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

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

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.

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.