| Objective: To evaluate the effectiveness and feasibility of extracorporeal shockwave therapy (ESWT) combined with core stability training (CST) by observing the clinical efficacy in the treatment of postpartum sacroiliac joint pain. Methods: A total of 91 patients with postpartum sacroiliac joint pain were selected and randomly divided into three groups: basic group (31 cases), experimental group A (30 cases) and experimental group B (30 cases). The basic group received regular rehabilitation. The experimental group A was treated with ESWT on the basis of the basic group, and the experimental group B was treated with ESWT combined with core stability training (CST) on the basis of the basic group. Visual analogue scale (VAS), Oswestry disability index (ODI), short form 36 (SF-36), and cross sectional area of erector spinae at L5-S1 intervertebral discs on MRI were compared among the three groups before treatment and 4 weeks after treatment. Results: Before treatment, there were no significant differences inVAS, ODI, SF-36 scores and cross sectional area of erector spinae. After 4 weeks of treatment, among the three groups, the VAS and ODI scores in the experimental group A and experimental group B were lower than those in the basic group (P<0.05), and both of these scores in the experimental group B were significantly lower than those in the experimental group A (P<0.05). The SF-36 score in the experimental group A and experimental group B was higher than that in the basic group (P<0.05), and that in the experimental group B was significantly higher than that in the experimental group A (P<0.05). There was no significant difference in the cross sectional area of erector spinae at L5-S1 intervertebral discs on MRI in the three groups before and after treatment, and among the three groups after treatment. Conclusion: ESWT combined with CST can relieve postpartum sacroiliac joint pain and improve the quality of daily life, which is effective and feasible. |
