Effect of Myofascial Release Versus Deep Friction Massage on Abdominal Recovery and Scar After Cesarean Section

NCT ID: NCT07130747

Last Updated: 2025-08-19

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

RECRUITING

Clinical Phase

NA

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-06-01

Study Completion Date

2025-10-01

Brief Summary

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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

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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.

Conditions

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Myofascial Release Deep Friction Massage Cesarean Section Complications Scar

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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home advices

It consisted of 12 postpartum women having a post-Cesarean-section scar. They will receive no treatment program, only advices for home care

Group Type ACTIVE_COMPARATOR

Routine daily scar care advices

Intervention Type OTHER

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

myofascial release technique

It consisted of 12 postpartum women having a post-Cesarean-section scar. They will receive myofascial release technique for 20 minutes three times per week for eight weeks, in addition to advices for home care

Group Type EXPERIMENTAL

Myofascial release

Intervention Type OTHER

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 scar, using up and down, side-to-side, and circular maneuvers.

Routine daily scar care advices

Intervention Type OTHER

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

deep friction massage

It consisted of 12 postpartum women having a post-Cesarean-section scar. They will receive deep friction massage for 20 minutes three times per week for eight weeks, in addition to advices for home care.

Group Type EXPERIMENTAL

Deep friction massage

Intervention Type OTHER

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.

Routine daily scar care advices

Intervention Type OTHER

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

Interventions

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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 scar, using up and down, side-to-side, and circular maneuvers.

Intervention Type 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.

Intervention Type 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

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. All postpartum women \>6 months postnatal having a post-Cesarean-section scar.
2. Postpartum women with a well-healed cesarean section scar resulted in chronic pain in the scar, pelvis, or abdomen.
3. Their ages will range from 30 to 45 years.
4. Their body mass index (BMI) is less than 30 kg/m².

Exclusion Criteria

1. Pregnant women or planning for pregnancy.
2. Postpartum women with abdominal infectious diseases.
3. Cardiovascular diseases.
4. Previous spinal surgery.
5. History of skeletal deformity.
6. Participation in any other exercise training program during this study.
7. Malignant condition
8. History of acute infection
9. Neurological problem
10. Mental problem to prevent evaluation and cooperation
11. Having uncontrolled metabolic diseases like diabetes and thyroid disease
Minimum Eligible Age

30 Years

Maximum Eligible Age

45 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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Moaz khaled elsayed mohamed rousha

principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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the Gynecology and Obstetrics Outpatient clinics, Alexandria University Hospitals, Alexandria, Egypt

Alexandria, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Moaz Khaled Elsayed Mohamed, physical therapist

Role: CONTACT

+201068923232

Facility Contacts

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Moaz Khaled Elsayed mohamed, physical therapist

Role: primary

+201068923232

Other Identifiers

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Moaz_Msc

Identifier Type: -

Identifier Source: org_study_id

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