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

NCT04239417 | Completed

• 1 other identifier: P.T.REC/012/002036
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Muscle Strength

Keywords

ventral hernia; graduated abdominal exercises; isokinetic dynamometer.

Outcome Measures

Primary Outcomes (8)

• 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.

Study Arms (4)

The Study group A

EXPERIMENTAL

graduated abdominal strengthening exercises group

Other: Graduated abdominal strengthening exercises

The Study group B

EXPERIMENTAL

Russian stimulation group

Device: The Russian current stimulation

The Study group C

EXPERIMENTAL

combination group

Combination Product: Graduated abdominal strengthening exercises and the Russian current stimulation

The Control group D

NO INTERVENTION

presume in normal activities of daily living.

Interventions

Graduated abdominal strengthening exercises OTHER

1. Exercise mat and inflatable Swiss ball 2. Wall bar, wedges, elastic tubing

The Study group A

The Russian current stimulation DEVICE

The Russian current is used for enhancing muscle; the muscular fiber by the electric stimulation.

The Study group B

Graduated abdominal strengthening exercises and the Russian current stimulation COMBINATION_PRODUCT

Combination between The Russian current and abdominal exercises

The Study group C

Eligibility Criteria

• Age: 20 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• 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.

You may not qualify if:

• 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.

Sponsors & Collaborators

• South Valley University: lead

Study Sites (1)

South Valley University, Faculty of Physical Therapy

Qina, 83523, Egypt

Location

Related Publications (17)

• Ward AR, Shkuratova N. Russian electrical stimulation: the early experiments. Phys Ther. 2002 Oct;82(10):1019-30.

  PMID: 12350217 BACKGROUND

• Aguirre DA, Santosa AC, Casola G, Sirlin CB. Abdominal wall hernias: imaging features, complications, and diagnostic pitfalls at multi-detector row CT. Radiographics. 2005 Nov-Dec;25(6):1501-20. doi: 10.1148/rg.256055018.

  PMID: 16284131 BACKGROUND

• Ahmed U, Ahmed R, Kamat S, Elkholy K. An ovary as unusual contents of an incarcerated umbilical hernia. Ann R Coll Surg Engl. 2014 Sep;96(6):e4-5. doi: 10.1308/003588414X13946184901443.

  PMID: 25198958 BACKGROUND

• de Carvalho Froufe Andrade AC, Caserotti P, de Carvalho CM, de Azevedo Abade EA, da Eira Sampaio AJ. Reliability of Concentric, Eccentric and Isometric Knee Extension and Flexion when using the REV9000 Isokinetic Dynamometer. J Hum Kinet. 2013 Jul 5;37:47-53. doi: 10.2478/hukin-2013-0024. eCollection 2013.

  PMID: 24146704 BACKGROUND

• Deeken CR, Lake SP. Mechanical properties of the abdominal wall and biomaterials utilized for hernia repair. J Mech Behav Biomed Mater. 2017 Oct;74:411-427. doi: 10.1016/j.jmbbm.2017.05.008. Epub 2017 May 6.

  PMID: 28692907 BACKGROUND

• Young MJ, Gorlin AW, Modest VE, Quraishi SA. Clinical implications of the transversus abdominis plane block in adults. Anesthesiol Res Pract. 2012;2012:731645. doi: 10.1155/2012/731645. Epub 2012 Jan 19.

  PMID: 22312327 RESULT

• Howell B, Medina LE, Grill WM. Effects of frequency-dependent membrane capacitance on neural excitability. J Neural Eng. 2015 Oct;12(5):056015-56015. doi: 10.1088/1741-2560/12/5/056015. Epub 2015 Sep 8.

  PMID: 26348707 RESULT

• Wang HQ, Wei YY, Wu ZX, Luo ZJ. Impact of leg lengthening on viscoelastic properties of the deep fascia. BMC Musculoskelet Disord. 2009 Aug 21;10:105. doi: 10.1186/1471-2474-10-105.

  PMID: 19698092 RESULT

• Vinstrup J, Sundstrup E, Brandt M, Jakobsen MD, Calatayud J, Andersen LL. Core Muscle Activity, Exercise Preference, and Perceived Exertion during Core Exercise with Elastic Resistance versus Machine. Scientifica (Cairo). 2015;2015:403068. doi: 10.1155/2015/403068. Epub 2015 Oct 18.

  PMID: 26557405 RESULT

• van Bemmel AJ, van Marle AG, Schlejen PM, Schmitz RF. Handlebar hernia: a case report and literature review on traumatic abdominal wall hernia in children. Hernia. 2011 Aug;15(4):439-42. doi: 10.1007/s10029-010-0665-0. Epub 2010 May 1.

  PMID: 20437188 RESULT

• Aboodarda SJ, Page PA, Behm DG. Muscle activation comparisons between elastic and isoinertial resistance: A meta-analysis. Clin Biomech (Bristol). 2016 Nov;39:52-61. doi: 10.1016/j.clinbiomech.2016.09.008. Epub 2016 Sep 20.

  PMID: 27681867 RESULT

• Allen WM, Xu Z, Asman AJ, Poulose BK, Landman BA. Quantitative Anatomical Labeling of the Anterior Abdominal Wall. Proc SPIE Int Soc Opt Eng. 2013 Mar 28;8673:867312. doi: 10.1117/12.2007071.

  PMID: 24478827 RESULT

• Becker I, Woodley SJ, Stringer MD. The adult human pubic symphysis: a systematic review. J Anat. 2010 Nov;217(5):475-87. doi: 10.1111/j.1469-7580.2010.01300.x. Epub 2010 Sep 14.

  PMID: 20840351 RESULT

• Campanelli G, Pettinari D, Cavalli M, Avesani EC. Inguinal hernia recurrence: Classification and approach. J Minim Access Surg. 2006 Sep;2(3):147-50. doi: 10.4103/0972-9941.27728.

  PMID: 21187986 RESULT

• Dur AH, den Hartog D, Tuinebreijer WE, Kreis RW, Lange JF. Low recurrence rate of a two-layered closure repair for primary and recurrent midline incisional hernia without mesh. Hernia. 2009 Aug;13(4):421-6. doi: 10.1007/s10029-009-0487-0. Epub 2009 Mar 19.

  PMID: 19296196 RESULT

• Ellenbecker TS, Davies GJ. The application of isokinetics in testing and rehabilitation of the shoulder complex. J Athl Train. 2000 Jul;35(3):338-50.

  PMID: 16558647 RESULT

• Porcari JP, Miller J, Cornwell K, Foster C, Gibson M, McLean K, Kernozek T. The effects of neuromuscular electrical stimulation training on abdominal strength, endurance, and selected anthropometric measures. J Sports Sci Med. 2005 Mar 1;4(1):66-75. eCollection 2005 Mar 1.

  PMID: 24431963 RESULT

MeSH Terms

Conditions

Hernia, Ventral

Condition Hierarchy (Ancestors)

Hernia, Abdominal; Hernia; Pathological Conditions, Anatomical; Pathological Conditions, Signs and Symptoms

Study Officials

• Mohammed E. Ali, PhD student

  South Valley University, Faculty of Physical Therapy

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Blinding process to participants and care providers was impossible due to the nature of intervention therapy. Data were analyzed by an impartial statistician (outcomes assessor), referring to each arm with an encoded name: groups (A) \& (B) \& (C) ( three study groups ) and group (D) ( control group )
• Purpose: TREATMENT
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Lecturer

Model Details: 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 ).

Study Record Dates

• First Submitted: January 20, 2020
• First Posted: January 27, 2020
• Study Start: October 1, 2019
• Primary Completion: April 1, 2020
• Study Completion: April 1, 2020
• Last Updated: March 29, 2021

Record last verified: 2021-03

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)