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Releasing the Restriction: A Study of Myofascial Release to Improve Pain and Range of Motion in Post-Cesarean Section Patients in the Peruvian Amazon

Journal: The AAO Journal Date: 2023/06, 33(2):Pages: 37-38. doi: Subito , type of study: clinical trial

Full text    (https://meridian.allenpress.com/aaoj/article/33/2/20/493544/LBORC-NUFA-Poster-Abstracts-2023-Students)

Keywords:

caesarean section [8]
childbirth [33]
clinical trial [612]
female [379]
low back pain [413]
OMT [2951]
osteopathic manipulative treatment [2973]
Peru [3]
range of motion [80]
women [333]

Abstract:

Introduction/Background: The rate of delivery by cesarean section (CS) is globally on the rise at roughly 20%. Peru follows this upward trend at 27%, far from the WHO-recommended 10-15%. As health professionals traveling to and serving in this country, it is important to understand the potential sequelae of CS and how to treat them. Objective: This quasi experimental design, before-after study seeks to determine the effectiveness of myofascial release to improve low back pain (LBP), incision site pain, scar mobility and lumbar range of motion (ROM) in Peruvian women with a history of CS. We hypothesize that myofascial release will, indeed, improve these 4 parameters. Methods: Study participants included 33 Peruvian women from the city of Iquitos, Peru who were seen by MSUCOM during their annual medical outreach trip. Participants were required to be 18 years or older, have a history of one or more CS, and have LBP beginning after CS. After initial measurements, patients underwent 5 minutes of myofascial release to SC incision site. Pain changes in low back and incision site were assessed with 1-10 pain scale. Lumbar ROM changes were assessed by iPhone goniometer application. Scar mobility changes were assessed by use of adheremeter. Results: This study showed a statistically significant improvement in LBP, incision site pain, scar mobility, and in lumbar flexion ROM (<.001). Only lumbar extension at T12 and S1 improved non-significantly (.245 and .283, respectively). No adverse events were observed. Discussion/Conclusion: This study provides statistically significant data supporting the use of myofascial release as a means of treating post-CS LBP and related sequelae. This is likely related to anatomic relationships between the abdomen and lumbar spine. More research is needed to further elucidate these results.


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