Use of the Paula Method of Muscle Exercises Among Patients With Low Anterior Resection Syndrome After Sphincter-sparing Rectal Resection Using an Integrative Approach

Status: Recruiting
Location: See all (2) locations...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Sphincter sparing rectal resection surgery, either total mesorectal excision (TME) with a temporary loop ileostomy or partial mesorectal excision (PME), is the mainstay of rectal cancer treatment , however, these treatments are associated with the development of Low anterior resection syndrome (LARS). This syndrome is characterized by a constellation of symptoms such as fecal frequency, urgency and clustering of bowel movements and can lead to fecal and flatus incontinence. There is no gold standard therapy designed to treat the root cause of the problems associated with LARS. Paula Method of exercises, based on the theory that the body has the natural ability to self-heal and that all sphincter muscles in the body affect one another other and thus, exercising one healthy region can positively impact another. The purpose of this study is to evaluate the usefulness of the Paula Method of exercises in patients post sphincter sparing rectal resection surgery with LARS Syndrome.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• patients 6-18 months post restorative surgery (either resection with a primary functional anastomosis or after the closure of a temporary ileostomy following curative surgery for rectal cancer) and, if applicable, at least one month post last adjuvant chemotherapy treatment

• LARS score of 21 or greater

• age 18 or older

• able to read and write in Hebrew or English

• able and willing to comply with the study requirements.

Locations
Other Locations
Israel
Hadassah Medical Organization
RECRUITING
Jerusalem
Rabin Medical Center
NOT_YET_RECRUITING
Petah Tikva
Contact Information
Primary
Noam Shussman, MD
noams@hadassah.org.il
+972 2 6779758
Time Frame
Start Date: 2023-03-21
Estimated Completion Date: 2026-10-01
Participants
Target number of participants: 62
Treatments
Experimental: Paula Method
12 weeks of the Paula Method of muscle exercises with standard care
No_intervention: Standard Care
standard care
Related Therapeutic Areas
Sponsors
Leads: Hadassah Medical Organization

This content was sourced from clinicaltrials.gov