Clinical trial NCT05979116: Effect of Abdominal Myofascial Release on Pain and Functional Outcomes of Neck in Females with Cesarean Section
Official title: Effect of Abdominal Myofascial Release on Pain and Functional Outcomes of Neck in Females with Cesarean Section
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Cesarean Section
Keywords: cesarean section
myofascial release
Lead sponsor: Cairo University
Sponsor class: OTHER
First posted: 2023-08-07
Enrollment: 30
Sex: FEMALE
Minimum age (years): 20
Maximum age (years): 35
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: a single group study as a study that consists of only a single group of subjects included in the study design, in which all subjects received a single intervention and the outcomes are assessed over time .
Primary purpose: TREATMENT

Brief summary: To investigate the effect of abdominal myofascial release on pain, ROM and functional abilities of neck in females with CS scar.

Detailed description: irty females with neck pain will participate in this study. Subjects will receive treatment session of thirty minutes in length in order to minimize tissue irritation and avoid increased tension of the scar area, which would counter the goal of the session.

Treatment sessions will be provided biweekly for two weeks apart in order to allow physiological and biomechanical healing time between treatment sessions.

MFR techniques will be employed to release the caesarean scar and myofascia of the DFL of each subject.

The depth of the scar in this study takes us through all the layers from the skin to the uterus, following the surgical incision procedure.

MFR was the primary treatment applied to the accessible structure of the patients' DFL, through Myers's MFR techniques of DFL. MFR in its simplest form targeted restoration of mobility of myofascial and fascial layers from within, and with the surrounding structure.

Eligibility criteria: Inclusion Criteria:

1. Female patients suffering from chronic neck pain since more than 3 months.
2. They underwent CS since at least 2 year before entry into study.
3. Not suffering from neck pain before CS
4. Their age will range from 20 to 35 years.
5. They will be primiparous
6. Body mass index (BMI) will range from 20-30 kg/m2.

Exclusion Criteria:

1. Pregnancy.
2. BMI over 30 kg/m2.
3. Less than six months after CS.
4. History of pathologies resulting in weakening of connective tissue (diabetes, neoplasms, rheumatic illnesses).
5. Any abdominal surgeries other than caesarean sections.
6. Any head or neck trauma.
7. Skin irritation/inﬂammation at the site of scar.
8. Any spinal deformity as kyphosis or scoliosis.

Primary outcomes:
measure: pain level measurement
timeFrame: 2 weeks
measure: Scar mobility
timeFrame: 2 weeks
measure: pressure pain threshold measurement
timeFrame: 2 weeks
measure: Neck ROM
timeFrame: 2 weeks
measure: Functional disability index
timeFrame: 2 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Giza
country: Egypt
facility: Cairo university
Study officials:
affiliation: Cairo University
name: Amel youssef
role: PRINCIPAL_INVESTIGATOR
References:
citation: Chamorro Comesana A, Suarez Vicente MD, Docampo Ferreira T, Perez-La Fuente Varela MD, Porto Quintans MM, Pilat A. Effect of myofascial induction therapy on post-c-section scars, more than one and a half years old. Pilot study. J Bodyw Mov Ther. 2017 Jan;21(1):197-204. doi: 10.1016/j.jbmt.2016.07.003. Epub 2016 Jul 18.
citation: Declercq E, Cunningham DK, Johnson C, Sakala C. Mothers' reports of postpartum pain associated with vaginal and cesarean deliveries: results of a national survey. Birth. 2008 Mar;35(1):16-24. doi: 10.1111/j.1523-536X.2007.00207.x.
citation: Fan C, Guidolin D, Ragazzo S, Fede C, Pirri C, Gaudreault N, Porzionato A, Macchi V, De Caro R, Stecco C. Effects of Cesarean Section and Vaginal Delivery on Abdominal Muscles and Fasciae. Medicina (Kaunas). 2020 May 27;56(6):260. doi: 10.3390/medicina56060260.