Effect of Neuromuscular Electrical Stimulation on the Post-Operative Abdominoplasty Patient.

NCT ID: NCT05229692

Last Updated: 2023-08-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-25

Study Completion Date

2023-12-01

Brief Summary

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The purpose of this study is to determine the impact of rehabilitative training of the abdominal wall with direct current neuromuscular electrical stimulation (the NEUBIE device) on recovery time from abdominoplasty (tummy tuck).

Detailed Description

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Participants will undergo abdominoplasty surgery and begin rehabilitation training within the first week post-operation. Standardized measurements of recovery progress will be taken starting prior to operation, and at 2, 4, 6, 8 and 12 weeks post-operation. Participants will undergo either the traditional standard of care of rest, with minimal activity for at least 6 weeks (control group) or a 5 week training course with the NEUBIE (experimental group), starting with passive electrical stimulation in the first week post-operation, and moving towards more advanced abdominal movements accompanied with stimulation in the subsequent four weeks.

Conditions

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Rectus Diastasis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Study will be divided into two randomly assigned groups - control and interventional. Control group will receive current standard of care for recovery (rest and minimal activity for 6 weeks post-operative). Interventional group will receive neuromuscular electrical stimulation treatments 2 times a week for 6 weeks post-operative.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
Outcomes will be assessed at Piazza Surgical Center. Assessors will be blinded to which intervention participant has received.

Study Groups

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NEUBIE

Experimental group will receive rehabilitation training with the NEUBIE for 6 weeks post-operative. Training will occur at Neufit 2x a week from week 1-5, and will be administered by NeuFit clinic staff. Exercises and ability to complete exercises will be recorded by NeuFit staff in standardized clinic evaluation forms.

Participants will undergo will undergo both active muscle tests and body analysis tests.

Measurements will be taken at The Piazza Center by clinic staff prior to surgery at 2,4,6,8, and 12 weeks post-operative. Measurements will be used to demonstrate milestones of functional recovery, comparable between subjects by weeks achieved.

Group Type EXPERIMENTAL

NEUBIE

Intervention Type DEVICE

Participants will be asked to undergo electrical stimulation with the NEUBIE at their "treatment threshold". Treatment threshold will be described as "uncomfortable," but not "painful" (a 7 out of 10 on a perceived intensity scale).

Session length: ≤ 30 minutes Treatment frequency: 2x per week for 5 weeks

Week 1 post-op (treatments 1-2) Activity: Passive Neubie on Abdominals \& Obliques

Weeks 2-3 (treatments 3-6)

* Passive Neubie
* Isometric movements with Neubie on abdominals and obliques
* Active mobilizations with Neubie on abdominals and obliques

Weeks 4-5 (treatments 7-10)

* Active mobilizations with Neubie on abdominals and obliques
* Core Strength Exercise circuit with Neubie on abdominals and obliques

Control

Control group will receive current post-operative standard of care for abdominoplasty, which includes using an abdominal binder, rest and minimal activity for 6 weeks.

Participants will undergo both active muscle tests and body analysis tests. Measurements will be taken at The Piazza Center by clinic staff prior to surgery at 2,4,6,8, and 12 weeks post-operative. Measurements will be used to demonstrate milestones of functional recovery, comparable between subjects by weeks achieved.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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NEUBIE

Participants will be asked to undergo electrical stimulation with the NEUBIE at their "treatment threshold". Treatment threshold will be described as "uncomfortable," but not "painful" (a 7 out of 10 on a perceived intensity scale).

Session length: ≤ 30 minutes Treatment frequency: 2x per week for 5 weeks

Week 1 post-op (treatments 1-2) Activity: Passive Neubie on Abdominals \& Obliques

Weeks 2-3 (treatments 3-6)

* Passive Neubie
* Isometric movements with Neubie on abdominals and obliques
* Active mobilizations with Neubie on abdominals and obliques

Weeks 4-5 (treatments 7-10)

* Active mobilizations with Neubie on abdominals and obliques
* Core Strength Exercise circuit with Neubie on abdominals and obliques

Intervention Type DEVICE

Other Intervention Names

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NeuFit

Eligibility Criteria

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Inclusion Criteria

1. Rectus Diastasis
2. Previous pregnancy
3. Excess localized adiposity in the lower abdomen
4. Excess atrophic skin of the abdomen
5. Physician clearance to participate
6. Scheduled for full abdominoplasty (no mini-abdominoplasty included)

Exclusion Criteria

1. Currently pregnant
2. Cardiac Pacemaker
3. Active or recent cancer in the abdominal area
4. Active or recent blood clots in the abdominal area
5. History of epilepsy
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of Texas at Austin

OTHER

Sponsor Role collaborator

NeuFit - Neurological Fitness and Education

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rocco Piazza, MD

Role: PRINCIPAL_INVESTIGATOR

University of Texas - Austin

Locations

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Piazza Center for Plastic Surgery and Advanced Skin Care

Austin, Texas, United States

Site Status

Countries

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United States

References

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Thakral G, Lafontaine J, Najafi B, Talal TK, Kim P, Lavery LA. Electrical stimulation to accelerate wound healing. Diabet Foot Ankle. 2013 Sep 16;4. doi: 10.3402/dfa.v4i0.22081.

Reference Type BACKGROUND
PMID: 24049559 (View on PubMed)

Ud-Din S, Bayat A. Electrical Stimulation and Cutaneous Wound Healing: A Review of Clinical Evidence. Healthcare (Basel). 2014 Oct 27;2(4):445-67. doi: 10.3390/healthcare2040445.

Reference Type BACKGROUND
PMID: 27429287 (View on PubMed)

da Silva MP, Liebano RE, Rodrigues VA, Abla LE, Ferreira LM. Transcutaneous electrical nerve stimulation for pain relief after liposuction: a randomized controlled trial. Aesthetic Plast Surg. 2015 Apr;39(2):262-9. doi: 10.1007/s00266-015-0451-6. Epub 2015 Feb 10.

Reference Type BACKGROUND
PMID: 25665520 (View on PubMed)

Klika AK, Yakubek G, Piuzzi N, Calabrese G, Barsoum WK, Higuera CA. Neuromuscular Electrical Stimulation Use after Total Knee Arthroplasty Improves Early Return to Function: A Randomized Trial. J Knee Surg. 2022 Jan;35(1):104-111. doi: 10.1055/s-0040-1713420. Epub 2020 Jul 1.

Reference Type BACKGROUND
PMID: 32610358 (View on PubMed)

Delanois R, Sodhi N, Acuna A, Doll K, Mont MA, Bhave A. Use of home neuromuscular electrical stimulation in the first 6 weeks improves function and reduces pain after primary total knee arthroplasty: a matched comparison. Ann Transl Med. 2019 Oct;7(Suppl 7):S254. doi: 10.21037/atm.2019.09.150.

Reference Type BACKGROUND
PMID: 31728378 (View on PubMed)

Demircioglu DT, Paker N, Erbil E, Bugdayci D, Emre TY. The effect of neuromuscular electrical stimulation on functional status and quality of life after knee arthroplasty: a randomized controlled study. J Phys Ther Sci. 2015 Aug;27(8):2501-6. doi: 10.1589/jpts.27.2501. Epub 2015 Aug 21.

Reference Type BACKGROUND
PMID: 26355656 (View on PubMed)

Bistolfi A, Zanovello J, Ferracini R, Allisiardi F, Lioce E, Magistroni E, Berchialla P, Da Rold I, Massazza G. Evaluation of the Effectiveness of Neuromuscular Electrical Stimulation After Total Knee Arthroplasty: A Meta-Analysis. Am J Phys Med Rehabil. 2018 Feb;97(2):123-130. doi: 10.1097/PHM.0000000000000847.

Reference Type BACKGROUND
PMID: 29016401 (View on PubMed)

Yue C, Zhang X, Zhu Y, Jia Y, Wang H, Liu Y. Systematic Review of Three Electrical Stimulation Techniques for Rehabilitation After Total Knee Arthroplasty. J Arthroplasty. 2018 Jul;33(7):2330-2337. doi: 10.1016/j.arth.2018.01.070. Epub 2018 Feb 6.

Reference Type BACKGROUND
PMID: 29530519 (View on PubMed)

Other Identifiers

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STUDY00000863

Identifier Type: -

Identifier Source: org_study_id

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