Effect of Abdominal Myofascial Release on Pain and Functional Outcomes of Neck in Females with Cesarean Section

Cairo University30 enrolled

Overview

To investigate the effect of abdominal myofascial release on pain, ROM and functional abilities of neck in females with CS scar.

irty females with neck pain will participate in this study. Subjects will receive treatment session of thirty minutes in length in order to minimize tissue irritation and avoid increased tension of the scar area, which would counter the goal of the session. Treatment sessions will be provided biweekly for two weeks apart in order to allow physiological and biomechanical healing time between treatment sessions. MFR techniques will be employed to release the caesarean scar and myofascia of the DFL of each subject. The depth of the scar in this study takes us through all the layers from the skin to the uterus, following the surgical incision procedure. MFR was the primary treatment applied to the accessible structure of the patients' DFL, through Myers's MFR techniques of DFL. MFR in its simplest form targeted restoration of mobility of myofascial and fascial layers from within, and with the surrounding structure.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Cesarean Section

Interventions

myofascial releaseOTHER

MFR in its simplest form targeted restoration of mobility of myofascial and fascial layers from within, and with the surrounding structure. MFR techniques utilized with the cases include different variations of application: 1. Muscle was stroked in a long

Eligibility

Sex: FEMALEMin age: 20 YearsMax age: 35 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1. Female patients suffering from chronic neck pain since more than 3 months. 2. They underwent CS since at least 2 year before entry into study. 3. Not suffering from neck pain before CS 4. Their age will range from 20 to 35 years. 5. They will be primiparous 6. Body mass index (BMI) will range from 20-30 kg/m2. Exclusion Criteria: 1. Pregnancy. 2. BMI over 30 kg/m2. 3. Less than six months after CS. 4. History of pathologies resulting in weakening of connective tissue (diabetes, neoplasms, rheumatic illnesses). 5. Any abdominal surgeries other than caesarean sections. 6. Any head or neck trauma. 7. Skin irritation/inﬂammation at the site of scar. 8. Any spinal deformity as kyphosis or scoliosis.

Locations (1)

Cairo university

Giza, Egypt

Outcomes

Primary Outcomes

pain level measurement

The pain level of each subject will be assessed before participation and after the end of the treatment by using numerical rating scale. this scale have numbers from 0 to 10 with 0 means no pain at all and 10 means sever intolerable pain

Time frame: 2 weeks

Scar mobility

Subjects will lay supine on a plinth with arms at their sides and legs straight. Marks were made on the CS scar at 2.5 cm intervals. This resulted in from 5 to 8 measurement points along the scar, The examiner will use the marks to measure tissue extensibility in millimeters (mm) in each of four directions: superior/left/inferior/right by using adheremeter

Time frame: 2 weeks

pressure pain threshold measurement

Pressure pain threshold ( PPT) is defined as the force at which the subject asked for pressure to stop due to pain. The pressure algometer is an instrument used to assess PPT for musculoskeletal pain. It was used to measure PPT of neck muscles before and after the treatment program for each female. This device includes a 1 cm2 probe with a system to convert the force applied through a 1 cm2 pressure application surface to Newtons (N/cm2) or kilograms of force (kg/cm2), that appear on the display

Time frame: 2 weeks

Neck ROM

Neck ROM will be measured in a standardized sitting position to remove errors and movement compensation. The subjects will be asked for sitting with their back straight. Subject's ankles, knees and hips were positioned at right angle and arms were folded across the chest to minimize thoracic movement, with tongue depressor can be held between teeth for reference.

Time frame: 2 weeks

Functional disability index

The NDI is adapted from Oswestry Low Back Pain Disability Questionnaire. It consists of 10 questions: pain intensity, personal care, lifting, reading, headaches, concentration, work, driving, sleeping, and recreation. 5 Each item is scored from 0 (no disability) to 5 (total disability).

Data from ClinicalTrials.gov

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