The goal of this randomized controlled clinical trial is to determine whether adding abdominopelvic fascial release to a standardized stretching exercise program is more effective than stretching exercises alone in reducing menstrual pain in women following cesarean section. The study will enroll women aged 20 to 35 years with moderate to severe dysmenorrhea after cesarean delivery. Researchers will compare the effects of abdominopelvic fascial release combined with stretching exercises with stretching exercises alone on menstrual pain and scar mobility. Participants will be randomly assigned to one of two treatment groups, undergo assessments before and after the intervention period, and receive the assigned treatment according to the study protocol.
Inclusion Criteria:
Exclusion Criteria:
ahassanein@horus.edu.eg
Outcome assessments will be performed by an independent assessor who will be blinded to treatment allocation. Participants will be instructed not to disclose their assigned intervention to the assessor. Due to the nature of the interventions, participants and treating therapists cannot be blinded.
Participants assigned to the experimental group will receive abdominopelvic fascial release in combination with a standardized stretching exercise program. Abdominopelvic fascial release will be administered for 30 minutes per session, twice weekly for 2 weeks, and the stretching exercise program will be provided for 45 minutes per session, three sessions per week for 4 weeks.
Participants assigned to the control group will receive a standardized stretching exercise program for 45 minutes per session, three sessions per week for 4 weeks.