Post-mastectomy Women Underwent Transverse Rectus Abdominis Musculocutaneous Flap (TRAM) Surgery: Its Influence on Abdominal Muscle Function and the Effects of Therapeutic Exercises
Sponsor study identifier
interventional
82
0 countries
N/A
Study Start
February 24, 2009
Actual (reported)Primary Completion
September 8, 2014
Actual (reported)Study Completion
September 8, 2014
Actual (reported)The unilateral transverse rectus abdominis musculocutaneous (TRAM) flap is a major operation widely used for breast reconstruction. It is hypothesized that this surgery has the potential risk of weakening the abdominal wall because it disrupts the integrity of the rectus abdominis muscle (RA), therefore, alters the insertion of the oblique muscles and the biomechanical relationship between the RA muscle and adjacent structures. The purposes of this study were to examine the effects of the TRAM flap surgery on muscle size of abdominal muscles, strength and endurance of trunk muscles, strength and endurance of core stability, as well as the effects of therapeutic exercises on it in post-mastectomy women underwent TRAM surgery.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
September 8, 2014
Actual (reported)Click on a node to explore related trials.
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
February 24, 2009
Actual (reported)September 8, 2014
Actual (reported)September 8, 2014
Actual (reported)May 11, 2021
Actual (reported)May 14, 2021
Actual (reported)Changes in thickness of abdominal wall muscles at 12-week
Using the Ultrasound imaging to measure the thickness of all abdominal wall muscles at rest and in an isometric contraction.
The assessments will be conducted 1 and 12 weeks following the intervention
Changes in the cross-sectional area of the rectus abdominis muscle (RA) muscle at 12-week
Using the Ultrasound imaging to measure the cross-sectional area of the rectus abdominis muscle at rest and in an isometric contraction.
The assessments will be conducted 1 and 12 weeks following the intervention
Changes in strength of the trunk muscles at 12-week
Using the dynamometer and clinical tests (prone extension, curl-up and rotational curl-up) to measure the trunk strength
The assessments will be conducted 1 and 12 weeks following the intervention
Changes in endurance of the trunk muscles at 12-week
Using the clinical tests (abdominal muscle test for strength, unsupported double bend leg lifting for static endurance) to measure the endurance of trunk muscles
The assessments will be conducted 1 and 12 weeks following the intervention
Changes in balanced functions at 12-week
Using the seconds in the following static position to measure the balance: one-leg standing with the other lift-leg 1 inch of ground clearance; single leg standing with the other lift-leg hip flexion 90 degrees and the tibia vertical to the floor.
The assessments will be conducted 1 and 12 weeks following the intervention
Changes in muscle activity of selected trunk and limb muscles at 12-week
Using A six-camera Qualisys motion system to measure the muscle activity of selected trunk and limb muscles.
The assessments will be conducted 1 and 12 weeks following the intervention
Patients were recruited at least 6 months after the muscle-sparing (MS) pedicled Transverse rectus abdominis musculocutaneous (TRAM) flap procedure and at least 1 month after the conclusion of the last chemotherapy course, if any. All subjects will receive 1-hr training sessions consisting of core stability exercises for 12 weeks for the TRAM group.
Patients were recruited at least 6 months after the muscle-sparing (MS) pedicled Transverse rectus abdominis musculocutaneous (TRAM) flap procedure and at least 1 month after the conclusion of the last chemotherapy course, if any. The control group was not received any exercise program.
Participants will receive 12-week, 60 minutes, 36-session abdominal muscle training in the TRAM women. Aimed to evaluate the effects on abdominal muscle functions after 12 weeks abdominal muscle training in the TRAM women. Outcome measures were the clinical tests for trunk muscle strength, endurance and one-leg standing was also used to exam the abdominal muscle function.
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Li-Jiun Liaw
Kaohsiung Medical University Department of Physical Therapy Associate Professor
82 participants (actual enrollment reported by the registry).
First Submitted
May 11, 2021
First Posted
May 14, 2021
Study Start
February 24, 2009
Actual (reported)Post-treatment Care of Breast Cancer Survivors
A control group comprising female volunteers who were apparently healthy and had comparable socioeconomic backgrounds and physical conditions was recruited by convenience sampling from communities.
Contact the study team to confirm eligibility.
Primary Completion
September 8, 2014
Actual (reported)Study Completion
September 8, 2014
Actual (reported)Last Updated
May 14, 2021
Record last verified: 2021-02
Currently in the submission stage ,and then share with other researchers after publication
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