Effect of Abdominal Exercises and Russian Stimulation on The Abdominal Muscles Strength After Abdominoplasty

Study Overview
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Brief Summary
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To investigate the effect of preoperative graduated abdominal exercises and Russian stimulation on the abdominal muscles' strength after abdominoplasty

Detailed Description
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To investigate the effect of preoperative graduated abdominal exercises and Russian stimulation on the abdominal muscles' strength after abdominoplasty. Sixty patients will undergo abdominoplasty, their age ranged from 20 to 45 years, they were randomly distributed into four equal groups. The ultrasonography was used to evaluate abdominal muscle thickness as indicator for muscle strength at 4 occasions, initial assessment, pre-operative assessment, 2 months post-operative assessment, and finally 4 months post-operative assessment). For study group (A); received graduated abdominal exercises, group (B); received Russian stimulation on abdominal muscles, group (c); received combination between graduated abdominal exercises and Russian stimulation on abdominal muscles, the study groups received the treatment protocol for 30 min., 3 times per week for 6 weeks preoperatively for control group (D); were instructed to presume in normal activities of daily living preoperatively

Official Title
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Effect of Preoperative Graduated Abdominal Exercises and Russian Stimulation on The Abdominal Muscles Strength After Abdominoplasty

Conditions
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Abdominoplasty

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


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age range between 20-45 years. All patients desire an elective surgical repair. All patients were diagnosed with ventral hernia based on surgeon assessment. All patients will participate in the study. All patients enrolled to the study will have their informed consent. All patients are able to act in abdominal training program. All patients are able to follow orders during testing and training times. Exclusion Criteria: A strangulated hernia. History of surgical interference (abdominal surgery) less than one year. Liver cirrhosis with or without ascites. Hip or spine deformities or contractures. Bowel obstruction, peritonitis, or perforation. Local or systemic infection. Patient is pregnant or intended to become pregnant during this period. Patient has indication for urgent surgery determinate by surgeon.

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 will undergo abdominoplasty, their age ranged from 20 to 45 years, they were randomly distributed into four equal groups. The ultrasonography was used to evaluate abdominal muscle thickness as indicator for muscle strength at 4 occasions, initial assessment, pre-operative assessment, 2 months post-operative assessment, and finally 4 months post-operative assessment). For study group (A); received graduated abdominal exercises, group (B); received Russian stimulation on abdominal muscles, group (c); received combination between graduated abdominal exercises and Russian stimulation on abdominal muscles, the study groups received the treatment protocol for 30 min., 3 times per week for 6 weeks preoperatively for control group (D); were instructed to presume in normal activities of daily living preoperatively
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: The Study group A<br>they received graduated abdominal strengthening exercises for 30 min., 3 times per week for 6 weeks preoperatively. | Other: Graduated abdominal strengthening exercises<br>* Graduated abdominal strengthening exercises In this study the following equipments will be used to achieve treatment approaches: Exercise mat and inflatable Swiss ball 55 cm & 65 cm diameter. Wall bar, wedges, elastic tubing (Thera-band) with resistance ranges from light to very heavy (yellow, red, blue, green, and gray colors).<br>|
| Experimental: The Study group B<br>they received Russian stimulation on abdominal muscles for 30 min., 3 times per week for 6 weeks preoperatively. | 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>they received combination between graduated abdominal strengthening exercises and Russian stimulation on abdominal muscles for 30 min., 3 times per week for 6 weeks preoperatively. | Other: Combination Product: Graduated abdominal strengthening exercises and the Russian current stimulation<br>* Graduated abdominal strengthening exercises and the Russian current stimulation In this study the following equipments will be used to achieve treatment approaches: Exercise mat and inflatable Swiss ball 55 cm & 65 cm diameter. Wall bar, wedges, elastic tubing (Thera-band) with resistance ranges from light to very heavy (yellow, red, blue, green, and gray colors). The Russian current is used for enhancing muscle; the muscular fiber by the electric stimulation.<br>|
| No Intervention: The Control group D<br>they were instructed to presume in normal activities of daily living preoperatively, without abdominal exercises or Russian stimulation. | |

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 42 days 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 42 days 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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abdominoplasty, Abdominal Exercises, Ultrasonography, Muscle Strength, Russian stimulation