| Objective: To explore the clinical efficacy and long-term effect of visceral manipulation (VM) and core stability training in patients with postpartum non-specific low back pain (PNLBP). Methods: Totally，60 patients with PNLBP who visited the postpartum rehabilitation clinic of our hospital were randomly divided into a control group (n=30) and a study group (n=30). The control group was given 4 weeks of core stability training, and the study group was given 4 weeks of VM intervention on the basis of the control group. The two groups of patients were evaluated for pain level, lumbar function, and quality of life before and after treatment using the visual analogue scale (VAS), Oswestry disability index (ODI), and life satisfaction index A (LSIA), respectively, and the thickness changes of transversus abdominis and multifidus muscles were measured by musculoskeletal ultrasound. VAS and LSIA were followed up for 6 months in both groups. Results: Before treatment, no statistically significant difference was observed in the baseline data between the two groups. After 4 weeks of treatment, both groups showed significant reductions in VAS and ODI scores (P<0.05,0.01), along with significant increases in LSIA scores and thickness of the transverse abdominis and multifidus muscles compared with baseline (P<0.05，0.01). Moreover, the study group demonstrated greater improvements in these outcomes than the control group (P<0.01). Long-term follow-up showed that the VAS score of the study group remained stable at 6 months after treatment, and the LSIA score continued to increase (P<0.05); In contrast, the VAS score of the control group in-creased significantly compared to that at 4 weeks post-treatment (P<0.05), and the LSIA score decreased significantly (P<0.05). Conclusion: VM combined with core stability training can effectively relieve the pain and improve the core muscle group function in PNLBP patients. Its efficacy is sustainable and stable, which is significantly better than the single core stability training in improving the long-term quality of life of patients, and has important clinical application value. |
