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

Cairo University (CU)

Status: Enrolling

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

Treatments: Other: Deep friction massage; Other: Routine daily scar care advices; Other: Myofascial release

Study type: Interventional

Funder types: Other

Identifiers

NCT07130747

Moaz_Msc

Details and patient eligibility

About

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

Full description

Chronic post-C-section scar pain and discomfort affect up to 20% of women who undergo cesarean sections. This pain can lead to physical, aesthetic, psychological, and social consequences, including itching, stiffness, scar contractures, and tenderness. The myofascial release technique, a manual approach, may facilitate the healing process. Deep friction massage, used to correct structural alterations, can cause reduced mobility and viscoelasticity, potentially affecting sensory receptors and nerve fibers. This study aims to provide physiotherapists with scientific information on the effect of myofascial release on scar and abdominal recovery after cesarean section.

Enrollment: 36 estimated patients

Sex: Female

Ages: 30 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

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

Exclusion criteria

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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36 participants in 3 patient groups

home advices

Active Comparator group

Description:

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

Treatment:

Other: Routine daily scar care advices

myofascial release technique

Experimental group

Description:

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

Treatment:

Other: Myofascial release

Other: Routine daily scar care advices

deep friction massage

Experimental group

Description:

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.

Treatment:

Other: Routine daily scar care advices

Other: Deep friction massage