Effects of Soft Tissue Mobilization on Postsurgical Adhesions, Pain, Lumbopelvic Muscle Functions, Spinal Mobility, and Posture in Postpartum Women With Caesarean Section

YI-JU TSAI

Status: Suspended

Conditions: Postsurgical Adhesion

Treatments: Other: sham; Other: Myofascial abdominal diaphragm release; Other: pelvic anatomy education; Other: Direct manipulations to visceral structures; Other: Direct focused scar release technique

Study type: Interventional

Funder types: Other

Identifiers

NCT05008315

NCKU_adhesion

Details and patient eligibility

About

Postpartum women with C-section receiving deep and superficial tissue mobilization would have better improvement on pain, lumbopelvic muscle functions, spinal mobility, and posture compare to the superficial tissue mobilization and control group

Enrollment: 120 estimated patients

Sex: Female

Ages: 20 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

vaginal delivery

Inclusion Criteria:

• Natural birth without C-section scar
• Postpartum more than 6 months
• Without any pain in the lumbopelvic region

C-section

Inclusion Criteria:

• Healed C-section scar > six months
• Scar with or without pain

Both mode of delivery

Exclusion Criteria:

• Active infection or infectious disease in the pelvis or abdomen
• Pain medications on days of measurements
• Skin irritation and inflammation at the site of the scar
• Currently pregnant or actively trying to get pregnant
• History of radiation to the area
• Any fracture around spine and pelvis
• Any previous gynecologic and obstetric surgery

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

120 participants in 4 patient groups, including a placebo group

deep and superficial tissue mobilization group

Experimental group

Description:

include deep and superficial tissue mobilization

Treatment:

Other: Direct manipulations to visceral structures

Other: Direct focused scar release technique

Other: pelvic anatomy education

Other: Myofascial abdominal diaphragm release

superficial tissue mobilization group

Active Comparator group

Description:

superficial tissue mobilization

Treatment:

Other: Direct focused scar release technique

Other: Myofascial abdominal diaphragm release

control group

Placebo Comparator group

Description:

Sham (very light hand touch on the same location as the other two groups but without any treatment intention)

Treatment:

Other: pelvic anatomy education

Other: sham

vaginal delivery group

Other group

Description:

education session

Treatment:

Other: pelvic anatomy education