Clinical trial Recruiting at 1 site Interventional Ages 18 to 65

Aerobic exercise and guided imagery for bowel problems after rectal cancer surgery

Official title: "The Effects of Aerobic Exercise and Guided Imagery on Low Anterior Resection Syndrome After Rectal Cancer Surgery: A Randomized Controlled Study"

Run by Biruni University · NCT07732894 · Data updated 2026-11-12

This study tests whether a program of aerobic exercise plus guided imagery helps people with low anterior resection syndrome after rectal cancer surgery.

Quick facts

Study typeInterventional
Ages18 Years to 65 Years
SexAll
Enrollment50 (estimated)
SponsorBiruni University
Academic / other
Locations1 site (Istanbul)
StatusRecruiting
StartedDecember 30, 2025
Main results expectedDecember 30, 2026
Study endsMay 30, 2027
Registry record updatedJuly 29, 2026
Trial IDNCT07732894 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with rectal cancer who have undergone sphincter-preserving surgery, currently have at least mild LARS, and can perform perineal contractions.

Probably not a fit

Patients with severe comorbidity, BMI over 30, or inability to participate in exercise or guided imagery may have limited or no benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This multicenter randomized study evaluates whether adding aerobic exercise and guided imagery to standard care improves bowel symptoms, quality of life, physical activity, functional capacity, and psychological well-being in patients with LARS after rectal cancer surgery. Participants are randomly assigned to receive the combined intervention or standard care alone, with assessments at baseline and after the intervention using validated measures. The trial focuses on adults with a history of rectal cancer who have moderate LARS symptoms and the ability to participate in the intervention. Outcomes include patient-reported and clinical measures to capture both symptom changes and overall well-being.

Why it matters

Potential benefit: If successful, the program could provide a non-pharmacologic option to alleviate LARS symptoms and improve quality of life.

How similar studies have gone: Previous studies in cancer survivors suggest exercise improves physical function and well-being, but data specifically for LARS are limited, making this approach exploratory in this setting.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Upper-Middle-Lower Rectal Cancer
* Having undergone surgery with TMJ
* Having a protective ileostomy and a closed stoma
* Being tumor-free according to laboratory reports (carcinoembryonic antigen), endoscopic findings, and abdominal ultrasonography and/or computed tomography data
* Having at least minor LARS scores ("between 21" and "42") according to the -LARS scoring questionnaire
* Having the ability to perform voluntary perineal traction contractions with perineal palpation
* Being a volunteer with informed consent

Exclusion Criteria:

* History of incontinence or defecation disorder not related to rectal cancer
* Having another type of surgery for rectal cancer (Hartmann procedure, abdominoperineal excision, transanal endoscopic microsurgical resection, or sigmoid resection)
* Deterioration in general health, neurological disease and/or physical disability
* BMI \> 30 kg/m2 (obese individuals)
* Inability to answer questions or make interventions due to mental disorder

Where it's running

  • Memorial Bahçelievler Hospital
    Istanbul, Turkey (Türkiye)
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.