Effect of Myofascial Release on Menstrual Pain Post Caesarean Section

NCT06951763 | Not Yet Recruiting

• 1 other identifier: P.T.REC/012/005675
• Study Type: interventional
• Target: 58
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to investigate the effect of myofascial release on menstrual pain post cesarean section.

Conditions

Menstrual Pain

Outcome Measures

Primary Outcomes (3)

• Menstrual pain intensity measurement

  The pain level of each subject will be assessed during menstruation before participation and after the end of the procedure using the visual analogue scale (VAS) by marker across 100 mm line, Participants were asked to put a mark on the line that they felt represented the most severe pain that experienced during menstruation. The following cut points on the pain VAS will be done: no pain (0-4 mm), mild pain (5-44 mm), moderate pain (45-74 mm), and severe pain (75-100 mm)

  4 weeks

• Menstruation aspects assessment

  Assessment will be done by WaLIDD questionnaire that included 1) number of anatomical pain locations, 2) Wong-Baker pain range, 3) number of days of pain during menstruation, 4) frequency of disabling pain to perform their activities, e Each tool's variable provided a specific score between 0 and 3, and the final score ranged from 0 to 12 points (Score: 0 without dysmenorrhea, 1-4 mild dysmenorrhea, 5-7 moderate dysmenorrhea, 8-12 severe dysmenorrhea.

  4 weeks

• Abdominal tenderness assessment

  Assessment of abdominal tenderness will be done by using the pressure algometer on day 1 and day 3 of menstruation. A one cm2 pressure probe will be positioned perpendicularly to the skin and pressed at a rate of 30kPa/s on specific PPT marked point on the abdomen around the umbilical scar and lumbar region as follows: Two measurements 4cm from the umbilicus, bilaterally (points I and II), two other measurements 4cm below the previous ones (points III and IV), a single measurement 4cm from the lower margin of the umbilicus (point V) and another single measurement into the medial side of the lumbar region below the fifth lumbar vertebra, corresponding to S2-S4 (point VI). Participants will be instructed to say "now" when they first felt pain due to the increased pressure. At this point, the algometer will immediately stop and automatically record the amount of pressure applied. Two measures will be collected for each area, with 30s between points testing

  4 weeks

Secondary Outcomes (1)

• Scar tissue mobility assessment:

  4 weeks

Study Arms (2)

stretching exercise group

ACTIVE COMPARATOR

The participants will receive stretching exercise program, 3 days/week for 4 weeks.

Other: stretching exrcise

stretching exercise and myofascial release group

EXPERIMENTAL

The participants will receive same stretching exercises program in addition to myofascial release of cesarean scar, for 30 minutes session twice a week for two weeks.

Other: stretching exrcise; Other: myofascial release

Interventions

stretching exrcise OTHER

The participants will receive stretching exercises program for 45 minutes, 3 days/week for 4 weeks.

stretching exercise and myofascial release group; stretching exercise group

myofascial release OTHER

The participants will receive the same stretching exercises program in addition to myofascial release of cesarean scar, abdominal fascia, diaphragm and psoas muscle for 30 minutes session twice a week for two weeks.

stretching exercise and myofascial release group

Eligibility Criteria

• Age: 20 Years - 35 Years
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Women complaining of menstrual pain post - caesarean section (CS).
• Their age will range from 20 to 35 years.
• Their body mass index will range from 20-30 kg/m2.
• Women who gave birth once or twice.
• Women who had C-section 6 weeks to 6 months ago.

You may not qualify if:

• Active infection/ infectious skin disease, burn or scars.
• Less than six weeks after CS.
• Any abdominal surgeries other than CS.
• Any spinal deformity as scoliosis or kyphosis.
• History of cancer or radiation to the abdominopelvic region.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Nourhan Samir Ibrahim

Cairo, Egypt

Location

MeSH Terms

Conditions

Dysmenorrhea

Interventions

Myofascial Release Therapy

Condition Hierarchy (Ancestors)

Menstruation Disturbances; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pelvic Pain; Pain; Neurologic Manifestations; Signs and Symptoms

Intervention Hierarchy (Ancestors)

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

Study Officials

• Hossam Kamel, Professor

  Al-Azhar University

  STUDY DIRECTOR

• Doaa Osman, As professor

  Cairo University

  STUDY CHAIR

Central Study Contacts

Nourhan S Ibrahim, Master

CONTACT

01100072276; nourhansamirebrahim2025@gmail.com

Mahitab M Yosri, PHD

CONTACT

01222606996; mahitab.yosri@pt.cu.edu.eg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Study Record Dates

• First Submitted: April 23, 2025
• First Posted: April 30, 2025
• Study Start: April 30, 2025
• Primary Completion: July 31, 2025
• Study Completion: August 15, 2025
• Last Updated: April 30, 2025

Record last verified: 2025-04

Locations

EG (1)