An Experimental Study To Analysis The Effect Of Scar Rehabilitation Along With Core Strengthening Exercises In Patient With Low Back Pain
Keywords:
Low back pain, scar rehabilitation, core strengthening, cesarean section, VAS, ODI, chronic pain, neuromuscular therapyAbstract
Background:Low back pain (LBP) is a leading global cause of disability and often persists despite conventional treatment. In post-surgical populations, such as women after cesarean section, scar tissue has been proposed as a potential contributor to chronic LBP. However, the impact of targeted scar rehabilitation in conjunction with core strengthening remains underexplored.
Objective:To evaluate the effect of combining scar rehabilitation techniques with core strengthening exercises on pain intensity and functional disability in individuals with chronic low back pain.
Methods:A total of 60 participants with nonspecific low back pain were divided into two groups: one receiving conventional core strengthening exercises and the other receiving a combination of scar rehabilitation and core strengthening. Pain intensity and functional disability were assessed using the Visual Analog Scale (VAS) and Oswestry Disability Index (ODI) respectively, pre- and post-intervention. Data were statistically analyzed using paired and independent t-tests, and chi-square tests where appropriate.
Results:Both groups showed significant improvement in pain and disability scores. However, the group receiving scar rehabilitation plus core strengthening exhibited superior outcomes. VAS scores reduced from 5.79 ± 2.13 to 0.79 ± 0.77 (p < 0.001), and ODI scores dropped from 0.45 ± 0.16 to 0.04 ± 0.05 (p < 0.001). Improvements were consistent across sex, pain side, and duration subgroups.
Conclusion:The integration of scar rehabilitation with core strengthening provides greater benefits than core strengthening alone in reducing pain and disability among chronic LBP patients, especially those with a history of abdominal surgery. These findings highlight the importance of addressing scar tissue dysfunction in musculoskeletal rehabilitation
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