Early Rehabilitation of Abdominal Muscle Wall Following Lower Transverse Abdominal Incision (abdominal reb)

Beni-Suef University

Status: Active, not recruiting

Conditions: All Participants Are Post Operative Women After Their 1st Cesarean Delivery or Hysterectomy

Treatments: Other: exercise for lower abdominal muscle wall

Study type: Interventional

Funder types: Other

Identifiers

NCT07150897

FMBSUREC/05012025/AWAD (Registry Identifier)

beni suef university (Other Identifier)

Details and patient eligibility

About

to investigate effect of inducing rehabilitation program very early after lower abdominal transverse incisions on abdominal muscles.

Full description

Abdominal surgery is a general term used to denote surgical procedures conducted in the abdominal area to detect and treat a presenting medical problem.1 Open Abdominal surgery includes vertical and transverse incisions. Low transverse abdominal incision is usually made 1-2 fingerbreadths above the pubic crest with an incision length of 10-14 cm. The lower transverse abdominal incision is adequate for the vast majority of caesarean operations as well as operative disease of the uterus, fallopian tubes, and ovaries. Historically, the gynaecologist- obstetrician has favoured lower abdominal transverse incisions. Several disadvantages of these incisions exist such as limited exploration of the upper abdomen, greater blood loss as well as they are more susceptible to hematoma formation when compared with a midline incision. Paresthesia of the overlying skin results from nerve injury, is more common in a transverse incision compared with a midline incision.2 With regards to the abdominal muscle, there is a relevant surgical related muscle loss induced by major surgical trauma after lower transverse incisions.3 Early postoperative days are associated with fatigue and limited respiratory movements. For the patient, less post operative pain, rapid return to normal function as well as better scar appearance and quality of life are very important factors. Encouraging early mobilization after low transverse abdominal surgery is crucial for optimal healing and recovery of abdominal muscles. In physical therapy, activities such as, transferring from bed to chair, sitting upright, rising from a chair, exercises in or out of bed and walking in the room are considered helpful for surgical patient.4 Up till now, there is no study searched the effect of starting rehabilitation programs for abdominal muscles very early within the first 24 hours after obstetrics and gynaecology surgeries.

Enrollment: 60 patients

Sex: Female

Ages: 35 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:a total of 60 women will be recruited from the obstetrics and gynecology Department of Beni-Suef University Hospital, Beni-Suef, Egypt. Their ages will be ranged from 35-50 years and their body mass index (BMI) will not exceed 29 kg/m2. All participants are post operative women after their 1st cesarean delivery or hysterectomy.

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Exclusion Criteria:Women will be excluded from the study, if they were diagnosed with heart diseases, respiratory diseases causing excessive coughing or sneezing, chronic physical or mental illness, had more than 1 cesarean delivery; had any medical condition that would prohibit active abdominal muscle contraction; or failed to complete an informed consent form.

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Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups

placebo group

No Intervention group

Description:

routine postnatal care as well as wear the same belly band and receive advice

intervention

Experimental group

Description:

Group A (study group) included participants who join a rehabilitation program starting from day 1 after surgery up to 6 weeks with wearing a belly band

Treatment:

Other: exercise for lower abdominal muscle wall