Effect of Myofascial Release Versus Deep Friction Massage on Abdominal Recovery and Scar After Cesarean Section
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Myofascial release, Deep friction massage, Routine daily scar care advices.
- Who it may be relevant to
- Registry conditions: Myofascial Release, Deep Friction Massage, Cesarean Section Complications, Scar. Basic parameters: 30 years — 45 years · Female.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
This study was done to compare the effect of myofascial release versus deep friction massage on abdominal recovery and scar after cesarean section.
Detailed 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.
Interventions
- Other Myofascial release
The study involves women in both groups receiving myofascial release technique for twenty minutes three times per week for eight weeks. The technique requires the patient's skin to be dry and not oily, and all techniques must be applied at the barrier of tissue resistance. The technique involves gentle, sustained pressure held at the barrier for at least five minutes to allow the patient to respond to the treatment and relax. The technique involves skin stretching and desensitization around the - Other Deep friction massage
Women in both groups (C) will receive a deep friction massage three times a week for eight weeks, applying a fingertip pad perpendicularly to post-cesarean scar tissue, moving across the band and back-and-forth motion along the scar tissue's length. - Other Routine daily scar care advices
Each woman in all groups (A, B, and C) will receive full instructions for daily post-cesarean-section scar care. Weekly revision for post-cesarean-section scar care will conduct by the researcher
Primary outcome measures
- assessment of pain intensity [Time frame: at baseline and after 8 weeks]
Secondary outcome measures (4)
- Assessment of post-Cesarean-section scar recovery [Time frame: at baseline and after 8 weeks]
- Assessment of pressure pain threshold [Time frame: at baseline and after 8 weeks]
- Assessment of abdominal recovery [Time frame: at baseline and after 8 weeks]
- Assessment of abdominal musculatures strength [Time frame: at baseline and after 8 weeks]
Eligibility criteria
Inclusion criteria
- All postpartum women >6 months postnatal having a post-Cesarean-section scar.
- Postpartum women with a well-healed cesarean section scar resulted in chronic pain in the scar, pelvis, or abdomen.
- Their ages will range from 30 to 45 years.
- Their body mass index (BMI) is less than 30 kg/m².
Exclusion criteria
- Pregnant women or planning for pregnancy.
- Postpartum women with abdominal infectious diseases.
- Cardiovascular diseases.
- Previous spinal surgery.
- History of skeletal deformity.
- Participation in any other exercise training program during this study.
- Malignant condition
- History of acute infection
- Neurological problem
- Mental problem to prevent evaluation and cooperation
- Having uncontrolled metabolic diseases like diabetes and thyroid disease
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Egypt · 1 center
- the Gynecology and Obstetrics Outpatient clinics, Alexandria University Hospitals, Alexand — Alexandria
Identifiers
NCT: NCT07130747 · Moaz_Msc