EFFECT OF SCAR RELEASE TECHNIQUES ON CHRONIC SCAR PAIN AND MOBILITY POST CESAREAN SECTION

NCT ID: NCT05391685

Last Updated: 2022-05-26

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-06-20
• Study Completion Date: 2022-10-20

Brief Summary

Purpose of the study:

The aim of this study is to determine the effect of scar release techniques on chronic scar pain and mobility post cesarean section.

Hypothesis:

• H0: There is no effect of scar release techniques on chronic scar pain and mobility post cesarean section.
• HA: There is effect of scar release techniques on chronic scar pain and mobility post cesarean section.

Detailed Description

A vicious impediment on quality of life including psychological and functional disability, and interference with baby care and bonding may occur among women who experience chronic post-caesarean section pain (CPCSP) .

Structural alterations of the skin and subcutaneous tissues with scarring result in reduced mobility and viscoelasticity that could cause compression of the sensory receptors and nerve fibers and disrupt their signaling. The viscoelastic properties could potentially be modified when the skin and scars are stressed and/or strained by manual therapies and this can affect the sensitivity threshold of the mechanosensitive and nociceptive receptors.

There are limited studies about the effect of various scar release techniques on chronic post cesarean section scar pain and mobility and their impact on quality of life on the affected women . So, this study will be helpful and of valuable benefits for medical services organizations and increase body of knowledge of physical therapists in scientific field.

This study will be conducted on forty women suffering from chronic post cesarean section scar pain and restricted scar mobility , they will be referred from department of Obestetrics and Gynaecology in Elmansoura International Hospital, Egypt.

Conditions

Cesarean Section Complications

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

therapeutic ultrasound

Control group will be treated by therapeutic ultrasound only

Group Type: EXPERIMENTAL

Scar release techniques + therapeutic ultrasound

Intervention Type: OTHER

Control group will be treated by therapeutic ultrasound only for2 sessions per week for two weeks Study group) will be treated by various scar release techniques in addition to therapeutic ultrasound, 2 sessions per week for two weeks.

therapeutic ultrasound+scar release techniques

Study group will be treated by various scar release techniques in addition to therapeutic ultrasound

Group Type: EXPERIMENTAL

Scar release techniques + therapeutic ultrasound

Intervention Type: OTHER

Control group will be treated by therapeutic ultrasound only for2 sessions per week for two weeks Study group) will be treated by various scar release techniques in addition to therapeutic ultrasound, 2 sessions per week for two weeks.

Interventions

Scar release techniques + therapeutic ultrasound

Control group will be treated by therapeutic ultrasound only for2 sessions per week for two weeks Study group) will be treated by various scar release techniques in addition to therapeutic ultrasound, 2 sessions per week for two weeks.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Women with a well healed, old , transverse cesarean section scar (more than 6 months resulted in chronic scar pain).
• Pain can be intermittent or constant at rest or with activity, and it is reported to be at least at a level of about 3/ 10 on visual analogue scale at recording sites will be marked on the C-section scar at 2.5 cm intervals .
• Women identified that the pain is either located in the cesarean section scar or caused by palpation of scar and it presents since the time of surgery not prior to the cesarean section.
• Their ages will range from 25-35 years old.
• Their BMI will be 18.5-29.9 kg/ m².
• Voluntary acceptance to participate in the study.

Exclusion Criteria

• Women will be excluded if they have :
• Acute and subacute cesarean section.
• Delayed wound healing.
• History of abdominal or pelvic cancer.
• Active pelvic or abdominal infection.
• Skin irritation/inflammation at the site of scar.
• Currently pregnant women.

• Minimum Eligible Age: 25 Years
• Maximum Eligible Age: 35 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Nabiha Mahmoud Ahmed Mahmoud

Specialist of physical therapy at Elmansoura International hospital

Responsibility Role: PRINCIPAL_INVESTIGATOR

Central Contacts

manal Ahmed, lecturer

Role: CONTACT

manalpt1989@gmail.com

01220664518

Other Identifiers

P.T.REC/012/003710

Identifier Type: -

Identifier Source: org_study_id