RESUMEN
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.
Asunto(s)
Hernia Incisional , Humanos , Masculino , Femenino , Persona de Mediana Edad , Hernia Incisional/etiología , Hernia Incisional/cirugía , Recto del Abdomen , Herniorrafia/efectos adversos , Fuerza MuscularRESUMEN
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Asunto(s)
Adulto , Femenino , Humanos , Sarcoma de Ewing/complicaciones , Sarcoma de Ewing , Manejo del Dolor/métodos , Parestesia/complicaciones , Parestesia/diagnóstico , Parestesia/terapia , Analgesia , Medronato de Tecnecio Tc 99m , Radiografía Torácica/instrumentación , Radiografía Torácica/métodos , Pulmón/patología , Pulmón , Laminectomía/métodos , Modalidades de Fisioterapia , Cintigrafía/métodos , Tomografía Computarizada de Emisión/métodosRESUMEN
Recovery of water status in water-stressed pistachio trees (Pistacia vera L. cv. Kerman) was investigated by subjecting trees to regulated deficit irrigation (RDI) (60% of crop evapotranspiration rate, ET(c)) during stages I and II of fruit development (FD) followed by full irrigation during FD stage III (kernel-filling). Trees irrigated at 100% ET(c) throughout FD stages I, II and III served as controls. Water-stress severity was characterized by changes in soil water content and midday stem water potential (Psi(md)). Midday leaf conductance (g(1)) and trunk diameter variation (TDV) were also measured. In RDI trees, the lowest Psi(md) value, -1.8 MPa, occurred at the end of the RDI period. The corresponding value for the control trees was around -1.1 MPa. Although the RDI treatment affected gas exchange later than Psi(md), the greatest reductions in gas exchange (60% of control values) also appeared at the end of the RDI period. There were significant differences in TDV between control and RDI trees at the end of the RDI period. Although plant water status recovered within 20 days of resuming irrigation, the TDV values indicated a longer period might be necessary for complete recovery. Recovery of g(1) was faster than that of Psi(md), although differences in TDV between control and RDI trees indicated that gas exchange recovered later than Psi(md). The slow recovery of pistachio trees during FD stage III from water stress imposed during FD stages I and II suggests that irrigation should exceed 100% ET(c) during FD stage III or that more extensive irrigation should commence before the end of FD stage II.