.ch",{"name":36,"role":31,"phone":32,"phoneExt":33,"email":37},"Stéphanie Perrodin, MD","stephanie.perrodin@insel.ch",[39,58,71,85,99],{"facility":40,"status":41,"city":42,"state":12,"zip":43,"country":44,"countryCode":45,"cosmosGeoPoint":46,"geoPoint":51,"contacts":52},"BundeswehrZentralkrankenhaus","RECRUITING","Koblenz","56070","Germany","DE",{"type":47,"coordinates":48},"Point",[49,50],7.57883,50.35357,{"lat":50,"lon":49},[53],{"name":54,"role":31,"phone":55,"phoneExt":56,"email":57},"Arnulf Willms, PD","26128122801","0049","ArnulfWillms@bundeswehr.org",{"facility":59,"status":60,"city":61,"state":62,"zip":63,"country":64,"countryCode":65,"cosmosGeoPoint":66,"geoPoint":70,"contacts":12},"Kantonsspital Olten","TERMINATED","Olten","Canton of Solothurn","4600","Switzerland","CH",{"type":47,"coordinates":67},[68,69],7.90329,47.34999,{"lat":69,"lon":68},{"facility":72,"status":41,"city":73,"state":12,"zip":74,"country":64,"countryCode":65,"cosmosGeoPoint":75,"geoPoint":79,"contacts":80},"University Hospital of Bern, Inselspital","Bern","3010",{"type":47,"coordinates":76},[77,78],7.44744,46.94809,{"lat":78,"lon":77},[81,84],{"name":82,"role":31,"phone":83,"phoneExt":12,"email":34},"Guido Beldi, Prof","+41316324818",{"name":36,"role":31,"phone":83,"phoneExt":12,"email":37},{"facility":86,"status":41,"city":87,"state":12,"zip":88,"country":64,"countryCode":65,"cosmosGeoPoint":89,"geoPoint":93,"contacts":94},"CHUV, University Hospital of Lausanne","Lausanne","1010",{"type":47,"coordinates":90},[91,92],6.63282,46.516,{"lat":92,"lon":91},[95],{"name":96,"role":31,"phone":97,"phoneExt":33,"email":98},"Martin Hubner, Prof","79 556 88 38","martin.hubner@chuv.ch",{"facility":100,"status":101,"city":102,"state":12,"zip":103,"country":64,"countryCode":65,"cosmosGeoPoint":104,"geoPoint":108,"contacts":12},"Bürgerspital Solothurn","WITHDRAWN","Solothurn","4500",{"type":47,"coordinates":105},[106,107],7.53714,47.20791,{"lat":107,"lon":106},{"type":110,"investigatorFullName":12,"investigatorTitle":12,"investigatorAffiliation":12,"oldNameTitle":12,"oldOrganization":12},"SPONSOR","100347809","impact-of-core-muscle-training-on-incisional-hernia-and-pain-after-abdominal-surgery-100347809",false,"NCT03808584","Impact of Core Muscle Training on Incisional Hernia and Pain After Abdominal Surgery","Inclusion Criteria:\n\n1. At the University Hospital of Bern, Kantonsspital Solothurn and Olten and BundeswehrZentralkrankenhaus Koblenz:\n\n   * Informed Consent as documented by signature (Appendix Informed Consent Form)\n   * Age \\> 18 years\n   * Capable of judgment\n   * Undergoing elective or emergency abdominal surgery\n   * Laparoscopic or open surgery, midline or transverse incision\n2. At the University Hospital of Lausanne:\n\n   * Informed Consent as documented by signature (Appendix Informed Consent Form)\n   * Age \\> 18 years\n   * Capable of judgment\n   * Undergoing elective open abdominal surgery\n   * Midline or transverse incision\n\nExclusion criteria (in all four participating centres):\n\n* Inability to follow the procedures of the study, e.g. due to language problems, psychological disorders (chronic depression, under antidepressants or neuroleptics), dementia, etc. of the participant\n* Enrolment of the investigator, his\u002Fher family members, employees and other dependent persons\n* Neuromuscular diseases (such as myasthenia gravis or wheelchair-bound patient)\n* Preexisting chronic pain disorder, patients under chronic opioid therapy (WHO II and III) or pain modulating drugs (antidepressive medication or antiepileptic medication)\n* End-stage disease\n* Patients with preexisting abdominal wall mesh, with the exception of inguinal mesh (after inguinal hernia repair)","ALL","18 Years",{"count":120,"type":121},588,"ESTIMATED","INTERVENTIONAL",[124],"NA","The current practice to avoid incisional hernia, one of the most frequent complications following abdominal surgery, is to minimize core muscle activity in the postoperative phase. However, there is no evidence to support the association of core muscle activity and increased incidence of incisional hernia. On the contrary, it is likely that reduced physical activity could lead to physical deconditioning, chronic postsurgical pain (CPSP), and sarcopenia. The investigators will conduct a prospective multicentric randomized clinical trial to compare standard of care to core muscle exercises targeting the abdominal muscles immediately postsurgery. The principle hypothesis is that neither specific exercises of core muscles before and after surgery nor physical restriction alter the incidence of incisional hernias. Secondly the impact of postoperative rehabilitation on CPSP and sarcopenia will be assessed.",[127,128],"Hernia Incisional","Exercise",[130,131,132],"Core muscle exercise","rehabilitation","Incisional hernia","2026-04-28",{"date":135,"type":136},"2026-05-05","ACTUAL",{"date":138,"type":136},"2019-05-20",{"date":140,"type":121},"2030-12-31",{"name":5,"class":6},5]