Effect of preoperative graduated abdominal exercises and russian stimulation on muscle strength after abdominoplasty: A randomized controlled trial

Mahmoud Ewidea, Ayman M. Elmakaky, Faten Ali, Mohamed Y. Abdelhamid Abdelsamee

Mahmoud Ewidea, Ayman M. Elmakaky, Faten Ali, Mohamed Y. Abdelhamid Abdelsamee – Effect of preoperative graduated abdominal exercises and russian stimulation on muscle strength after abdominoplasty: A randomized controlled trial. Fizjoterapia Polska 2021; 21(1); 158-163

Abstract
Objectives. To investigate the effect of preoperative graduated abdominal exercises and Russian stimulation on the strength of abdominal muscles after abdominoplasty. Methods. Sixty patients before abdominoplasty were enrolled in this study after the assessment of their eligibility, their age ranged from 20 to 45 years, they were randomly distributed into four equal groups. The ultrasonography was used to evaluate abdominal muscle thickness as an indicator for muscle strength on 4 occasions, initial assessment, pre-operative assessment, 2 Months post-operative assessment, and finally 4 Months post-operative assessment. For study group (A); received only graduated abdominal exercises, group (B); received only Russian stimulation on abdominal muscles, group (c); received graduated abdominal exercises and Russian stimulation on abdominal muscles, all participants in the study groups received the treatment protocol for 30 min., 3 times/week for 6 successive weeks preoperatively for control group (D); were instructed to presume in normal activities of daily living preoperatively. Results. Post-treatment findings, revealed a statistically significant increase in abdominal muscle strength preoperatively and postoperatively in the three study groups compared to the control group in favor of group C. Conclusion. The pre-operative graduated abdominal exercises and Russian current stimulation has a significant effect in strengthening abdominal muscles after abdominoplasty.
Key words:
abdominoplasty, abdominal exercises, ultrasonography, muscle strength, russian stimulation
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Effect of Russian Current Stimulation on Abdominal Strength and Endurance in Postnatal Diastasis Recti: A Randomized Controlled Trial

Afaf Mohamed Mahmoud Botla, Marwa Shafiek Mustafa Saleh

Afaf Mohamed Mahmoud Botla, Marwa Shafiek Mustafa Saleh – Effect of Russian Current Stimulation on Abdominal Strength and Endurance in Postnatal Diastasis Recti: A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(1); 16-22

Abstract
Background. Postnatal diastasis recti (DR) can result in cosmetic defects, psychological discomfort, and other related problems such as low back pain (LBP) and pelvic instability. Although, Russian current stimulation is one of the most widely used modalities for improving muscle strength, there is still inconclusive evidence to support its effectiveness in patients with postnatal DR. Objective. This study was conducted to investigate the effect of Russian current stimulation on abdominal strength and endurance in postnatal DR. Methods. Thirty six women suffering from postnatal DR randomly assigned to study or a control group. The control group (n = 18) participated in an abdominal exercise program for 30 minutes per session, whereas the study group (n = 18) received Russian stimulation to rectus abdominis muscles in addition to the same abdominal exercise program. Outcome measures included inter recti distance (IRD), waist/hip ratio (WHR), abdominal muscle strength (peak torque, maximum repetition total work, and average power), abdominal endurance and body appreciation. Measures were assessed for all participants in both groups before and after 6 weeks of treatment program. Results. Analysis showed that both groups had improved in all outcomes measures. Further, there was a significant difference between the two groups in favor of the study group for all of the measured variables. Conclusions. The study showed that adding Russian current stimulation to abdominal exercises program is more effective than abdominal exercises program only in treatment of postnatal DR.

Key words:
Diastasis recti, Abdominal exercises, Russian stimulation, Abdominal strength, Abdominal endurance

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