Effects of Soft Tissue Mobilization Versus Myofascial Release Technique on Low Back Pain and Disability in Post-Partum Females After Caesarean Section

STM vs MFR for Postpartum Low Back Pain

Authors

  • Syeda Bakhtawer Bokhari Clinical Physiotherapist, Zindagi A Life Care, Lahore, Pakistan
  • Faiza Taufiq Senior Lecturer, Department of Physiotherapy, Riphah International University, Lahore, Pakistan
  • Minal Fatima Consultant Physiotherapist, Younas Hospital, Daska, Pakistan
  • Abeer Shaukat  Aziz Fatima Medical and Dental College, Faisalabad, Pakistan
  • Ghalia Safdar Lecturer, Shifa Tameer-e-Millat University, Islamabad, Pakistan
  • Rizwana Raheel Assistant Professor, Hajvery University, Euro Campus, Lahore, Pakistan https://orcid.org/0009-0009-8126-5329
  • Asim Abdul Rehman Cardiac Rehab Physiotherapist, Sheikh Mohamed Bin Zayed Al-Nahyan Institute of Cardiology, Quetta, Pakistan
  • Fatima Shahid Principal, MARS Institute of Health Sciences for Women, Lahore, Pakistan
  • Hira Rafique Senior Lecturer, Quaid-e-Azam College, Sahiwal, Pakistan
  • Intsam Aslam Lecturer, PSRD Lahore, Pakistan

DOI:

https://doi.org/10.61919/jhrr.v4i3.1201

Keywords:

Caesarean section, Disability, low back pain, myofascial release technique, postpartum, Soft tissue mobilization

Abstract

Background: Postpartum females who undergo cesarean section often experience low back pain (LBP) and disability. Effective management of these symptoms is crucial for enhancing recovery and quality of life.
Objective: To evaluate and compare the effects of soft tissue mobilization (STM) and myofascial release therapy (MFR) on LBP and disability in postpartum females after cesarean section.
Methods: A randomized clinical trial was conducted with 24 postpartum females who underwent cesarean sections. Participants were randomly assigned to two groups: Group A received STM, and Group B received MFR. Both interventions were administered twice weekly for three weeks. Pain and disability were assessed at baseline, six weeks, and twelve weeks post-intervention using the Numeric Pain Rating Scale (NPRS) and Oswestry Disability Index (ODI). Data were analyzed using SPSS version 25, with significance set at p < 0.05.
Results: Group B (MFR) demonstrated a significantly greater reduction in NPRS scores (1.09 ± 1.04) and ODI scores (6.54 ± 7.70) compared to Group A (STM) with NPRS scores (4.27 ± 0.90) and ODI scores (22.36 ± 12.20) (p < 0.05).
Conclusion: MFR was more effective than STM in reducing LBP and disability in postpartum females following cesarean section.

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Author Biographies

Syeda Bakhtawer Bokhari, Clinical Physiotherapist, Zindagi A Life Care, Lahore, Pakistan

 Clinical physiotherapist 

Faiza Taufiq, Senior Lecturer, Department of Physiotherapy, Riphah International University, Lahore, Pakistan

Senior lecturer

Minal Fatima, Consultant Physiotherapist, Younas Hospital, Daska, Pakistan

Consultant Physiotherapist 

Abeer Shaukat , Aziz Fatima Medical and Dental College, Faisalabad, Pakistan

Student

Ghalia Safdar, Lecturer, Shifa Tameer-e-Millat University, Islamabad, Pakistan

Lecturer

Rizwana Raheel, Assistant Professor, Hajvery University, Euro Campus, Lahore, Pakistan

 Assistant Professor 

Asim Abdul Rehman, Cardiac Rehab Physiotherapist, Sheikh Mohamed Bin Zayed Al-Nahyan Institute of Cardiology, Quetta, Pakistan

Cardiac Rehab Physiotherapist

Fatima Shahid, Principal, MARS Institute of Health Sciences for Women, Lahore, Pakistan

  Principal

Intsam Aslam, Lecturer, PSRD Lahore, Pakistan

Lecturer

References

Gilbert I, Gaudreault N, Gaboury I. Exploring the Effects of Standardized Soft Tissue Mobilization on the Viscoelastic Properties, Pressure Pain Thresholds, and Tactile Pressure Thresholds of the Cesarean Section Scar. J Integr Complement Med. 2022;28(4):355-62.

Loghmani MT, Tobin C, Quigley C, Fennimore A. Soft Tissue Manipulation May Attenuate Inflammation, Modulate Pain, and Improve Gait in Conscious Rodents With Induced Low Back Pain. Mil Med. 2021;186(Supplement_1):506-14.

Hasanin ME, Mohamed RR, Hamada HA, Hanafy AF. Effects of Cervical Myofascial Trigger Points Release in Post-Natal Females: A Randomized Controlled Trial. Sport TK-Revista Euroam Ciencias Del Deporte. 2021;10(2):234-46.

Dhiman NR, Das B, Mohanty C, Singh O, Gyanpuri V, Raj D. Myofascial Release Versus Other Soft Tissue Release Techniques Along Superficial Back Line Structures for Improving Flexibility in Asymptomatic Adults: A Systematic Review With Meta-Analysis. J Bodyw Mov Ther. 2021;28:450-7.

Chen Z, Wu J, Wang X, Wu J, Ren Z. The Effects of Myofascial Release Technique for Patients With Low Back Pain: A Systematic Review and Meta-Analysis. Complement Ther Med. 2021;59:102737.

McKivigan JM, Tulimero G. An Analysis of Graston Technique® for Soft-Tissue Therapy. Rehabil Sci. 2020;5(4):31.

Laimi K, Mäkilä A, Bärlund E, Katajapuu N, Oksanen A, Seikkula V, et al. Effectiveness of Myofascial Release in Treatment of Chronic Musculoskeletal Pain: A Systematic Review. Clin Rehabil. 2018;32(4):440-50.

Simson KJ, Miller CT, Ford J, Hahne A, Main L, Rantalainen T, et al. Optimising Conservative Management of Chronic Low Back Pain: Study Protocol for a Randomised Controlled Trial. Trials. 2017;18:1-13.

Arun B. Effects of Myofascial Release Therapy on Pain Related Disability, Quality of Sleep and Depression in Older Adults With Chronic Low Back Pain. Int J Physiother Res. 2014;2(1):318-23.

Ellythy MA. Efficacy of Muscle Energy Technique Versus Myofascial Release on Function Outcome Measures in Patients With Chronic Low Back Pain. Bull Fac Ph Th. 2012;17(1):51-7.

Balasubramaniam A, Mohangandhi V, Sambandamoorthy AK. Role of Myofascial Release Therapy on Pain and Lumbar Range of Motion in Mechanical Back Pain: An Exploratory Investigation of Desk Job Workers. Ibnosina J Med Biomed Sci. 2014;6(02):75-80.

Weis CA, Barrett J, Tavares P, Draper C, Ngo K, Leung J, et al. Prevalence of Low Back Pain, Pelvic Girdle Pain, and Combination Pain in a Pregnant Ontario Population. J Obstet Gynaecol Can. 2018;40(8):1038-43.

Antony LAP, Iyer LS. Effectiveness of Integrated Soft Tissue Mobilization on the Functional Outcome in Chronic Low Back Pain Patients. J Exerc Sci Physiother. 2013;9(1):57.

Shah S, Bhalara A. Myofascial Release. Int J Health Sci Res. 2012;2(2):69-77.

Paulo LR, Lacerda ACR, Martins FLM, Fernandes JSC, Vieira LS, Guimarães CQ, et al. Can A Single Trial of a Thoracolumbar Myofascial Release Technique Reduce Pain and Disability in Chronic Low Back Pain? A Randomized Balanced Crossover Study. J Clin Med. 2021;10(9):2006.

Raheem S, Ibrahim AA, Ganiyu SO, Faruk AU, Akindele MO. Translation, Cross-Cultural Adaptation and Psychometric Evaluation of the Hausa Roland-Morris Disability Questionnaire in Mixed Rural and Urban Nigerian Populations With Low Back Pain. Spine. 2021;46(11).

Louw A, Goldrick S, Bernstetter A, Van Gelder LH, Parr A, Zimney K, et al. Evaluation Is Treatment for Low Back Pain. J Man Manip Ther. 2021;29(1):4-13.

Awad MA, Allah A, editors. Effect of Myofascial Release Technique Versus Mulligan Mobilization Technique on Post Natal Low Back Pain. The 20th International Scientific Conference Faculty of Physical Therapy Cairo; 2019.

Stone J, Skibiski K, Hwang S, Barnes C. Physical Therapy in Addition to Standard of Care Improves Patient Satisfaction and Recovery Post-Cesarean Section. J Women’s Pelvic Health Phys Ther. 2021;45(1):10-9.

Tamartash H, Bahrpeyma F, Dizaji MM. Effect of Remote Myofascial Release on Lumbar Elasticity and Pain in Patients With Chronic Nonspecific Low Back Pain: A Randomized Clinical Trial. J Chiropr Med. 2023;22(1):52-9.

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Published

2024-08-26

How to Cite

Syeda Bakhtawer Bokhari, Faiza Taufiq, Minal Fatima, Abeer Shaukat , Ghalia Safdar, Rizwana Raheel, Asim Abdul Rehman, Fatima Shahid, Hira Rafique, & Intsam Aslam. (2024). Effects of Soft Tissue Mobilization Versus Myofascial Release Technique on Low Back Pain and Disability in Post-Partum Females After Caesarean Section: STM vs MFR for Postpartum Low Back Pain. Journal of Health and Rehabilitation Research, 4(3), 1–5. https://doi.org/10.61919/jhrr.v4i3.1201

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