This study aims to examine the effects of an osteopathic treatment on adhesions related to c-sections scars.
The rates of caesarean sections are growing throughout the world, with recent rates (in 2016) in Europe of 25%, in North America of 32.3% and in South America of 40.5%. The incidence of intra-abdominal adhesions in women undergoing to repeated caesarean sections is constantly increasing. Labor and surgical time are significantly longer in patients with adhesions compared to patients without adhesions. Furthermore, it has been estimated that about 10% of patients undergoing cesarean section experience chronic pain. Despite of the big impact on the quality of life of patients and high cost for public health, treatments for adhesions are mostly surgical. The identification of non-surgical treatments that aim to reduce cicatricial adhesions' formation is essential to decrease hospitalization times and associated complications. The purpose of this study is to evaluate the effects of osteopathic treatment and self-massage on scars in women who underwent to a cesarean section. The main aim is to assess whether there is a change in the number, size and vascularization of of cesarean section adhesionsthrough Superb Microvascular Imaging (SMI).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
50
Manual treatment that aims to release myofascial tensions
Similar to OMT without pressure
Women will be instructed to perform self-massage at home once a day for 5 minutes.
Studio Osteopatico Busto Arsizio
Busto Arsizio, Varese, Italy
Adhesions' number, size and vascularization
Evaluate through superb microvascular imaging. Correlation between adhesions and type/number of c-section
Time frame: Changes from Baseline Adhesions' number, size and vascularization at 2 weeks and one month
Adverse event
Number and type of adverse events
Time frame: Number of adverse event occurred at one month
Uterine niches
Evaluation of the presence and dimensions of uterine niches
Time frame: Changes in dimension of uterine niches at one month
Reliability of osteopathic palpation through a questionnaire
Comparison between osteopathic palpation and ultrasound results in the detection of adhesions
Time frame: At one week, two week and one month
Inter-reliability of ultrasound evaluation
Ultrasound results comparison between gynecologist and radiologist using a vascularization scale (grade from 0 to 4)
Time frame: At one week, two week and one month
Self-massage compliance
Questionnaire
Time frame: At one month
Symptoms related to scar
Time frame: At one week, two week and one month
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