Effect of Abdominal Myofascial Release on Pain and Functional Outcomes of Neck in Females with Cesarean Section

NCT05979116 | Completed

• 1 other identifier: P.T.REC/012/004050
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

To investigate the effect of abdominal myofascial release on pain, ROM and functional abilities of neck in females with CS scar.

Conditions

Cesarean Section

Keywords

cesarean section; myofascial release

Outcome Measures

Primary Outcomes (5)

• pain level measurement

  The pain level of each subject will be assessed before participation and after the end of the treatment by using numerical rating scale. this scale have numbers from 0 to 10 with 0 means no pain at all and 10 means sever intolerable pain

  2 weeks

• Scar mobility

  Subjects will lay supine on a plinth with arms at their sides and legs straight. Marks were made on the CS scar at 2.5 cm intervals. This resulted in from 5 to 8 measurement points along the scar, The examiner will use the marks to measure tissue extensibility in millimeters (mm) in each of four directions: superior/left/inferior/right by using adheremeter

  2 weeks

• pressure pain threshold measurement

  Pressure pain threshold ( PPT) is defined as the force at which the subject asked for pressure to stop due to pain. The pressure algometer is an instrument used to assess PPT for musculoskeletal pain. It was used to measure PPT of neck muscles before and after the treatment program for each female. This device includes a 1 cm2 probe with a system to convert the force applied through a 1 cm2 pressure application surface to Newtons (N/cm2) or kilograms of force (kg/cm2), that appear on the display

  2 weeks

• Neck ROM

  Neck ROM will be measured in a standardized sitting position to remove errors and movement compensation. The subjects will be asked for sitting with their back straight. Subject's ankles, knees and hips were positioned at right angle and arms were folded across the chest to minimize thoracic movement, with tongue depressor can be held between teeth for reference.

  2 weeks

• Functional disability index

  The NDI is adapted from Oswestry Low Back Pain Disability Questionnaire. It consists of 10 questions: pain intensity, personal care, lifting, reading, headaches, concentration, work, driving, sleeping, and recreation. 5 Each item is scored from 0 (no disability) to 5 (total disability).

  2 weeks

Study Arms (1)

study group

EXPERIMENTAL

this study group will receive abdominal myofascial release

Other: myofascial release

Interventions

myofascial release OTHER

MFR in its simplest form targeted restoration of mobility of myofascial and fascial layers from within, and with the surrounding structure. MFR techniques utilized with the cases include different variations of application: 1. Muscle was stroked in a long

study group

Eligibility Criteria

• Age: 20 Years - 35 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Female patients suffering from chronic neck pain since more than 3 months.
• They underwent CS since at least 2 year before entry into study.
• Not suffering from neck pain before CS
• Their age will range from 20 to 35 years.
• They will be primiparous
• Body mass index (BMI) will range from 20-30 kg/m2.

You may not qualify if:

• Pregnancy.
• BMI over 30 kg/m2.
• Less than six months after CS.
• History of pathologies resulting in weakening of connective tissue (diabetes, neoplasms, rheumatic illnesses).
• Any abdominal surgeries other than caesarean sections.
• Any head or neck trauma.
• Skin irritation/inflammation at the site of scar.
• Any spinal deformity as kyphosis or scoliosis.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Cairo university

Giza, Egypt

Location

Related Publications (3)

• Chamorro Comesana A, Suarez Vicente MD, Docampo Ferreira T, Perez-La Fuente Varela MD, Porto Quintans MM, Pilat A. Effect of myofascial induction therapy on post-c-section scars, more than one and a half years old. Pilot study. J Bodyw Mov Ther. 2017 Jan;21(1):197-204. doi: 10.1016/j.jbmt.2016.07.003. Epub 2016 Jul 18.

  PMID: 28167179 BACKGROUND

• Declercq E, Cunningham DK, Johnson C, Sakala C. Mothers' reports of postpartum pain associated with vaginal and cesarean deliveries: results of a national survey. Birth. 2008 Mar;35(1):16-24. doi: 10.1111/j.1523-536X.2007.00207.x.

  PMID: 18307483 BACKGROUND

• Fan C, Guidolin D, Ragazzo S, Fede C, Pirri C, Gaudreault N, Porzionato A, Macchi V, De Caro R, Stecco C. Effects of Cesarean Section and Vaginal Delivery on Abdominal Muscles and Fasciae. Medicina (Kaunas). 2020 May 27;56(6):260. doi: 10.3390/medicina56060260.

  PMID: 32471194 BACKGROUND

Related Links

• Effect of myofascial induction therapy on post-c-section scars, more than one and a half years old. Pilot study
• Mothers' reports of postpartum pain associated with vaginal and cesarean deliveries: results of a national survey

MeSH Terms

Interventions

Myofascial Release Therapy

Intervention Hierarchy (Ancestors)

Massage; Therapy, Soft Tissue; Musculoskeletal Manipulations; Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Officials

• Amel youssef

  Cairo University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: assistant lecturer

Model Details: a single group study as a study that consists of only a single group of subjects included in the study design, in which all subjects received a single intervention and the outcomes are assessed over time .

Study Record Dates

• First Submitted: July 29, 2023
• First Posted: August 7, 2023
• Study Start: August 1, 2023
• Primary Completion: February 20, 2024
• Study Completion: May 30, 2024
• Last Updated: December 19, 2024

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)