Table 2.
Abdominal trunk function protocol including disability rating index, Urogenital Distress Inventory, and Incontinence Impact Questionnaire, before, 1 year and 3 years after surgery for DRA
| Before surgery | 1-year follow-up | 3-year follow-up |
P
‡
|
|||
|---|---|---|---|---|---|---|
| 1 year after versus before surgery | 3 years after versus before surgery | 3 years after versus 1 year after surgery | ||||
| Abdominal trunk function protocol | n = 57 | n = 55 | n = 52 | |||
| Specific DRI† | ||||||
| Get dressed and undressed without help | 1 (0–70) | 0 (0–10) | 0 (0–13) | 0.006 | 0.001 | 0.13 |
| Taking walks | 4 (0–95) | 0 (0–44) | 0 (0–50) | <0.001 | <0.001 | 0.13 |
| Walk in stairs | 4 (0–94) | 0 (0–44) | 0 (0–42) | <0.001 | <0.001 | 0.31 |
| Sitting down for a longer period | 28 (0–96) | 0 (0–52) | 0 (0–73) | <0.001 | <0.001 | 0.26 |
| Stand bentover doing dishes | 40 (0–100) | 0 (0–53) | 0 (0–47) | <0.001 | <0.001 | 0.01 |
| Carry a suitcase or bag | 29 (0–83) | 1 (0–49) | 0 (0–90) | <0.001 | <0.001 | 0.02 |
| Making the bed | 13 (0–84) | 0 (0–45) | 0 (0–39) | <0.001 | <0.001 | 1.00 |
| Running | 49 (0–100) | 1 (0–96) | 0 (0–100) | <0.001 | <0.001 | 0.72 |
| Light manual labour | 21 (0–100) | 0 (0–50) | 0 (0–46) | <0.001 | <0.001 | 0.23 |
| Heavy manual labour | 64 (0–100) | 4 (0–98) | 0 (0–83) | <0.001 | <0.001 | 0.18 |
| Heavy lifts | 63 (1–100) | 10 (0–98) | 0 (0–98) | <0.001 | <0.001 | 0.02 |
| Exercise/sports | 54 (1–100) | 5 (0–94) | 0 (0–88) | <0.001 | <0.001 | 0.03 |
| Total DRI (0–1200 points) | 401 (19–1051) | 50 (0–696) | 0 (0–656) | <0.001 | <0.001 | 0.03 |
| Physiological tests | n = 53 | n = 55 | n = 43 | |||
| Back strength (seconds) | 75 (0–240) | 113 (0–240) | 138 (32–240) | <0.001 | <0.001 | 0.13 |
| Abdominal strength (seconds) | 49 (0–240) | 66 (15–240) | 79 (0–240) | <0.001 | 0.002 | 1.0 |
| Core stability, side plank (seconds) | 40 (0–120) | 56 (10–115) | 70 (6–118) | <0.001 | 0.002 | 0.75 |
| Core muscle strength and stability test (seconds) | 60 (0–180) | 74 (3–180) | 120 (11–240) | 0.004 | <0.001 | 0.003 |
| Difficulties with active straight leg raising (1–5 points) | 1 (1–5) | 1 (0–2) | 1 (1–3) | <0.001 | 0.18 | 0.01 |
| Pain during straight leg raising* | 8 (17) | 3 (6) | 4 (9) | 0.16§ | 0.32§ | 0.41§ |
| Pelvic tip during straight leg raising* | 9 (24) | 9 (17) | 22 (51) | 0.32§ | 0.03§ | 0.005§ |
| Pain during pelvic provocation* | 12 (24) | 3 (6) | 6 (14) | 0.008§ | 0.48§ | 0.10§ |
| Urogenital Distress Inventory (UDI-6) | 5 (0–16) | 2 (0–13) | 3 (0–13) | 0.001 | <0.001 | 0.09 |
| Incontinence Impact Questionnaire (IIQ-7) | 2 (0–18) | 0 (0–17) | 0 (0–17) | 0.001 | 0.004 | 1.0 |
Values are medians (range) unless otherwise indicated.
*values in parentheses are percentages.
†
The disability rating index (DRI) was standardized recorded on visual analogue scales measured in millimetres, and provided a score with a range of 0–100 for each activity, where 0 represented no difficulties at all performing the specific task, and 100 not being able to perform the task at all.
‡
Wilcoxon signed rank test, except
§
McNemars test.