Clinical trial NCT06907394: Osteopathy of Post Cesarean Section Adhesions
Official title: Effect of Osteopathic Manipulations of Post Cesarean Section Adhesions on Low Back Pain
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
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
Lead sponsor: Cairo University
Sponsor class: OTHER
First posted: 2025-04-02
Enrollment: 30
Sex: FEMALE
Minimum age (years): 20
Maximum age (years): 35
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Randomized, Pre/Posttreatment, Controlled Trial.
Primary purpose: TREATMENT

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

Detailed description: Chronic low back pain is a common musculoskeletal disorder affects adults with 84% prevalence. It influences lower back, and lasts at least 12 weeks. Where increased annual cesarean section rates up to 19.1% associated with scar, pelvic, abdominal and low back pain disorders (Chia et al., 2016). From the fascial point of view, abdominal muscles are in continuity with the thoracolumbar fascia and the pelvic floor. It has been demonstrated that they work with great synergy and guaranteed by fascial continuity (Fan et al., 2018).

Osteopathic manipulative technique consists of a range of direct, indirect, combined, fluid and reflex-based manual techniques that are applied specifically to a joint or non-specifically to a body area. Direct techniques apply thrust, impulse, muscle contraction, fascial loading or passive range of motion (Fan et al., 2018).The purpose of the current study is to determine the effect of osteopathic manipulations of post cesarean section adhesions on low back pain. Up on that 30 post cesarean women suffering from low back pain at least for 6 months from the Outpatient Clinic of Mitghamer Hospital, El-Daqahlia. Their age range 20-35 years old, BMI range≤ 25 kg /m2. They will be allocated into control group will receive analgesics. Study group will receive four weeks of analgesics, plus osteopathic manipulations once per week.

Eligibility criteria: Inclusion Criteria:

* 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.

Exclusion Criteria:

* 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.

Primary outcomes:
measure: Visual analogue scale
timeFrame: Baseline, and Post-treatment of the the study treatment program along 4-weeks).
Secondary outcomes:
measure: Oswestry Low Back Disability Questionnaire
timeFrame: Baseline, and Post-treatment of the the study treatment program along 4-weeks).
measure: Modified Schober Test
timeFrame: Baseline, and Post-treatment of the the study treatment program along 4-weeks).
Other outcomes:
Locations:
city: Al Miţmar
country: Egypt
facility: Mitghamer Hospital, Mitghamer city, Qalyubia Governate
state: Qalubyia
Study officials:
affiliation: Professor of Physical Therapy for Woman's Health
name: Khadija S Abdulaziz, PHD
role: STUDY_CHAIR
affiliation: Consultant of Obstetrics and Gynecology
name: Mohamed A Abo Elainin, PHD
role: STUDY_DIRECTOR
References: