目的: 本研究旨在探讨Waff核心运动对产后腹直肌分离的临床疗效,以改善患者形态异常、缓解产后疼痛等多种问题。方法: 收集2022年1月―2023年4月于我院治疗腹直肌分离的80例患者资料。将治疗人员随机分为对照组和观察组,每组各40例。对照组接受低频电刺激和手法推拿治疗,观察组采用Waff核心运动进行腹直肌治疗。每个组进行一个10次的完整治疗过程,在2个月内完成,并比较两组人员在治疗结束后腹围和腹直肌变化,腰腹部疼痛缓解情况（视觉模拟评分法VAS评分）、生活质量的改善（健康调查简表SF-36-PF评分）。结果: 两种治疗方法均能有效减少腹围并改善腹直肌分离情况,腹围的脐上、脐部和脐下处都显示出显著差异;此外,与电刺激和推拿相比,Waff核心运动表现出更显著的治愈效果,在加强核心力量的同时可有效缓解腰腹部疼痛,提高产后女性生活质量。结论: Waff核心运动康复可明显改善产后腹直肌分离,并优于传统常规治疗方法,对腰腹部疼痛的产后女性有额外获益,在临床中值得推广应用。
Abstract
Objective This study aims to investigate the clinical efficacy of Waff core exercise in treating postpartum rectus abdominis separation, with the goal of improving patients’ morphological abnormalities, alleviating postpartum pain, and addressing other related issues. Methods From January 2022 to April 2023, a total of 80 patients with rectus abdominis separation were recruited from our hospital. The participants were randomly divided into two groups: control group (n=40) and observation group (n=40). The control group received low-frequency electrical stimulation and manual massage treatment, while the observation group underwent Waff exercise for rectus abdominis treatment. Each group completed a full course of treatment consisting of 10 sessions within a period of 2 months. After completion, changes in abdominal circumference and rectus abdominis separation, relief from waist and abdominal pain (measured using visual analogue scale VAS score), as well as improvements in quality of life (assessed by SF-36-PF) were compared between the two groups. Results Both treatments could effectively reduce the abdominal circumference and improve the separation of rectus abdominis muscle, and there were significant differences in the umbilical, umbilical and subumbilical abdominal circumference. In addition, compared with electrical stimulation and massage, Waff core exercise shows a more significant healing effect, which can effectively relieve lumbar and abdominal pain while strengthening core strength and improve the quality of life of postpartum women. Conclusion Rehabilitation through Waff exercise significantly improves postpartum rectus abdominis separation when compared to traditional conventional treatments. It also provides additional benefits for postpartum women suffering from waist and abdominal pain. Therefore, it is recommended for promotion and application in clinical settings.
关键词
Waff核心运动 /
腹直肌分离 /
电治疗 /
手法推拿
Key words
waff core exercise /
rectus abdominis separation /
electrotherapy /
manipulation massage
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基金
湖南省临床医疗技术创新引导项目“电针联合阴道手法治疗产后盆底肌筋膜疼痛的临床研究”（2021SK53211）
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