All Participants Are Post Operative Women After Their 1st Cesarean Delivery or Hysterectomyabdominal rebNCT07150897
Early Rehabilitation of Abdominal Muscle Wall Following Lower Transverse Abdominal Incision
A study testing exercise for lower abdominal muscle wall in people with All Participants Are Post Operative Women After Their 1st Cesarean Delivery or Hysterectomy, run by Beni-Suef University at 1 site in Egypt.
Trial summary
to investigate effect of inducing rehabilitation program very early after lower abdominal transverse incisions on abdominal muscles. Read more about this study
- Who is it for?
- Ages 35 to 50 years, women onlyHealthy volunteers can take part
- Conditions the study is for
- All Participants Are Post Operative Women After Their 1st Cesarean Delivery or Hysterectomy
- What is being tested?
- exercise for lower abdominal muscle wall
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- 1 siteEgypt
- Study dates
- 17 Apr 2025to 17 Nov 2025
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 35 to 50 years
- Women only
- Healthy volunteers accepted
- Adult
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 locations and contacts
1 site in 1 country.
About this study
to investigate effect of inducing rehabilitation program very early after lower abdominal transverse incisions on abdominal muscles.
Read the 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
- Being tested
- exercise for lower abdominal muscle wall
- Keywords
- Abdominal Incision, Early Rehabilitation
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
exercise for lower abdominal muscle wallOther
Also called Exercise group
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
| Study group | Role | What they receive |
|---|---|---|
| placebo group | No intervention | routine postnatal care as well as wear the same belly band and receive advice |
| intervention | Experimental | 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 Receives: Other: exercise for lower abdominal muscle wall |
What is being measured
The primary outcome is the main question the study is designed to answer.
ultrasonography
All assessments will be performed by using a two-dimensional ultrasound diagnostic scanner with a linear probe (Toshiba Xario100, 8-12 MHz linear transducer) to measure thickness of lower part of Rectus Abdominis muscle below umbilicus before and after 6 weeks of the intervention procedure for all participants.
Measured: 4 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Sep 2025
- Study start17 Apr 2025
- Primary completion17 Oct 2025 (estimated)
- Study completion17 Nov 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for All Participants Are Post Operative Women After Their 1st Cesarean Delivery or HysterectomyStudies of the same condition, open and under way.
- More trials run by Beni-Suef UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- The study will be designed as a randomized clinical trial that compare 2 groups of participants. Group A (study group) will include participants who join a rehabilitation program starting from day 1 after surgery up to 6 weeks with wearing a belly band. While, group B will involve control participants who follow routine postnatal care as well as wear the same belly band and receive advice as group A participants.
- Masking
- Double blind
- Who is masked
- Participant, Care provider
- Enrolment
- 60 participants (actual)
Sponsor and investigators
- Lead sponsor
- Beni-Suef University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, mohamed naeem, Beni-Suef University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07150897
- Sponsor's protocol ID
- FMBSUREC/05012025/AWAD
- Other IDs
- FMBSUREC/05012025/AWAD, beni suef university
- Acronym
- abdominal reb
- Status last verified
- Aug 2025
- First submitted
- 27 Aug 2025
- Last updated
- 2 Sep 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: for safty
Study at a glance
From the registry record, last updated by the sponsor on 2 Sep 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Early Rehabilitation of Abdominal Muscle Wall Following Lower Transverse Abdominal Incision
- ClinicalTrials.gov ID
- NCT07150897
- Acronym / sponsor ID
- abdominal reb / FMBSUREC/05012025/AWAD
- Conditions
- All Participants Are Post Operative Women After Their 1st Cesarean Delivery or Hysterectomy
- Keywords
- Abdominal Incision, Early Rehabilitation
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 60 participants (actual)
- Lead sponsor
- Beni-Suef UniversityUniversity, hospital or other
- Study start
- 17 Apr 2025 (actual)
- Primary completion
- 17 Oct 2025 (estimated)
- Study completion
- 17 Nov 2025 (estimated)
- First posted
- 2 Sep 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, care provider)
- Number of arms
- 2
- Model description
- The study will be designed as a randomized clinical trial that compare 2 groups of participants. Group A (study group) will include participants who join a rehabilitation program starting from day 1 after surgery up to 6 weeks with wearing a belly band. While, group B will involve control participants who follow routine postnatal care as well as wear the same belly band and receive advice as group A participants.
| Arm | Type | Receives |
|---|---|---|
| placebo group | No intervention | –routine postnatal care as well as wear the same belly band and receive advice |
| intervention | Experimental | Other: exercise for lower abdominal muscle wallGroup 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 |
Who may qualify
- Ages
- 35 to 50 years
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| exercise for lower abdominal muscle wallAlso: Exercise groupthe 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 | Other | intervention |
Primary outcome
ultrasonography
Time frame: 4 months
All assessments will be performed by using a two-dimensional ultrasound diagnostic scanner with a linear probe (Toshiba Xario100, 8-12 MHz linear transducer) to measure thickness of lower part of Rectus Abdominis muscle below umbilicus before and after 6 weeks of the intervention procedure for all participants.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Sep 2025.
- Individual participant dataSharing planned: No. for safty
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing exercise for lower abdominal muscle wall in people with All Participants Are Post Operative Women After Their 1st Cesarean Delivery or Hysterectomy, run by Beni-Suef University at 1 site in Egypt.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 2 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
ultrasonography (time frame: 4 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Sep 2025.