Scar Mobilization Techniques vs Core Stability Exercises on Scar Tissue and Lumbopelvic Pain

Riphah International University

Status: Completed

Conditions: Back Pain; Scar Tissue

Treatments: Other: Core stabilization exercises; Other: Scar mobilization techniques

Study type: Interventional

Funder types: Other

Identifiers

NCT05355181

REC/Lhr/22/0504 Anam

Details and patient eligibility

About

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.

Full 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.

Enrollment: 27 patients

Sex: Female

Ages: 20 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 20 -40 years.
• Lower segment transverse incision technique used.
• Minimum 6 weeks postnatal.
• Completely healed Scar.
• Limited scar mobilization in any direction or lifting.
• No complications after the surgery.

Exclusion criteria

• Women with an abdominal hernia.
• Multiple births.
• Skin irritation or infection at the scar site.
• Diastasis Recti Abdominis
• History of abdominal surgery other than cesarean section.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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27 participants in 2 patient groups

Group A: scar mobilization and core stabilization exercises group

Experimental group

Description:

Group A will perform exercises for 3 weeks. Participants will perform core stabilization exercises as well as scar mobility exercises. All exercises will be performed in 3 sessions per week for a period of 3 weeks.

Treatment:

Other: Core stabilization exercises

Other: Scar mobilization techniques

Group B: scar mobilization techniques group

Active Comparator group

Description:

Group B will perform scar mobilization exercises for 3 weeks along with baseline treatment. All exercises will be performed in 3 sessions per week for a period of 3 weeks.

Treatment:

Other: Scar mobilization techniques