Effect of Preoperative Abdominal Exercises and Russian Current on Muscle Strength Post Ventral Hernioplasty

Study Overview
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Brief Summary
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The study was conducted to investigate the effect of preoperative graduated abdominal strengthening exercises and Russian stimulation on the abdominal muscles strength after ventral hernioplasty by using isokinetic dynamometer and Ultrasonography as methods of measurement.

Detailed Description
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The study was conducted to investigate the effect of preoperative graduated abdominal strengthening exercises and Russian stimulation on the abdominal muscles strength after ventral hernioplasty by using isokinetic dynamometer and Ultrasonography as methods of measurement.

Official Title
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Effect of Preoperative Graduated Abdominal Exercises and Russian Current Stimulation on Muscle Strength Post Ventral Hernioplasty

Conditions
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Muscle Strength

Intervention / Treatment
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* Other: Graduated abdominal strengthening exercises
* Device: The Russian current stimulation
* Combination Product: Graduated abdominal strengthening exercises and the Russian current stimulation


Participation Criteria
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Eligibility Criteria
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Criteria of inclusion: The age is from 20 to 45 years. All patients want to optionally repair surgery. Ventral hernia is diagnosed on the basis of a surgeon evaluation. The study will include all patients. The informed consent of all the patients enrolled. Criteria for exclusion: history of surgical interference for less than one year (abdominal surgery). Cirrhosis of the liver with ascites or without them. Deformity or contracture of the hip or spine. Obstruction of bowel, peritonitis or drilling.

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 45 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Factorial Assignment
Interventional Model Description: Sixty patients with ventral hernia, preoperatively, were randomly distributed into four equal groups: groups (A) & (B) & (C) ( three study groups ) and group (D) ( control group ).
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: The Study group A<br>graduated abdominal strengthening exercises group | Other: Graduated abdominal strengthening exercises<br>* Exercise mat and inflatable Swiss ball Wall bar, wedges, elastic tubing<br>|
| Experimental: The Study group B<br>Russian stimulation group | Device: The Russian current stimulation<br>* The Russian current is used for enhancing muscle; the muscular fiber by the electric stimulation.<br>|
| Experimental: The Study group C<br>combination group | Combination Product: Graduated abdominal strengthening exercises and the Russian current stimulation<br>* Combination between The Russian current and abdominal exercises<br>|
| No Intervention: The Control group D<br>presume in normal activities of daily living. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Abdominal muscles peak torque | Peak torque is the single highest torque output of the joint produced by muscular contraction as the limb moves through the range of motion. | first or initial assessment at day 0. | 
| Abdominal muscles peak torque | Peak torque is the single highest torque output of the joint produced by muscular contraction as the limb moves through the range of motion. | second or preoperative assessment after 6 weeks of treatment. | 
| Abdominal muscles peak torque | Peak torque is the single highest torque output of the joint produced by muscular contraction as the limb moves through the range of motion. | third assessment at 2 months post-operative. | 
| Abdominal muscles peak torque | Peak torque is the single highest torque output of the joint produced by muscular contraction as the limb moves through the range of motion. | fourth assessment at 4 months post-operative. | 
| Abdominal muscles thickness | it is a method for muscle strength measurement as muscle strength is correlated to its cross section or diameter. | first or initial assessment at day 0. | 
| Abdominal muscles thickness | it is a method for muscle strength measurement as muscle strength is correlated to its cross section or diameter. | second or preoperative assessment after 6 weeks of treatment. | 
| Abdominal muscles thickness | it is a method for muscle strength measurement as muscle strength is correlated to its cross section or diameter. | third assessment at 2 months post-operative. | 
| Abdominal muscles thickness | it is a method for muscle strength measurement as muscle strength is correlated to its cross section or diameter. | fourth assessment at 4 months post-operative. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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ventral hernia, graduated abdominal exercises, isokinetic dynamometer.