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Effect of a Preoperative Pulsed Electromagnetic Field and Abdominal Exercises on Muscle Strength Post Ventral Hernioplasty

Not Applicable
Completed
Conditions
Hernia, Ventral
Interventions
Other: Pulsed electromagnetic field
Other: Graduated abdominal strengthening exercises
Registration Number
NCT05559190
Lead Sponsor
Cairo University
Brief Summary

The aim of this study is to investigate the impact of a preoperative pulsed electromagnetic field and abdominal exercises on muscle strength post ventral hernioplasty.

Detailed Description

Sixty patients, 25-40 years old, diagnosed with a ventral hernia and consulted for surgical hernia repair, preoperatively, were randomly assigned either into pulsed electromagnetic therapy and graduated abdominal strengthening exercises group (group A), graduated abdominal strengthening exercises group (group B), pulsed electromagnetic therapy group (group C) or group D who is instructed to presume in normal activities of daily living preoperatively, without any abdominal exercises or PEMF. All treatment interventions were applied at a frequency of three sessions per week for six weeks preoperatively. Abdominal muscle torque was measured by a biodex isokinetic dynamometer preoperatively at baseline and after six weeks of intervention and after four months postoperatively.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
60
Inclusion Criteria
  • Being subjects of both genders.
  • Between the age of 25-40 years.
  • Diagnosed with a ventral hernia (Grade II & III) based on surgeon assessment and desired an elective surgical repair.
  • Able to act in the abdominal training program.
Exclusion Criteria
  • Patients with a strangulated hernia.
  • Bowel obstruction, peritonitis or perforation.
  • Urgent surgery indication.
  • Less than one-year abdominal surgery.
  • Infection (local or systemic).
  • Orthopedic problem, or neurological impairment that interfere with patient ability to act in the abdominal training program.
  • Pregnant women.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Pulsed electromagnetic field and selected graduated abdominal exercises (group A)Graduated abdominal strengthening exercisesThe interventions were done preoperatively, received pulsed electromagnetic therapy (PEMFT) on abdominal muscles,15 Hz frequency, 20 gauss amplitude with a rectangular waveform, for 20 minutes then they performed the selected graduated abdominal strengthening exercises for 30 minutes, three sessions per week for six weeks.
Pulsed electromagnetic field and selected graduated abdominal exercises (group A)Pulsed electromagnetic fieldThe interventions were done preoperatively, received pulsed electromagnetic therapy (PEMFT) on abdominal muscles,15 Hz frequency, 20 gauss amplitude with a rectangular waveform, for 20 minutes then they performed the selected graduated abdominal strengthening exercises for 30 minutes, three sessions per week for six weeks.
Pulsed electromagnetic field (group C)Pulsed electromagnetic fieldThe interventions were done preoperatively, they received pulsed electromagnetic therapy (PEMFT) on abdominal muscles,15 Hz frequency, 20 gauss amplitude with a rectangular waveform, for 20 minutes only.
Selected graduated abdominal exercises (group B)Graduated abdominal strengthening exercisesThe interventions were done preoperatively, patients performed the selected graduated abdominal strengthening exercises for 30 minutes, three sessions per week for six weeks.
Primary Outcome Measures
NameTimeMethod
the change in the abdominal muscle torqueBaseline and six weeks after the intervention preoperatively and after four weeks postoperative as follow up

measured by biodex isokinetic

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Shaimaa Mohamed Ahmed Elsayeh

🇪🇬

Cairo, New Cairo, Egypt

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