Aerobic Versus Resistance Exercises on Disability After Abdominal Myomectomy

Обзор

This study will be conducted to compare aerobic and resistance exercises on disability after abdominal myomectomy.

Подробное описание

Abdominal myomectomy is a classic surgery for uterine fibroids removal without removing the uterus, in line to reserve patients' fertility. Uterine fibroids are the most common uterus non-cancerous tumors with a prevalence of 70% to 80% in women. Although only 25% to 30% of women are affected by symptoms like pelvic pain, pressure, heavy menses, recurrent pregnancy loss, and infertility, it remains the leading indication for hysterectomy and a common women's health concern. No doubt that abdominal myomectomy almost recommended preserving fertility, plus alleviating uterine fibroids clinical manifestations without resorting to a hysterectomy.Recent studies have explored the combined effects of aerobic and resistance exercises as part of a comprehensive rehabilitation program. Research suggests that combining aerobic and resisted exercise training might gain superior functional benefits compared to using one exercise training program. A recent clinical trial conducted by demonstrated that combination of aerobic and resistance exercises almost represented with reduced fatigue symptoms, which resulted in better improved overall functional capacity, and earlier recovery in compared to those who engaged in only one exercise training protocol. The rationale behind this combination approach is that aerobic exercise improves cardiovascular fitness and endurance, while resistance training focuses on building muscle strength and improving muscular endurance, providing a more holistic approach to recover.

Finally, postoperative rehabilitation following myomectomy must also consider the prevention of complications such as abdominal scarring, hernias, and pelvic floor dysfunction, which can arise as a result of the surgery. Aerobic and resistance exercises have been shown to play a crucial role in minimizing these risks by promoting muscle strength, enhancing tissue healing, and improving flexibility. Research suggests that exercise can stimulate tissue remodeling and improve the elasticity of the abdominal wall, which reduces the likelihood of the formation of problematic scars or hernias. Furthermore, aerobic and resistance exercises support the pelvic floor muscles, helping to prevent dysfunction and incontinence, which are common concerns following abdominal surgeries like myomectomy. By addressing both muscular strength and flexibility, a balanced approach to rehabilitation can enhance recovery and reduce the risk of long-term complications.

Вмешательства

• Другое aeropic exercises
  * Treadmill Walking: will begin at a low speed and incline, progressing gradually based on endurance. * Stationary Cycling: Low resistance cycling, will focus on steady, rhythmic pedaling. * Step Aerobics: Low-impact stepping movements to music, with a focus on maintaining proper posture. * The workload was increased incrementally by adjusting: Speed (walking/cycling pace), Resistance (stationary cycling or water exercises), Duration (gradually increasing from 20 to 30 minutes for the main se
• Другое resistance exercises
  The patient will be prepared with preparatory explanations about each tool will be utilized i.e., sand bags, thera Bands, and swiss ball.Twelve exercises will be utilized for 12 weeks, three sessions/ week. The intervention will be applied by a trained physical therapist. First of all, each participant will be instructed to relax thighs, bottom and abdomen musculature.Each participant will be able to do 10 slow contractions each time, holding them for 10 seconds each with rests of 4 seconds in

Первичные конечные точки

• functional disability [Срок оценки: up to 12 weeks]
• pain intensity [Срок оценки: up to 12 weeks]

Вторичные конечные точки (1)

• rectus abdominal muscle strength [Срок оценки: up to 12 weeks]

Критерии участия

Критерии включения

• All patients are conscious and ambulant.
• Their ages ranged from 30-60 years old.
• All patients will be under post abdominal myomectomy (6-12 months) management program.
• All patients will not suffer from any complication post abdominal myomectomy, except weakness of abdominal muscles.
• All patients will receive and agreed to sign the informed consent form.

Критерии исключения

• The patient who has cardiovascular diseases, or uncontrolled hypertension.
• The patient who has cardiac pacemakers or other implanted electronic devices.
• Uncooperative patients.
• Patients who have cardiopulmonary diseases.
• Patients who have psychic disorders.
• Patients with neuromuscular diseases.
• Pregnant female.
• Patients who have any endocrine, metabolic, renal or hepatic diseases. Patients who have an open wound at or near the treatment site.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Список центров уточняется — проверьте первичный протокол.

Идентификаторы

NCT: NCT07661147 · P.T.REC/012/005921

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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