Scar Mobilization Techniques vs Core Stability Exercises on Scar Tissue and Lumbopelvic Pain
Condition: Scar Tissue; Back Pain
MeSH terms: Back Pain; Cicatrix
Study type: Interventional

Summary: 
      The study will be a Randomized clinical trial to check the effects of scar mobilization
      techniques with and without core stabilization exercises on scar tissue mobility and
      lumbopelvic pain in females after a cesarean section suffering from back pain and restricted
      scar mobility. Duration of study will 6 months, convenient sampling technique used, subject
      following eligibility criteria from Rafiqa Medical Centre, Sargodha and Fatima Hospital,
      Sargodha, will randomly be allocated in two groups via lottery method, baseline assessment
      will be done, Group A participants will be given baseline treatment along with scar
      mobilization and core stabilization exercises, Group B participants will be given baseline
      treatment along with scar mobilization for 3 weeks. On the 5th and 9th day, the
      post-intervention assessment will be done via, Manual Scar mobility testing, Vancouver Scar
      Scale, Numeric Pain Rating Scale, and Oswestry Disability Index. 3 sessions per week will be
      given.
    

Detailed description: 
      The study will be a Randomized clinical trial to check the effects of scar mobilization
      techniques with and without core stabilization exercises on scar tissue mobility and
      lumbopelvic pain in females after a cesarean section suffering from back pain and restricted
      scar mobility. Duration of study will 6 months, convenient sampling technique used, subject
      following eligibility criteria from Rafiqa Medical Centre, Sargodha and Fatima Hospital,
      Sargodha, will randomly be allocated in two groups via lottery method, baseline assessment
      will be done, Group A participants will be given baseline treatment along with scar
      mobilization and core stabilization exercises, Group B participants will be given baseline
      treatment along with scar mobilization for 3 weeks. On the 5th and 9th day, the
      post-intervention assessment will be done via, Manual Scar mobility testing, Vancouver Scar
      Scale, Numeric Pain Rating Scale, and Oswestry Disability Index. 3 sessions per week will be
      given.

      Scar mobilization techniques include the gentle stroking and lifting of the scar as well as
      moving the scar tissue in different directions. It also includes rolling, C- grip, S-grip,
      and ram horn mobilization of the scar tissue. These techniques are helpful to the
      physiotherapists to effectively remove the negative effects of poor wound healing, restore
      the aesthetics of visible tissues and hence improve the functioning of the fascial network,
      and thus also other parts of the body.

      Core stabilization exercises administered to the patients after cesarean section include the
      posture corrective exercises, abdominal draw-in, squatting, pelvis tilting, knee to chest,
      flexibility, and stretching exercises and bridges.

      Breathing exercises, isometric, and general mobility exercises were incorporated as baseline
      exercises in both groups.
    

Intervention name(s): Scar mobilization techniques; Core stabilization exercises
Intervention type(s): Other; Other
Intervention description(s): Scar mobilization techniques include the gentle stroking and lifting of the scar as well as moving the scar tissue in different directions. It also includes rolling, C- grip, S-grip, and ram horn mobilization of the scar tissue.
Core stabilization exercises administered after cesarean section include the posture corrective exercises, abdominal draw-in, squatting, pelvis tilting, knee to chest, flexibility and stretching exercises, and bridges.; Core stabilization exercises
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: Cicatrix; Pelvic Girdle Pain; Postpartum Period; scar; back pain