Osteopathy of Post Cesarean Section Adhesions

NCT06907394 | Completed DMC

• 1 other identifier: P.T.REC/012/003148
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Chronic low back pain post cesarean section adhesions represents a restricting dysfunction, mainly influences abdominal fascia that leads to major welfare and economic restrictions. Osteopathic manipulation is a drug-free non-invasive is the therapeutic application of manually guided forces to improve physiologic function and support homeostasis. The purpose of the current study is to determine the effect of osteopathic manipulations of post cesarean section adhesions on low back pain

Conditions

Low Back Pain; Cesarean Section Complications

Keywords

Osteopathic Manipulation; Low Back Pain; Post Cesarean Section Adhesions; Visual Analogue Scale; Oswestry Low Back Disability Questionnaire; Modified Schober Test

Outcome Measures

Primary Outcomes (1)

• Visual analogue scale

  a self-reported pain measurement a widely utilized scale in rehabilitation. It has been shown to be valid and reliable, and its ratio scale properties make VAS the optional tool for describing pain intensity

  Pre-treatment, and Post-treatment of the the study treatment program afetr 4-weeks).

Secondary Outcomes (2)

• Oswestry Low Back Disability Questionnaire

  Pre-treatment, and Post-treatment of the the study treatment program after 4-weeks).

• Modified Schober Test

  Pre-treatment, and Post-treatment of the the study treatment program after4-weeks).

Study Arms (2)

Control Group

PLACEBO COMPARATOR

Fifteen Females will receive only analgesic drugs for four weeks.

Other: Control Group

Study Group

EXPERIMENTAL

Fifteen females will receive osteopathic manipulations once weekly along four weeks, plus analgesic drugs for four weeks.

Other: Osteopathic Manipulations; Other: Control Group

Interventions

Osteopathic Manipulations OTHER

Osteopathic Manipulations (a. Myofascial release technique: Direct scar release+ Indirect scar release 'Fascial unwinding'; b. Grand Maneuver; Visceral manipulations of uterus

Study Group

Control Group OTHER

Paracetamol tablets

Control Group; Study Group

Eligibility Criteria

• Age: 20 Years - 35 Years
• Gender Eligibility Details: The study targeting post cesarean section adhesions (among women) on low back pain management.
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• They suffered from low back pain and undergoes cesarean section at least 6 months before entry into study.
• Their body mass index (BMI) will be ≤ 25 kg /m2.
• Their age will range from 20 to 35 years.
• They would not use any other analgesic drugs during the study period.

You may not qualify if:

• Pregnancy or suspected pregnancy.
• Recent abdominal surgery
• Patients with severe spinal pathology (cauda equine syndrome, spinal canal stenosis, fracture of spine, discitis, infectious disease of spine).
• Cancer.
• Abdominal and pelvic infection, open wound, burn and skin irritation.

Sponsors & Collaborators

• Adly A Adam: lead

Study Sites (1)

Mitghamer Hospital, Mitghamer city, Qalyubia Governate

Al Maţmar, Qalubyia, 35611, Egypt

Location

MeSH Terms

Conditions

Low Back Pain

Interventions

Control Groups

Condition Hierarchy (Ancestors)

Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Officials

• Khadija S Abdulaziz, PHD

  Professor of Physical Therapy for Woman's Health

  STUDY CHAIR

• Mohamed A Abo Elainin, PHD

  Consultant of Obstetrics and Gynecology

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: QUADRUPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: The whole participants, care provider, investigator and the outcome assessor will not be aware of each participant allocation within the current study groups; Based on a third person will be assigned for randomization.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Lecturer of Physical Therapy

Model Details: Randomized, Pre/Posttreatment, Controlled Trial.

Study Record Dates

• First Submitted: March 26, 2025
• First Posted: April 2, 2025
• Study Start: April 1, 2025
• Primary Completion: April 1, 2026
• Study Completion: April 1, 2026
• Last Updated: April 30, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)