Evaluation of rectus abdominis muscle strength and width of hernia defect in patients undergoing incisional hernia surgery
Background The aim of this study was to analyze the strength status of the rectus abdominis muscle in patients with incisional hernia and the relationship between the width of the hernia defect and the strength of the rectus abdominis muscle. Methods This is a observational cohort study of patients...
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| Veröffentlicht in: | Hernia : the journal of hernias and abdominal wall surgery 2023-08, Vol.27 (4), p.919-926 |
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| creator | García Moriana, A. J. Sánchez Arteaga, A. Gil Delgado, J. L. Maroto Sánchez, R. Feria Madueño, A. Tallón Aguilar, L. Padillo Ruiz, J. Sañudo, B. |
| description | Background
The aim of this study was to analyze the strength status of the rectus abdominis muscle in patients with incisional hernia and the relationship between the width of the hernia defect and the strength of the rectus abdominis muscle.
Methods
This is a observational cohort study of patients with medial line incisional hernia (July–October 2022), classified as W2 according to the European Hernia Society (EHS). The data collected were demographic and clinical characteristics related to hernia, and measure of the rectus abdominis muscle strength using an isokinetic dynamometer and a strain gauge. We analyzed the relationship between hernia width and rectus abdominis muscle strength with correlation tests to adjustment by age, sex, BMI, and body composition.
Results
A total of 40 patients (64% female) with a mean age of 57.62 years (SD 11) were enrolled in the study. The mean BMI was 29.18 (SD 5.06), with a mean percentage of fat mass of 37.8% (SD 8.47) and a mean percentage of muscle mass of 60.33% (SD 6.43). The maximum width of the hernia defect was 6.59 cm (SD 1.54). In the male group, the mean bending force moment (ISOK_PT) was 94.01 Nw m (SD 34.58), bending force moment relative to body weight (ISOK_PT_Weight) was 103.32 Nw m (SD 37.48), and peak force (PK_90) was 184.71 N (SD 47.01). In the female group, these values were 58.11 Nw m (SD 29.41), 66.48 Nw m (SD 32.44), and 152.50 N (SD 48.49), respectively. Statistically significant differences were observed in the relationship between the data obtained with the isokinetic dynamometer and sex (
p
= 0.002), as well as between the data obtained with the isokinetic dynamometer and age (
p
= 0.006). Patients in the 90th percentile (P90) of rectus abdominis muscle strength also had smaller hernia defect widths (
p
= 0.048).
Conclusions
In this study, age and sex were identified as the most statistically significant predictor variables for rectus abdominis muscle strength. The width of the hernia defect exhibited a trend towards statistical significance. |
| doi_str_mv | 10.1007/s10029-023-02834-8 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2838252042</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2842692523</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-770be005e14f2fd771688e6a9ca01b76ec0b480b0525be625d567b8b3d257a6f3</originalsourceid><addsrcrecordid>eNp9kc1u1TAQhS0EoqXwAiyQJTZsAhPHiX2XqCo_UiU2sLbseHLrKnEunhhUnp4ptwXEgoXtkf2dM9YcIZ638LoFMG-Id7VrQHW8bKcb-0CctkrbZqdAP_yrPhFPiK4BwOrBPhYnndFaWQOn4sfFNz9Xv6U1y3WSBcetkvQhrkvKieRSaZxR0lYw77cr6XOU31PkiukrLDl5GXFimUxZHtgI80ay5ohlv6a85-sxEdv7-Z6nWvZYbp6KR5OfCZ_dnWfiy7uLz-cfmstP7z-ev71sxs70W2MMBATosdWTmqIx7WAtDn43emiDGXCEoC0E6FUfcFB97AcTbOii6o0fpu5MvDr6Hsr6tSJtbkk04jz7jGslx6OzqucpKUZf_oNer7Xw128prYYdcx1T6kiNZSUqOLlDSYsvN64Fd5uMOybjOBn3KxlnWfTizrqGBeNvyX0UDHRHgPgp84D-9P6P7U9-wZp8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2842692523</pqid></control><display><type>article</type><title>Evaluation of rectus abdominis muscle strength and width of hernia defect in patients undergoing incisional hernia surgery</title><source>SpringerNature Journals</source><creator>García Moriana, A. J. ; Sánchez Arteaga, A. ; Gil Delgado, J. L. ; Maroto Sánchez, R. ; Feria Madueño, A. ; Tallón Aguilar, L. ; Padillo Ruiz, J. ; Sañudo, B.</creator><creatorcontrib>García Moriana, A. J. ; Sánchez Arteaga, A. ; Gil Delgado, J. L. ; Maroto Sánchez, R. ; Feria Madueño, A. ; Tallón Aguilar, L. ; Padillo Ruiz, J. ; Sañudo, B.</creatorcontrib><description>Background
The aim of this study was to analyze the strength status of the rectus abdominis muscle in patients with incisional hernia and the relationship between the width of the hernia defect and the strength of the rectus abdominis muscle.
Methods
This is a observational cohort study of patients with medial line incisional hernia (July–October 2022), classified as W2 according to the European Hernia Society (EHS). The data collected were demographic and clinical characteristics related to hernia, and measure of the rectus abdominis muscle strength using an isokinetic dynamometer and a strain gauge. We analyzed the relationship between hernia width and rectus abdominis muscle strength with correlation tests to adjustment by age, sex, BMI, and body composition.
Results
A total of 40 patients (64% female) with a mean age of 57.62 years (SD 11) were enrolled in the study. The mean BMI was 29.18 (SD 5.06), with a mean percentage of fat mass of 37.8% (SD 8.47) and a mean percentage of muscle mass of 60.33% (SD 6.43). The maximum width of the hernia defect was 6.59 cm (SD 1.54). In the male group, the mean bending force moment (ISOK_PT) was 94.01 Nw m (SD 34.58), bending force moment relative to body weight (ISOK_PT_Weight) was 103.32 Nw m (SD 37.48), and peak force (PK_90) was 184.71 N (SD 47.01). In the female group, these values were 58.11 Nw m (SD 29.41), 66.48 Nw m (SD 32.44), and 152.50 N (SD 48.49), respectively. Statistically significant differences were observed in the relationship between the data obtained with the isokinetic dynamometer and sex (
p
= 0.002), as well as between the data obtained with the isokinetic dynamometer and age (
p
= 0.006). Patients in the 90th percentile (P90) of rectus abdominis muscle strength also had smaller hernia defect widths (
p
= 0.048).
Conclusions
In this study, age and sex were identified as the most statistically significant predictor variables for rectus abdominis muscle strength. The width of the hernia defect exhibited a trend towards statistical significance.</description><identifier>ISSN: 1248-9204</identifier><identifier>ISSN: 1265-4906</identifier><identifier>EISSN: 1248-9204</identifier><identifier>DOI: 10.1007/s10029-023-02834-8</identifier><identifier>PMID: 37442870</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Abdominal Surgery ; Age ; Body composition ; Body fat ; Body weight ; Hernia ; Hernias ; Medicine ; Medicine & Public Health ; Muscle strength ; Original Article ; Patients ; Sex ; Statistical analysis</subject><ispartof>Hernia : the journal of hernias and abdominal wall surgery, 2023-08, Vol.27 (4), p.919-926</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-770be005e14f2fd771688e6a9ca01b76ec0b480b0525be625d567b8b3d257a6f3</citedby><cites>FETCH-LOGICAL-c375t-770be005e14f2fd771688e6a9ca01b76ec0b480b0525be625d567b8b3d257a6f3</cites><orcidid>0000-0002-0875-7185</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10029-023-02834-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10029-023-02834-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37442870$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>García Moriana, A. J.</creatorcontrib><creatorcontrib>Sánchez Arteaga, A.</creatorcontrib><creatorcontrib>Gil Delgado, J. L.</creatorcontrib><creatorcontrib>Maroto Sánchez, R.</creatorcontrib><creatorcontrib>Feria Madueño, A.</creatorcontrib><creatorcontrib>Tallón Aguilar, L.</creatorcontrib><creatorcontrib>Padillo Ruiz, J.</creatorcontrib><creatorcontrib>Sañudo, B.</creatorcontrib><title>Evaluation of rectus abdominis muscle strength and width of hernia defect in patients undergoing incisional hernia surgery</title><title>Hernia : the journal of hernias and abdominal wall surgery</title><addtitle>Hernia</addtitle><addtitle>Hernia</addtitle><description>Background
The aim of this study was to analyze the strength status of the rectus abdominis muscle in patients with incisional hernia and the relationship between the width of the hernia defect and the strength of the rectus abdominis muscle.
Methods
This is a observational cohort study of patients with medial line incisional hernia (July–October 2022), classified as W2 according to the European Hernia Society (EHS). The data collected were demographic and clinical characteristics related to hernia, and measure of the rectus abdominis muscle strength using an isokinetic dynamometer and a strain gauge. We analyzed the relationship between hernia width and rectus abdominis muscle strength with correlation tests to adjustment by age, sex, BMI, and body composition.
Results
A total of 40 patients (64% female) with a mean age of 57.62 years (SD 11) were enrolled in the study. The mean BMI was 29.18 (SD 5.06), with a mean percentage of fat mass of 37.8% (SD 8.47) and a mean percentage of muscle mass of 60.33% (SD 6.43). The maximum width of the hernia defect was 6.59 cm (SD 1.54). In the male group, the mean bending force moment (ISOK_PT) was 94.01 Nw m (SD 34.58), bending force moment relative to body weight (ISOK_PT_Weight) was 103.32 Nw m (SD 37.48), and peak force (PK_90) was 184.71 N (SD 47.01). In the female group, these values were 58.11 Nw m (SD 29.41), 66.48 Nw m (SD 32.44), and 152.50 N (SD 48.49), respectively. Statistically significant differences were observed in the relationship between the data obtained with the isokinetic dynamometer and sex (
p
= 0.002), as well as between the data obtained with the isokinetic dynamometer and age (
p
= 0.006). Patients in the 90th percentile (P90) of rectus abdominis muscle strength also had smaller hernia defect widths (
p
= 0.048).
Conclusions
In this study, age and sex were identified as the most statistically significant predictor variables for rectus abdominis muscle strength. The width of the hernia defect exhibited a trend towards statistical significance.</description><subject>Abdominal Surgery</subject><subject>Age</subject><subject>Body composition</subject><subject>Body fat</subject><subject>Body weight</subject><subject>Hernia</subject><subject>Hernias</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Muscle strength</subject><subject>Original Article</subject><subject>Patients</subject><subject>Sex</subject><subject>Statistical analysis</subject><issn>1248-9204</issn><issn>1265-4906</issn><issn>1248-9204</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kc1u1TAQhS0EoqXwAiyQJTZsAhPHiX2XqCo_UiU2sLbseHLrKnEunhhUnp4ptwXEgoXtkf2dM9YcIZ638LoFMG-Id7VrQHW8bKcb-0CctkrbZqdAP_yrPhFPiK4BwOrBPhYnndFaWQOn4sfFNz9Xv6U1y3WSBcetkvQhrkvKieRSaZxR0lYw77cr6XOU31PkiukrLDl5GXFimUxZHtgI80ay5ohlv6a85-sxEdv7-Z6nWvZYbp6KR5OfCZ_dnWfiy7uLz-cfmstP7z-ev71sxs70W2MMBATosdWTmqIx7WAtDn43emiDGXCEoC0E6FUfcFB97AcTbOii6o0fpu5MvDr6Hsr6tSJtbkk04jz7jGslx6OzqucpKUZf_oNer7Xw128prYYdcx1T6kiNZSUqOLlDSYsvN64Fd5uMOybjOBn3KxlnWfTizrqGBeNvyX0UDHRHgPgp84D-9P6P7U9-wZp8</recordid><startdate>20230801</startdate><enddate>20230801</enddate><creator>García Moriana, A. J.</creator><creator>Sánchez Arteaga, A.</creator><creator>Gil Delgado, J. L.</creator><creator>Maroto Sánchez, R.</creator><creator>Feria Madueño, A.</creator><creator>Tallón Aguilar, L.</creator><creator>Padillo Ruiz, J.</creator><creator>Sañudo, B.</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0875-7185</orcidid></search><sort><creationdate>20230801</creationdate><title>Evaluation of rectus abdominis muscle strength and width of hernia defect in patients undergoing incisional hernia surgery</title><author>García Moriana, A. J. ; Sánchez Arteaga, A. ; Gil Delgado, J. L. ; Maroto Sánchez, R. ; Feria Madueño, A. ; Tallón Aguilar, L. ; Padillo Ruiz, J. ; Sañudo, B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-770be005e14f2fd771688e6a9ca01b76ec0b480b0525be625d567b8b3d257a6f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Abdominal Surgery</topic><topic>Age</topic><topic>Body composition</topic><topic>Body fat</topic><topic>Body weight</topic><topic>Hernia</topic><topic>Hernias</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Muscle strength</topic><topic>Original Article</topic><topic>Patients</topic><topic>Sex</topic><topic>Statistical analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>García Moriana, A. J.</creatorcontrib><creatorcontrib>Sánchez Arteaga, A.</creatorcontrib><creatorcontrib>Gil Delgado, J. L.</creatorcontrib><creatorcontrib>Maroto Sánchez, R.</creatorcontrib><creatorcontrib>Feria Madueño, A.</creatorcontrib><creatorcontrib>Tallón Aguilar, L.</creatorcontrib><creatorcontrib>Padillo Ruiz, J.</creatorcontrib><creatorcontrib>Sañudo, B.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Hernia : the journal of hernias and abdominal wall surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>García Moriana, A. J.</au><au>Sánchez Arteaga, A.</au><au>Gil Delgado, J. L.</au><au>Maroto Sánchez, R.</au><au>Feria Madueño, A.</au><au>Tallón Aguilar, L.</au><au>Padillo Ruiz, J.</au><au>Sañudo, B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of rectus abdominis muscle strength and width of hernia defect in patients undergoing incisional hernia surgery</atitle><jtitle>Hernia : the journal of hernias and abdominal wall surgery</jtitle><stitle>Hernia</stitle><addtitle>Hernia</addtitle><date>2023-08-01</date><risdate>2023</risdate><volume>27</volume><issue>4</issue><spage>919</spage><epage>926</epage><pages>919-926</pages><issn>1248-9204</issn><issn>1265-4906</issn><eissn>1248-9204</eissn><abstract>Background
The aim of this study was to analyze the strength status of the rectus abdominis muscle in patients with incisional hernia and the relationship between the width of the hernia defect and the strength of the rectus abdominis muscle.
Methods
This is a observational cohort study of patients with medial line incisional hernia (July–October 2022), classified as W2 according to the European Hernia Society (EHS). The data collected were demographic and clinical characteristics related to hernia, and measure of the rectus abdominis muscle strength using an isokinetic dynamometer and a strain gauge. We analyzed the relationship between hernia width and rectus abdominis muscle strength with correlation tests to adjustment by age, sex, BMI, and body composition.
Results
A total of 40 patients (64% female) with a mean age of 57.62 years (SD 11) were enrolled in the study. The mean BMI was 29.18 (SD 5.06), with a mean percentage of fat mass of 37.8% (SD 8.47) and a mean percentage of muscle mass of 60.33% (SD 6.43). The maximum width of the hernia defect was 6.59 cm (SD 1.54). In the male group, the mean bending force moment (ISOK_PT) was 94.01 Nw m (SD 34.58), bending force moment relative to body weight (ISOK_PT_Weight) was 103.32 Nw m (SD 37.48), and peak force (PK_90) was 184.71 N (SD 47.01). In the female group, these values were 58.11 Nw m (SD 29.41), 66.48 Nw m (SD 32.44), and 152.50 N (SD 48.49), respectively. Statistically significant differences were observed in the relationship between the data obtained with the isokinetic dynamometer and sex (
p
= 0.002), as well as between the data obtained with the isokinetic dynamometer and age (
p
= 0.006). Patients in the 90th percentile (P90) of rectus abdominis muscle strength also had smaller hernia defect widths (
p
= 0.048).
Conclusions
In this study, age and sex were identified as the most statistically significant predictor variables for rectus abdominis muscle strength. The width of the hernia defect exhibited a trend towards statistical significance.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>37442870</pmid><doi>10.1007/s10029-023-02834-8</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-0875-7185</orcidid></addata></record> |
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| ispartof | Hernia : the journal of hernias and abdominal wall surgery, 2023-08, Vol.27 (4), p.919-926 |
| issn | 1248-9204 1265-4906 1248-9204 |
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| source | SpringerNature Journals |
| subjects | Abdominal Surgery Age Body composition Body fat Body weight Hernia Hernias Medicine Medicine & Public Health Muscle strength Original Article Patients Sex Statistical analysis |
| title | Evaluation of rectus abdominis muscle strength and width of hernia defect in patients undergoing incisional hernia surgery |
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