Effect of Myofascial Release on Menstrual Pain Post Caesarean Section

NCT ID: NCT06951763

Last Updated: 2025-04-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

58 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-04-30

Study Completion Date

2025-08-15

Brief Summary

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The purpose of this study is to investigate the effect of myofascial release on menstrual pain post cesarean section.

Detailed Description

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Egypt has the highest cesarean section (CS) rate that has increased from 20% in 2005 to 52% in 2014. This exceptionally high CS rate without a corresponding improvement in maternal and child mortality suggests that although CS is available for populations at risk, numbers of medical unjustified CSs are on the rise.

The CS scar is assumed to be related to adverse clinical gynecological symptoms such as intermenstrual bleeding, dysmenorrhea, dyspareunia and chronic pelvic pain.The incidence of postpartum dysmenorrhea was significantly higher in the cesarean section delivery than in the vaginal delivery.

Cesarean scars have direct links to the perineal fascia and its connection with the transversalis fascia. These scars can interfere with fascial load distribution, which create adhesions to neighboring tissues, the abdominal and pelvic viscera and surrounding anatomical structures are then potentially disrupted, causing inadequate nutrition and inappropriately distributed tension among the various structures affected.

Fascial restrictions obviously decrease blood flow by vascular compression. When the dermis and fasciae are affected by a scar, the sliding structure of the fasciae is altered and when the scar tissues are not capable of adapting to the new stressor, their function is impaired.

MFR procedure lead to vasodilation by increasing capillary permeability. MFR directs force to fascial fibroblasts, as well as indirect strains applied to nerves, blood vessels, the lymphatic system and muscles. There is lacking of studies at this point, so the aim of the study is to investigate the effect of myofascial release on menstrual pain post CS.

Conditions

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Menstrual Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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stretching exercise group

The participants will receive stretching exercise program, 3 days/week for 4 weeks.

Group Type ACTIVE_COMPARATOR

stretching exrcise

Intervention Type OTHER

The participants will receive stretching exercises program for 45 minutes, 3 days/week for 4 weeks.

stretching exercise and myofascial release group

The participants will receive same stretching exercises program in addition to myofascial release of cesarean scar, for 30 minutes session twice a week for two weeks.

Group Type EXPERIMENTAL

stretching exrcise

Intervention Type OTHER

The participants will receive stretching exercises program for 45 minutes, 3 days/week for 4 weeks.

myofascial release

Intervention Type OTHER

The participants will receive the same stretching exercises program in addition to myofascial release of cesarean scar, abdominal fascia, diaphragm and psoas muscle for 30 minutes session twice a week for two weeks.

Interventions

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stretching exrcise

The participants will receive stretching exercises program for 45 minutes, 3 days/week for 4 weeks.

Intervention Type OTHER

myofascial release

The participants will receive the same stretching exercises program in addition to myofascial release of cesarean scar, abdominal fascia, diaphragm and psoas muscle for 30 minutes session twice a week for two weeks.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Women complaining of menstrual pain post - caesarean section (CS).
* Their age will range from 20 to 35 years.
* Their body mass index will range from 20-30 kg/m2.
* Women who gave birth once or twice.
* Women who had C-section 6 weeks to 6 months ago.

Exclusion Criteria

* Active infection/ infectious skin disease, burn or scars.
* Less than six weeks after CS.
* Any abdominal surgeries other than CS.
* Any spinal deformity as scoliosis or kyphosis.
* History of cancer or radiation to the abdominopelvic region.
Minimum Eligible Age

20 Years

Maximum Eligible Age

35 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Cairo University

OTHER

Sponsor Role lead

Responsible Party

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Nourhan samir Ibrahim

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hossam Kamel, Professor

Role: STUDY_DIRECTOR

Al-Azhar University

Doaa Osman, As professor

Role: STUDY_CHAIR

Cairo University

Locations

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Nourhan Samir Ibrahim

Cairo, , Egypt

Site Status

Countries

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Egypt

Central Contacts

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Nourhan S Ibrahim, Master

Role: CONTACT

Phone: 01100072276

Email: [email protected]

Mahitab M Yosri, PHD

Role: CONTACT

Phone: 01222606996

Email: [email protected]

Other Identifiers

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P.T.REC/012/005675

Identifier Type: -

Identifier Source: org_study_id