Effect of myofascial release of cesarean scar on neck pain and range of motion in females with nonspecific neck pain

Asmaa K. Mohamed, Dalia M. Kamel, Hamed M. ELkhaozamy, Amel M. Yousef, Reham H Saad

 

Asmaa K. Mohamed, Dalia M. Kamel, Hamed M. ELkhaozamy, Amel M. Yousef, Reham H Saad – Effect of myofascial release of cesarean scar on neck pain and range of motion in females with nonspecific neck pain –  Fizjoterapia Polska 2025; 25(1); 389-394

DOI: https://doi.org/10.56984/8ZG007D4HBJ

Abstract
Purpose. To investigate the effect of myofascial release (MFR) of the cesarean scar on neck pain and range of motion (ROM) in women suffering from chronic nonspecific neck pain.
Methods. Thirty female patients with chronic nonspecific neck pain and a history of cesarean section (CS) were selected from the outpatient clinic of the orthopedic department at the faculty of physical therapy, Cairo University, to participate in this study. Their ages ranged from 20 to 35 years, and their body mass index was between 20 and 30 kg/m2. They had undergone CS at least two years prior. All participants received myofascial release sessions targeting the CS scar (30 minutes, two sessions per week for two weeks). Pain intensity, cervical ROM, and scar mobility were assessed before and after treatment using a numerical rating scale, an inclinometer, and an adheremeter, respectively.
Results. The study results demonstrated a significant post-treatment reduction in pain intensity (p < 0.05) as well as significant increases in cervical ROM and scar mobility (p < 0.05).
Conclusion. Myofascial release of the CS scar is an effective technique for reducing neck pain and improving ROM in patients with a history of CS.
Key words
cesarean section, cesarean scar, myofascial release, neck pain, neck dysfunction
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Myofascial release; a diagnostic tool for knee-abdomen and knee myofascial pain syndromes in knee osteoarthritic patients. An interventional based prevalence study

Mohamed Ibrahim Tobba, El Nahass Bassem Galal Eldein, Kandil Olfat Diab, Elkhozamy Hamed Mohammed

 

Mohamed Ibrahim Tobba, El Nahass Bassem Galal Eldein, Kandil Olfat Diab, Elkhozamy Hamed Mohammed – Myofascial release; a diagnostic tool for knee-abdomen and knee myofascial pain syndromes in knee osteoarthritic patients. An interventional based prevalence study –  Fizjoterapia Polska 2024; 24(3); 388-392

DOI: https://doi.org/10.56984/8ZG020AU8D

Abstract:
Background. Knee osteoarthritis (OA) is detected in all grades in imaging of asymptomatic individuals. Knee-abdomen syndrome (KAS) and knee myofascial pain syndrome (KMPS) are newly identified syndromes of knee pain originating from myofascial induced stress upon the knee’s capsule.
Objective. To measure the prevalence of KAS and KMPS among knee OA patients and explore the concepts of the new syndromes.
Methods. An intervention-based prevalence study was conducted with a representative sample of 61 knee OA patients who underwent one session of Myofascial release (MFR). Pain was evaluated and averaged pre- and post-MFR during standing, active knee flexion, extension, and squats. A pain reduction of 50% is considered diagnostic for KMPS and KAS. Pain reduction maintained for one week indicates KAS.
Results. KAS and KMPS were reconstructed as part of the knee myofascial pain spectrum (KMPs). 13% of patients had KMPs with asymptomatic OA and 100% pain reduction post-MFR. 20% had symptomatic OA with no pain reduction. 67% of patients had KMPs with more than 20% pain reduction.
Conclusion. KMPs was identified in the majority of knee OA patients. Asymptomatic OA was misdiagnosed as the source of pain in 13% of patients.

Keywords:
osteoarthritis, knee-abdomen syndrome, knee myofascial pain syndrome, knee myofascial pain spectrum, myofascial release, myofascial dysfunction

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Muscle energy techniques versus myofascial release on scoliosis in adolescent girls: A randomized controlled trial

Amira. H. Mohammed, Safy. E. Abo-Ali, Sahar M. Abdelmutilibe, Sara. A. Elsamahy, Nashwa. E. Elsherif, Malak. A. Elmahdy, Samah. M. Sheha

 

Amira. H. Mohammed, Safy. E. Abo-Ali, Sahar M. Abdelmutilibe, Sara. A. Elsamahy, Nashwa. E. Elsherif, Malak. A. Elmahdy, Samah. M. Sheha – Muscle energy techniques versus myofascial release on scoliosis in adolescent girls: A randomized controlled trial –  Fizjoterapia Polska 2024; 24(1); 54-59

DOI: https://doi.org/10.56984/8ZG2EF864D

Abstract
Background. Adolescent idiopathic scoliosis (AIS) is a complicated 3D structural spine condition occurring in children aged 10 to skeletal maturity. The study aimed to examine the impact of muscle energy technique and/or myofascial release on adolescent idiopathic scoliosis for large sample. Also, it aimed to compare the muscle energy techniques versus myofascial release on idiopathic scoliosis.
Methods. A total of 50 girls with idiopathic non-bony structural scoliosis of the thoracic spine were included in this trial. They were randomly divided into two equal-sized (n = 25 for each group). For three months, group A (Muscle energy technique Group), which received Scientific Exercises Approach to Scoliosis exercises in addition to Muscle energy technique; and group B (Myofascial release Group), which received the same Scientific Exercises Approach to Scoliosis exercises conducted to group A in addition to myofascial release. The primary outcome was a standing radiological evaluation of coronal Cobb´s angle.
Results. According to this study’s findings, a highly significant difference was discovered in the mean values of Cobb´s angle between pre and post-treatment in muscle energy technique group. When the mean values of Cobb´s angle was compared before and after treatment for myofascial release group, it was reveals a significant change.
Conclusions. After treatment for three months, both groups improved significantly, with muscle energy technique group outperforming the myofascial release group by a large margin. So, muscle energy technique was more effective than myofascial release in reducing the abnormal thoracic curvature in adolescent idiopathic scoliosis.
Trial registration. The study was registered with Clinicaltrials.gov under the identifier NCT05120089.
Keywords
myofascial release, muscle energy technique, scoliosis
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Effect of myofascial release on spinal adjustment in treatment of postural scoliosis: A randomized controlled clinical trial

Ahmed Mohamed Fathi Elshiwi, Saud Mashi Alrawaili, Raghad Mudawi Yahya Asiri, Sara Awad Gharama Alasmri, Ghada Mohamed Rashad Koura


Ahmed Mohamed Fathi Elshiwi, Saud Mashi Alrawaili, Raghad Mudawi Yahya Asiri, Sara Awad Gharama Alasmri, Ghada Mohamed Rashad Koura – Effect of myofascial release on spinal adjustment in treatment of postural scoliosis: A randomized controlled clinical trial. Fizjoterapia Polska 2022; 22(3); 156-163

Abstract
Background. Scoliosis is lateral curvature of the normal vertical line of the spine. Myofascial pain syndrome is a chronic regional pain, caused by trigger points in skeletal muscle.
Purpose. To assess the effect of myofascial release (MFR) on spinal adjustment in treatment of postural scoliosis.
Methods. A randomized controlled clinical trial. Thirty Egyptian female students were assigned randomly in to two groups. The control group received therapeutic exercises (stretching and strengthening exercises of the back) for 6 weeks (n = 15), and the experimental group received MFR and the same exercises for 6 weeks (n = 15). The following parameters including pain level assessed by visual analog scale (VAS), functional disability assessed by Oswestry disability index (ODI), lumbar range of motion (flexion, extension, and side bending to the convex side) and Cobb’s angle assessed by X-ray were measured before and after 6 weeks of treatment.
Results. The results showed significant improvements in pain level, functional disability, and lumbar range of motion in all directions in the study group compared with those in the control group (p < 0.05); however, the Cobb’s angle showed no significant differences between the two groups after treatment (p < 0.05).
Conclusion. Myofascial release is an effective method for spinal adjustment in treatment of postural scoliosis.

Keywords
myofascial release, spinal adjustment, postural scoliosis

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Effect of aerobic training versus myofascial release on claudication among peripheral arterial insufficiency patients: A randomized controlled study

Ola Mohamed EL Sayed EL Gohary, Farag Abd- EL Moneim Aly, Nesreen Gharib El Nahas, Ahmed Mohamed El Mahdiy

Ola Mohamed EL Sayed EL Gohary, Farag Abd- EL Moneim Aly, Nesreen Gharib El Nahas, Ahmed Mohamed El Mahdi – Effect of aerobic training versus myofascial release on claudication among peripheral arterial insufficiency patients: A randomized controlled study. Fizjoterapia Polska 2022; 22(1); 70-75

Abstract
Purpose. To compare between the effect of aerobic training and myofascial release on claudication indices among subjects with peripheral arterial insufficiency.
Methods. A randomized controlled trial. Overall, 40 patients of both sexes, their ages ranged between 45-55 years and they had ABI between 0.90-0.50 and they agreed to participate in the study, they were recruited randomly and divided into two equal groups; Group A: included twenty patients who participated aerobic training program combined with traditional burger’s exercise for 45minutes, 3 times per week for two months as a total treatment period in addition to their medical treatment. Group B: included twenty patients who received myofascial release technique combined with traditional burger’s exercise for 45 minutes, 3 times per week for two months as a total treatment period in addition to their medical treatment. Pre- and post- study period (2 months), assessment using ABI, COT, MCT, MCD.PSV, WIQ were done for all patients.
Results. the results showed statistical differences concerning ABI, COT, MCT, MCD, WIQ, and PSV in both groups, however, the results were in the favor of the aerobic training group(A).
Conclusion. it was concluded that both aerobic training and myofascial release were effective in the increase of claudication indices and enhancing walking functional capacity among peripheral arterial insufficiency patients, however, aerobic training causes much more improvement than myofascial release.
Key words:
aerobic training, myofascial release, ankle-brachial index – claudication indices
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