| 区晓贤,刘雨汇,潘金凤,韦思似.筋膜松解手法配合悬吊康复运动在产后腹直肌分离中的应用观察[J].中国康复,2023,38(11):674-678 |
| 筋膜松解手法配合悬吊康复运动在产后腹直肌分离中的应用观察 |
| Use of fascial release manoeuvres with suspension rehabilitation exercises in the postpartum separation of the rectus abdominis muscle |
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| DOI： |
| 中文关键词: 筋膜松解手法 悬吊康复运动 产后 腹直肌分离 腰背部疼痛 生活质量 |
| 英文关键词: fascia release technique suspension rehabilitation exercise postpartum separation of rectus abdominis lower back pain quality of life |
| 基金项目:2020年东莞市社会科技发展项目（202050715007846） |
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| 中文摘要: |
| 目的：探究筋膜松解手法配合悬吊康复运动在产后腹直肌分离患者中的应用效果。方法：将300例产后腹直肌分离患者随机分为2组，每组150例。对照组接受悬吊康复运动，观察组接受筋膜松解手法配合悬吊康复运动，干预时间8周。观察2组干预后临床疗效、干预前后激惹、抑郁和焦虑自评量表（IDA）、腰背部疼痛视觉模拟量表（VAS）评分、脐围及腹直肌分离距离、生存质量测定量表简表（WHOQOL-BREF）评分变化。结果：干预后，观察组总有效率高于对照组（97.33%、85.33%，P＜0.05）；干预4周、8周后，2组IDA量表中抑郁、焦虑、内外向性激惹各维度评分、腰背部疼痛VAS评分、脐上围、脐下围、脐围及腹直肌分离距离均较干预前降低（P＜0.05），且观察组更低于对照组（P＜0.05）；干预8周后及干预后3个月，2组WHOQOL-BREF量表中生理领域、心理领域、社会关系领域评分均高于干预前（P＜0.05），且观察组高于对照组（P＜0.05）。结论：在产后腹直肌分离修复中，筋膜松解手法配合悬吊康复运动可调节患者不良情绪、提高其生活质量水平，可能与该方案能修复产后受损腹直肌、减轻腰背部疼痛有关。 |
| 英文摘要: |
| Objective: To explore the applied effect of fascia release manipulation combined with suspension rehabilitation exercise in postpartum patients with rectus abdominis separation. Methods: All 300 patients with postpartum rectus abdominis separation were selected and randomly divided into two groups with 150 cases in each group by a number table method. The control group received suspension rehabilitation exercise, and the observation group received fascia release manipulation combined with suspension rehabilitation exercise. The intervention time was 8 weeks. Clinical efficacy, psychological state (IDA), low back pain (VAS) score, separation distance of rectus abdominalis at different sites under ultrasound and WHOQOL-BREF score of the two groups were observed. Results: The total effective rate in the observation group was 97.33%, significantly higher than that in the control group (85.33%, P<0.05). After 4 and 8 weeks of intervention, the scores of each dimension of depression, anxiety and inward and outward agitation in the IDA scale were significantly lower in both groups than before the intervention, and those in the observation group were significantly lower than those in the control group (P<0.05). After 4 and 8 weeks of intervention, the scores of VAS for low back pain were significantly lower in both groups than those before the intervention, and those in the observation group were significantly lower than those in the control group (P<0.05). After 4 and 8 weeks of intervention, the scores of supraumbilical circumference, infraumbilical circumference, umbilical circumference, the upper umbilical circumference, lower umbilical circumference, umbilical circumference and rectus abdominis separation distance were significantly lower in both groups than before the intervention, and those in the observation group were significantly lower than those in the control group (P<0.05). After 8 weeks of intervention and 3 months after the intervention, the scores of physical domain, psychological domain and social relationship domain in the WHOQOL-BREF scale were significantly higher in both groups than those before the intervention, and those in the observation group were significantly higher than those in the control group (P<0.05). Conclusion: In the separation and repair of postpartum rectus abdominis, fascia release manipulation combined with suspension rehabilitation exercise can regulate patients’ bad mood and improve their quality of life, which may be related to the repair of postpartum damaged rectus abdominis and relief of lumbar and back pain. |
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