osteopathic techniques effects on hypogastric scars in patients with neck and scapular pain

two groups: Group I: patients suffering neck and scapular pain with hypogastric scars who receive toggle recoil technique and functional technique Group II: patients suffering neck ans scapular pain with hypogastric scars who receive placebo maneuver. Group I: toggle recoil technique:the subject is supine with arms along the trunk. The therapist is placed standing at the ipsilateral scar' s side. Firstly, he must find where it has more restrictions, as well as the direction of the slide where the skin and deeper layers have more limitations. One thumb is placed in one side of the scar, while the other one is located on the contralateral side facing its homonym, either perpendicular to the scar, parallel to this or other directions (according to the restriction found). Now, therapist is claimed to make fast thrust from biceps and pectoralis major muscles from both sides, followed by a fast contraction from triceps muscles to withdraw abruptly both of thumbs from scar site. lenght of technique=2minutes Functional technique: the subject placed in the same position as before and the therapist sitting next to the trunk. The caudal hand is placed in the dorsal part of the region where the scar is. The other one is placed in the ventral region below the scar. Therapist looks at which parameters will best maintain and accumulate, to the right or left sides, after cranial or caudal position, and finally rotation left or right. At this point, he has to wait for the fascia to rebalance and return to the starting position. Lasting of technique: 2 minutes both, toggle recoil technique and functional technique occur once only during the same session. therapist begins with toggle recoil technique, and once it' s over, he will wait 1 minute before beginning with the functional technique.