Early Rehabilitation of Abdominal Muscle Wall Following Lower Transverse Abdominal Incision

NCT ID: NCT07150897

Last Updated: 2025-09-02

Basic Information

• Recruitment Status: ACTIVE_NOT_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-04-17
• Study Completion Date: 2025-11-17

Brief Summary

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

Detailed 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.

Conditions

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

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

placebo group

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

Group Type: NO_INTERVENTION

No interventions assigned to this group

intervention

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

Group Type: EXPERIMENTAL

exercise for lower abdominal muscle wall

Intervention Type: OTHER

the exercise session will start with light walking for 5 minutes followed by, posture correction exercises from crock lying, supine, and sitting and standing positions (each exercise will be maintained for 5 seconds and then the woman relaxed for 10 seconds and repeated each exercise 10 times) to overcome the effect of poor pregnancy posture. Then, participants will perform first step of prone plank exercises which is a stable prone plank with attention to maintain a neutral position in the hip joints, pelvis and lumbar spine. The feet will be placed to match the width of the hip and forearm and acted as support points. The elbows place under the glenohumeral joints, and the arms support the body vertically to the surface. Second step of prone plank exercises will involve performing the unilateral stable prone plank which is the same as the stable prone plank but with the dominant leg in a fully extended position. Third step includes, prone bridge on a Swiss Ball with a diameter of 65

Interventions

exercise for lower abdominal muscle wall

the exercise session will start with light walking for 5 minutes followed by, posture correction exercises from crock lying, supine, and sitting and standing positions (each exercise will be maintained for 5 seconds and then the woman relaxed for 10 seconds and repeated each exercise 10 times) to overcome the effect of poor pregnancy posture. Then, participants will perform first step of prone plank exercises which is a stable prone plank with attention to maintain a neutral position in the hip joints, pelvis and lumbar spine. The feet will be placed to match the width of the hip and forearm and acted as support points. The elbows place under the glenohumeral joints, and the arms support the body vertically to the surface. Second step of prone plank exercises will involve performing the unilateral stable prone plank which is the same as the stable prone plank but with the dominant leg in a fully extended position. Third step includes, prone bridge on a Swiss Ball with a diameter of 65

Intervention Type: OTHER

Other Intervention Names

Exercise group

Eligibility Criteria

Inclusion Criteria

-

Exclusion Criteria

-

• Minimum Eligible Age: 35 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: Yes

Sponsors

Beni-Suef University

OTHER

Sponsor Role: lead

Responsible Party

mohamed naeem

assistant professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Beni suef university

Cairo, , Egypt

Countries

Egypt

Other Identifiers

FMBSUREC/05012025/AWAD

Identifier Type: REGISTRY

Identifier Source: secondary_id

beni suef university

Identifier Type: OTHER

Identifier Source: secondary_id

FMBSUREC/05012025/AWAD

Identifier Type: -

Identifier Source: org_study_id