Annual Grant Winners 2005-2006
Kenneth Johnson, D.O. – HPD College
of Osteopathic Medicine
Michael Patterson, Ph.D. – HPD College of Osteopathic
Jennie Lou, M.D. – HPD College of Osteopathic Medicine
Ann Duskin, OPP Fellow – HPD College of Osteopathic
Channing Coe, M.D. – North Broward Hospital District
Dean Anthony Silvagni – HPD College of Osteopathic
Title: Effects of Myofascial
Release Treatment on Post-Operative Sequelae of C-Section
Post-operative pain and other adverse treatment reactions
following cesarean (c-) section often require high doses
of narcotics and other medications, resulting in poor return
to normal bowel function, emotional distress and poor ambulation.
Osteopathic myofascial release has been long used in the
osteopathic profession and is designed to stretch and release
patterned soft tissue. Thisu technique applied to a surgical
site, relieves tensions, resulting in increased blood and
lymph flows, hence in less pain, faster and more ordered
tissue healing with less scar formation, with no pain experienced
by the patient.
For three years the Principal Investigator has utilized
a single session of osteopathic myofascial release treatment
in the surgical region of c-section patients to improve the
post-surgical prognosis with apparently good results.
This study is designed to assess the effects of myofascial
release treatment on several measures of postoperative recovery
following c-section, including improved bowel function, reduced
pain and pain medications, earlier ambulation, reduced hospital
stay, less nausea and vomiting, reduced flatus and patients’ increased
We will utilize 128 patients from the hospital practices
of the second Co-Investigator (Coe). Following informed consent,
the patients will be randomized into either the control group
receiving no treatment or the experimental group receiving
one myofascial release treatment the day following the c-section.
The measures (taken by blinded assessors or abstracted from
patient charts) of function, pain perception and scores from
the satisfaction questionnaire will be compared to determine
differences between the groups.
The study outcomes have the potential to show that a simple,
easily administered and benign osteopathic intervention can
have a significant impact on the postoperative course following
a surgical procedure. If an effect is shown, the cost savings
from reduced post-surgical sequelae could be great, both
in dollars and patient satisfaction, thus enhancing the evidence
base of osteopathic medicine.