Effect of Preoperative Graduated Abdominal Exercises and Russian Current Stimulation on Muscle Strength Post Ventral Hernioplasty
Phase: NA
Conditions: Muscle Strength
Sponsor: South Valley University

 
Official Title of Study: - 
 
 
 
EFFECT OF PREOPERATIVE GRADUATED 
ABDOMINAL EXERCISES AND RUSSIAN CURRENT 
STIMULATION ON MUSCLE STRENGTH POST 
VENTRAL HERNIOPLASTY 
 
 
 
 
 
 
 
 
 
Document Date: - 22/03/2021. 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Human Subjects protection review board 
approval date: -15/07/2018 

EFFECT OF PREOPERATIVE GRADUATED ABDOMINAL 
EXERCISES AND RUSSIAN CURRENT STIMULATION ON 
MUSCLE STRENGTH POST VENTRAL HERNIOPLASTY 
 
 
 
PURPOSE: 
 
 
This study will be aimed to assess the efficacy of preoperative 
abdominal exercises and Russian current on abdominal muscles strength 
in patients undergoing ventral hernioplasty postoperatively. 
 
 
 
BACKGROUND: 
 
Herniation refers to protrusion of an organ or tissue through an opening that 
may be natural or caused by a tear in the abdominal wall. Ventral 
abdominal hernia is a commonly acquired condition caused by the 
migration of viscera through a tear in the abdominal wall. The tear may be 
dorsal or ventral in the flank, along the costal arch or between the last few 
ribs. Ventral hernias commonly result from traumas caused by horn thrust, 
kick or violent contact with blunt objects or by an abdominal distension due 
to pregnancy or violent straining during parturition. 
Use of exercise prior to an acute stress or surgery has emerged as a viable 
perioperative 
risk 
reduction 
strategy. 
This 
concept, 
known 
as 
prehabilitation, was first used in sports medicine to reduce the impact of an 
injury prior to its occurrence. It has been explored as a method of 
preoperative optimization in patients undergoing elective intra-abdominal 
surgery 
 
HYPOTHESES: 
 
 
H0 there is no significance difference of the combination of 
preoperative graduated abdominal strengthening exercises with Russian 
current able to improve abdominal muscle strength after ventral 
hernioplasty 
 
 
H1 there is a significance difference of the combination of 
preoperative graduated abdominal strengthening exercises with Russian 
current able to improve abdominal muscle strength after ventral 
hernioplasty 
 
 
 

RESEARCH QUESTION: 
 
Was the combination of preoperative graduated abdominal strengthening 
exercises with Russian current able to improve abdominal muscle strength 
after ventral hernioplasty? 

Aim of the study: 
Inclusion criteria: 
 
 
1. Their age will be ranging from twenty to forty-five years. 
2. All patients desired an elective surgical repair. 
3. All patients were diagnosed with ventral hernia (Grade II & III) based 
on surgeon assessment. 
4. All patients were able to act in abdominal training program. 
5. All patients were able to follow orders during testing and training times. 
 
Exclusion criteria: 
 
 
1. A strangulated hernia. 
2. History of surgical interference (abdominal surgery) less than one year. 
3. Liver cirrhosis with or without ascites. 
4. Hip or spine deformities or contractures. 
5. Bowel obstruction, peritonitis, or perforation. 
6. Local or systemic infection. 
 
 
Methods for assessment: 
 
1. Biodex 3, isokinetic Dynamometer System (with back/abdominal 
unit). 
2. Ultrasound imaging (USI). 
 
Methods for treatment: 
 
1. Graduated Abdominal Exercises. 
2. Russian Stimulation.

RECRUITMENT 
Please state clearly how the participants will be identified, 
approached and recruited. 
 
Note: Attach a copy of any poster(s), advertisement(s) or letter(s) to 
be used for recruitment. 
 
 
 
The patients will be recruited from Outpatient Clinic of South Valley 
University Hospitals 
 
 
 
 
CONSENT 
 
 
Describe the process that the investigator(s) will be using to obtain valid 
consent. If consent is not to be obtained explain why. If the participants 
are minors or for other reasons are not competent to consent, describe the 
proposed alternate source of consent, including any permission / 
information letter to be provided to the person(s) providing the consent. 
 
 
 
I am                            freely and voluntarily consent to participate in a 
research program under the direction of M.Sc. 
A thorough description of the procedure has been explained and I understand 
that I may withdraw my consent and discontinue participation in this research 
at any time without prejudice to me. 
 
 
Date                                  Participant