Clinical trial NCT04712331: Effect of Abdominal Exercises and Russian Stimulation on The Abdominal Muscles Strength After Abdominoplasty
Official title: Effect of Preoperative Graduated Abdominal Exercises and Russian Stimulation on The Abdominal Muscles Strength After Abdominoplasty
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Abdominoplasty
Keywords: abdominoplasty
Abdominal Exercises
Ultrasonography
Muscle Strength
Russian stimulation
Lead sponsor: South Valley University
Sponsor class: OTHER
First posted: 2021-01-15
Enrollment: 60
Sex: ALL
Minimum age (years): 20
Maximum age (years): 45
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: FACTORIAL
Intervention 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
Primary purpose: TREATMENT

Brief summary: To investigate the effect of preoperative graduated abdominal exercises and Russian stimulation on the abdominal muscles' strength after abdominoplasty

Detailed description: 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

Eligibility criteria: 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.

Primary outcomes:
measure: Abdominal muscles peak torque
timeFrame: first or initial assessment at day 0.
measure: Abdominal muscles peak torque
timeFrame: second or preoperative assessment after 42 days of treatment.
measure: Abdominal muscles peak torque
timeFrame: third assessment at 2 months post-operative.
measure: Abdominal muscles peak torque
timeFrame: fourth assessment at 4 months post-operative.
measure: Abdominal muscles thickness
timeFrame: first or initial assessment at day 0.
measure: Abdominal muscles thickness
timeFrame: second or preoperative assessment after 42 days of treatment.
measure: Abdominal muscles thickness
timeFrame: third assessment at 2 months post-operative.
measure: Abdominal muscles thickness
timeFrame: fourth assessment at 4 months post-operative.
Secondary outcomes:
Other outcomes:
Locations:
city: Qina
country: Egypt
facility: South Valley University, Faculty of Physical Therapy
Study officials:
affiliation: South Valley University
name: Mohammed E. Ali, Ph.D student
role: PRINCIPAL_INVESTIGATOR
affiliation: South Valley University
name: Ayman M. Elmakaky
role: PRINCIPAL_INVESTIGATOR
References:
citation: de Vries CEE, Klassen AF, Hoogbergen MM, Alderman AK, Pusic AL. Measuring Outcomes in Cosmetic Abdominoplasty: The BODY-Q. Clin Plast Surg. 2020 Jul;47(3):429-436. doi: 10.1016/j.cps.2020.03.003. Epub 2020 Apr 17.
citation: Le Roy B, Selvy M, Slim K. The concept of prehabilitation: What the surgeon needs to know? J Visc Surg. 2016 Apr;153(2):109-12. doi: 10.1016/j.jviscsurg.2016.01.001. Epub 2016 Feb 3.
citation: Knight KA, Moug SJ, West MA. Systematic review: the impact of exercise on mesenteric blood flow and its implication for preoperative rehabilitation. Tech Coloproctol. 2017 Mar;21(3):185-201. doi: 10.1007/s10151-017-1589-9. Epub 2017 Feb 27.
citation: Valkenet K, van de Port IG, Dronkers JJ, de Vries WR, Lindeman E, Backx FJ. The effects of preoperative exercise therapy on postoperative outcome: a systematic review. Clin Rehabil. 2011 Feb;25(2):99-111. doi: 10.1177/0269215510380830. Epub 2010 Nov 8.
citation: Park SH, Hwangbo G. Effects of combined application of progressive resistance training and Russian electrical stimulation on quadriceps femoris muscle strength in elderly women with knee osteoarthritis. J Phys Ther Sci. 2015 Mar;27(3):729-31. doi: 10.1589/jpts.27.729. Epub 2015 Mar 31.