Targeted Prehabilitation With Physical Exercise and Inspiratory Muscle Training for Elderly Frail Patients Prior to Ventral Hernia Repair

Part of paid clinical trials in Greenville, South Carolina.

Sponsor
Prisma Health-Upstate
Study ID
NCT06874413
Status
Enrolling By Invitation

Conditions

  • Frailty
  • Ventral Hernia

Eligibility Criteria

Sex
ALL
Age
65 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Prehabilitation — BEHAVIORAL
    Physical prehabilitation or exercise conducted through the YMCA's Silver Sneaker's program prior to receiving surgery that will be assessed through the use of wearable activity monitors.
  • Standard of Care (SOC) — OTHER
    Patients will receive standard of care preoperative instructions.

Study Details

The purpose of this study is to assess the physical fitness of patients undergoing hernia repair and correlate the postoperative outcomes and recovery as well as assess the impact of a targeted physical exercise program preoperatively in a cohort of frail, elderly patients. The investigators hypothesize that physical exercise will improve activity levels in elderly patients with frailty prior to ventral hernia repair. The investigators further hypothesize that increased levels of activity preoperatively will correlate with improved postoperative outcomes.

Key Dates

Start date
Mar 19, 2025
Status verified
May 2026
Primary completion
Apr 30, 2027
Completion
Jun 30, 2027

Study Design

Enrollment
120 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Active Comparator: Group 1 - Standard of Care
    Patient receives standard of care instructions for preparing for ventral hernia repair surgery and recovery. Postoperative outcomes are measured.
  • Experimental: Group 2 - Physical Exercise Arm
    Elderly patients with frailty participate in a 6-8 weeks of physical exercise program through the YMCA's SilverSneakers Program monitored by a wearable activity monitor. Patients will also complete respiratory training by using an incentive spirometer daily. Postoperative outcomes are measured
  • No Intervention: Group 3 - Observational Cohort
    Patient's physical activity is monitored prior to receiving ventral or inguinal hernia repair surgery and postoperative outcomes are measured.

Primary Outcome Measure

Activity levels [ Time Frame: 6-8 weeks preoperatively ]

Locations (1)

FacilityCityStateZIPSite coordinators
Prisma HealthGreenvilleSouth Carolina29615-

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By research site
Prisma Health· Greenville, SC

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