Effect of Myofascial Release Versus Deep Friction Massage on Abdominal Recovery and Scar After Cesarean Section

NCT07130747 | Recruiting

• 1 other identifier: Moaz_Msc
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

This study was done to compare the effect of myofascial release versus deep friction massage on abdominal recovery and scar after cesarean section.

Conditions

Myofascial Release; Deep Friction Massage; Cesarean Section Complications; Scar

Outcome Measures

Primary Outcomes (1)

• assessment of pain intensity

  Participants will use a visual analogue scale to assess waist pain intensity before and after treatment for all groups, rating severity from zero to 10. This reliable and time-efficient method is suitable for assessing pain levels post-c Cesarean scar site.

  at baseline and after 8 weeks

Secondary Outcomes (4)

• Assessment of post-Cesarean-section scar recovery

  at baseline and after 8 weeks

• Assessment of pressure pain threshold

  at baseline and after 8 weeks

• Assessment of abdominal recovery

  at baseline and after 8 weeks

• Assessment of abdominal musculatures strength

  at baseline and after 8 weeks

Study Arms (3)

home advices

ACTIVE COMPARATOR

It consisted of 12 postpartum women having a post-Cesarean-section scar. They will receive no treatment program, only advices for home care

Other: Routine daily scar care advices

myofascial release technique

EXPERIMENTAL

It consisted of 12 postpartum women having a post-Cesarean-section scar. They will receive myofascial release technique for 20 minutes three times per week for eight weeks, in addition to advices for home care

Other: Myofascial release; Other: Routine daily scar care advices

deep friction massage

EXPERIMENTAL

It consisted of 12 postpartum women having a post-Cesarean-section scar. They will receive deep friction massage for 20 minutes three times per week for eight weeks, in addition to advices for home care.

Other: Deep friction massage; Other: Routine daily scar care advices

Interventions

Myofascial release OTHER

The study involves women in both groups receiving myofascial release technique for twenty minutes three times per week for eight weeks. The technique requires the patient's skin to be dry and not oily, and all techniques must be applied at the barrier of tissue resistance. The technique involves gentle, sustained pressure held at the barrier for at least five minutes to allow the patient to respond to the treatment and relax. The technique involves skin stretching and desensitization around the scar, using up and down, side-to-side, and circular maneuvers.

myofascial release technique

Deep friction massage OTHER

Women in both groups (C) will receive a deep friction massage three times a week for eight weeks, applying a fingertip pad perpendicularly to post-cesarean scar tissue, moving across the band and back-and-forth motion along the scar tissue's length.

deep friction massage

Routine daily scar care advices OTHER

Each woman in all groups (A, B, and C) will receive full instructions for daily post-cesarean-section scar care. Weekly revision for post-cesarean-section scar care will conduct by the researcher

deep friction massage; home advices; myofascial release technique

Eligibility Criteria

• Age: 30 Years - 45 Years
• Gender Eligibility Details: All postpartum women \>6 months postnatal having a post-cesarean-section scar. Their ages will range from 30 to 45 years
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• All postpartum women \>6 months postnatal having a post-Cesarean-section scar.
• Postpartum women with a well-healed cesarean section scar resulted in chronic pain in the scar, pelvis, or abdomen.
• Their ages will range from 30 to 45 years.
• Their body mass index (BMI) is less than 30 kg/m².

You may not qualify if:

• Pregnant women or planning for pregnancy.
• Postpartum women with abdominal infectious diseases.
• Cardiovascular diseases.
• Previous spinal surgery.
• History of skeletal deformity.
• Participation in any other exercise training program during this study.
• Malignant condition
• History of acute infection
• Neurological problem
• Mental problem to prevent evaluation and cooperation
• Having uncontrolled metabolic diseases like diabetes and thyroid disease

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

the Gynecology and Obstetrics Outpatient clinics, Alexandria University Hospitals, Alexandria, Egypt

Alexandria, Egypt

RECRUITING

MeSH Terms

Conditions

Cicatrix

Interventions

Myofascial Release Therapy

Condition Hierarchy (Ancestors)

Fibrosis; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

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

Central Study Contacts

Moaz Khaled Elsayed Mohamed, physical therapist

CONTACT

+201068923232; moazkhaled437@gmail.com

Study Design

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

Study Record Dates

• First Submitted: August 9, 2025
• First Posted: August 19, 2025
• Study Start: June 1, 2025
• Primary Completion: September 1, 2025
• Study Completion: October 1, 2025
• Last Updated: August 19, 2025

Record last verified: 2025-08

Locations

EG (1)