| Objective:To observe the clinical efficacy of muscle energy technique(MET)combined with core stability training in the treatment of postpartum women with sacroiliac joint dysfunction, and to explore the special pathogenesis and physical therapy strategies of sacroiliac joint dysfunction in postpartum women. Methods: A toral of 60 patients with postpartum sacroiliac joint dysfunction were selected and randomly divided into three groups, 20 cases in each group. The control group was treated with routine treatment such as interference current therapy + resistance training, while the observation group A was treated with muscle energy technology (MET) on the basis of the control group, and the observation group B was treated with MET combined with core stability training (CSE) on the basis of the control group. The Visual Analog Scale (VAS), Oswestry Disability Index (ODI) and surface EMG root mean square (RMS) of erector spinae, gluteus maximus and biceps femoris were compared among the three groups before treatment, 3 weeks and 6 weeks after treatment.Results: There was no statistically significant difference in each index before and after treatment in the control group at each time point. After 3 weeks of treatment, the RMS scores of erector spinae in the observation group A and the observation group B were significantly higher than those before treatment and the control group (P<0.05), and there was no significant difference in comparison with the control group and before treatment. Compared with those before treatment and after 3 weeks of treatment, the muscle RMS scores increased (P<0.05), and significantly higher in the observation group B than those in the control group and observation group A (P<0.05); the VAS score and ODI score in the observation group B were sig-nificantly higher than those before treatment, the control group and the observation group A (P<0.05), there was no significant difference between the control group and the observation group A, and those in the observation group B increased after 3 weeks of treatment (P<0.05). Conclusion: MET combined with SCE therapy can alleviate the pain and improve activities of daily living of postpartum women with sacroiliac joint dysfunction, enhance the stability around the sacroiliac joint, and increase the muscle strength of the diseased part. |
