Clinical Efficacy of Core Stability Training Combined with Low-frequency Electrical Stimulation Rehabilitation in the Treatment of Postpartum Rectus Abdominis Muscle Separation in Women
ZHAO Huijuan, WANG Jie
Department of Gynaecology and Obstetrics, Hebi Aimin Hospital, Hebi Henan 458030
Abstract:【Objective】To explore the clinical efficacy of a combination of core stability training and low-frequency electrical stimulation therapy in the treatment of postpartum women with rectus abdominis muscle separation.【Methods】 A total of 80 postpartum women with rectus abdominis muscle separation admitted to our hospital from January 2021 to January 2023 were selected and divided into a control group (receiving low-frequency electrical stimulation therapy, n=39) and an observation group (receiving core stability training combined with low-frequency electrical stimulation therapy, n=41) according to the envelope method. The total effective rate of treatment, rectus abdominis distance, abdominal circumference, visual analog scale (VAS) score, muscle fiber strength, root mean square (RMS) of maximum autonomous isometric contraction amplitude of rectus abdominis muscle, symptom disappearance rate, and satisfaction rate were compared between the two groups of women.【Results】The total effective rate of maternal treatment in the observation group was 97.56%, significantly higher than the control group's 84.62%, and the difference was statistically significant (P<0.05). After treatment, the umbilical circumference, umbilical circumference, and rectus abdominis distance in both groups were smaller than before treatment (P<0.05), and the above indicators in the observation group were smaller than those in the control group (P<0.05). After treatment, the back VAS scores of both groups were lower than before treatment (P<0.05), and the back VAS scores of the observation group were lower than those of the control group (P<0.05). After treatment, the maximum muscle strength of type Ⅰ muscle fibers, the average muscle strength of type Ⅱ muscle fibers, and the RMS of rectus abdominis muscle in both groups of parturients were higher than before treatment, and the above indicators in the observation group were higher than those in the control group (P<0.05). There was no statistically significant difference in the satisfaction rate between the two groups of parturients (P>0 05). After one month of treatment, the symptom disappearance rate in the observation group was 92.68%, significantly higher than the 76.92% in the control group, and the difference was statistically significant (P<0.05). 【Conclusion】The combination of core stability training and low-frequency electrical stimulation therapy has a significant effect on the treatment of postpartum rectus abdominis separation in women. It can significantly reduce the abdominal circumference and alleviate back pain in women, and is worthy of clinical promotion and application.
赵会娟, 王杰. 核心稳定性训练联合低频电刺激康复方案治疗产后腹直肌分离产妇的临床疗效[J]. 医学临床研究, 2024, 41(9): 1293-1296.
ZHAO Huijuan, WANG Jie. Clinical Efficacy of Core Stability Training Combined with Low-frequency Electrical Stimulation Rehabilitation in the Treatment of Postpartum Rectus Abdominis Muscle Separation in Women. JOURNAL OF CLINICAL RESEARCH, 2024, 41(9): 1293-1296.