盆底神经肌肉电刺激和悬吊训练治疗产后腹直肌分离的效果

doi:10.3969/j.issn.1006-9771.2020.11.019

Abstract

Abstract:

Objective To observe the effect of pelvic floor neuromuscular electrical stimulation (NMES) and sling exercise training (SET) on diastasis recti abdominis after parturition.Methods From September to December, 2019, 90 patients with rectus abdominis separation > 2 cm and pelvic floor muscle strength above grade III were randomly divided into three groups, accepting simple pelvic floor NMES (group A), pelvic floor NMES and SET (group B), and simple SET (group C), respectively, for four weeks. The separation distance of rectus abdominis was measured before treatment, two weeks and four weeks after treatment, and four weeks follow-up. Results The separation distance of rectus abdominis decreased in each group after treatment (F > 8.327, P < 0.01); and it was the least in group B ( F > 8.327, P < 0.01), while the multiple comparison results showed that there was no significant difference between group A and group C ( P > 0.05). Conclusion Both pelvic floor NMES and SET can similarly relieve the diastasis recti abdominis after parturition, and it is more effective in combination.

Key words: postpartum rehabilitation, diastasis recti abdominis, pelvic floor neuromuscular electrical stimulation, sling exercise training

CLC Number:

R714.46

ZOU Yan-qi,ZHANG Guang-zheng,AN Li,CHEN Xin-ming,CHEN Jun-qi,CHENG Yin,XU Xiao-fei. Effects of Pelvic Floor Neuromuscular Electrical Stimulation and Sling Exercise Training on Diastasis Recti Abdominis after Parturition[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(11): 1353-1357.

Figures/Tables 2

References 35

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组别	n	年龄(岁)	胎次(n)
组别	n	年龄(岁)	1胎	2胎	3胎	4胎
A组	30	32.20±4.817	6	22	2	0
B组	30	31.53±4.216	4	21	4	1
C组	30	32.60±3.988	9	18	2	1
F/χ²值		0.459	4.998
P值		0.633	0.544

组别	n	T₀	T₁	T₂	T₃	F值	P值
A组	30	3.750±0.763	2.550±0.674^a	2.000±0.509^a	1.967±0.490^a	10.803	0.003
B组	30	3.400±0.675	2.083±0.588	1.750±0.366	1.683±0.334	15.234	0.001
C组	30	3.633±0.681	2.583±0.671^a	2.117±0.429^a	2.117±0.429^a	8.327	0.008
F值		1.904	5.625	5.479	8.128
P值		0.155	0.005	0.006	0.001

Effects of Pelvic Floor Neuromuscular Electrical Stimulation and Sling Exercise Training on Diastasis Recti Abdominis after Parturition

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