Application effect of Waff core exercise in postpartum rectus abdominis separation

PENG Yue; LI Cuiying; ZU Yue'e; TAN Kuiling; LIU Jiaojiao; XIONG Lifang; ZHANG Shusheng

PDF(2539 KB)

Journal of Hunan Normal University(Medical Science) ›› 2024, Vol. 21 ›› Issue (3) : 137-140.

Clinical Medicine

Application effect of Waff core exercise in postpartum rectus abdominis separation

PENG Yue, LI Cuiying, ZU Yue'e, TAN Kuiling, LIU Jiaojiao, XIONG Lifang, ZHANG Shusheng

Author information +

History +

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.

Key words

waff core exercise / rectus abdominis separation / electrotherapy / manipulation massage

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

PENG Yue, LI Cuiying, ZU Yue'e, TAN Kuiling, LIU Jiaojiao, XIONG Lifang, ZHANG Shusheng. Application effect of Waff core exercise in postpartum rectus abdominis separation[J]. Journal of Hunan Normal University(Medical Science). 2024, 21(3): 137-140

References

[1] VENES D, TABER CW.Taber's cyclopedic medical dictionary[M].20 th Edition. Philadelphia: Davis, 2005.
[2] TURAN V, COLLUOGLU C, TURKYILMAZ E, et al.Prevalence of dia-stasis recti abdominis in the population of young multiparous adults in Turkey[J]. Ginekol Pol, 2011, 82(11): 817-821.
[3] SPERSTAD JB, TENNFJORD MK, HILDE G, et al.Diastasis recti abdominis during pregnancy and 12 months after childbirth: prevalence, risk factors and report of lumbopelvic pain[J]. Br J Sports Med, 2016, 50(17): 1092-1096.
[4] 王茹, 张乃春. 盆底神经肌肉电刺激配合康复按摩促进产后腹直肌分离疗效评价 [J]. 实用妇科内分泌电子杂志, 2019, 6(31): 71+75.
[5] 刘明晶. 盆底神经肌肉电刺激配合康复按摩对产后腹直肌分离疗效的影响 [J]. 中外女性健康研究, 2017, (21): 20+29.
[6] 韦瑞敏, 肖霞, 吕丽清, 等. 盆底神经肌肉电刺激配合康复按摩促进产后腹直肌分离疗效的研究[J]. 中国妇幼保健, 2016, 31(21): 4361-4364.
[7] SPERSTAD J B, TENNFJORD MK, HILDE G, et al.Diastasis rectiabdominis during pregnancy and 12 months after childbirth: prevalence, risk factors and report of lumbopelvic pain[J]. Br J Sports Med, 2016, 50(17): 1092-1096.
[8] KHANDALE SR, HANDE D.Effects of Abdominal Exercises on Reduction of Diastasis Recti in Postnatal Women[J]. Int J Health Sci Res, 2016, 6(6): 182-191.
[9] 孙秀丽, 中国整形美容协会女性生殖整复分会生殖物理整复学组. 产后腹直肌分离诊断与治疗的专家共识[J].中国妇产科临床杂志, 2021, 22(2): 220-221.
[10] 孙兵, 车晓明. 视觉模拟评分法 (VAS)[J]. 中华神经外科杂志, 2012, 28(6): 645-647.
[11] WARE JE JR, GANDEK B.Overview of the SF-36 health survey and the international quality of life assessment (IQOLA) project[J]. J Clin Epidemiol, 1998, 51(11): 903-912.
[12] 刘雅莉, 赵琼蕊, 李娟, 等. 中国育龄期妇女产后腹直肌分离发生率meta分析[J]. 中国公共卫生, 2020, 36(10): 1507-1509.
[13] 区晓贤, 刘雨汇, 潘金凤, 等. 筋膜松解手法配合悬吊康复运动在产后腹直肌分离中的应用观察[J]. 中国康复, 2023, 38(11): 674-678.
[14] 张彩侠, 杨晓二, 赵杨, 等. 针刺对产后腹直肌分离患者的疗效及腹围、腹直肌分离间距的影响[J]. 中国针灸, 2023, 12(24): 1-6.
[15] 赵容, 王换换, 梁婉婉, 等. 运动干预对产后腹直肌分离患者自我效能、腹围及腹直肌分离间距的影响[J]. 中华全科医学, 2023, 21(10): 1762-1766.
[16] 刘雨汇, 区晓贤, 张洁燕, 等. 腹部仿生物低频电刺激+Waff核心运动训练修复产后腹直肌分离临床效果观察[J]. 中国优生与遗传杂志, 2023, 31(11): 2360-2365.
[17] 杨柳枝, 熊锦梅, 林善群. 腹部仿生物理疗法在产后腹直肌分离中的效果观察[J]. 实用中西医结合临床, 2017, 17(12): 32-33.
[18] 许丹, 黄永华, 王彩凤. 腹针联合手法按摩对于产后腹直肌分离伴腰痛患者的应用价值[J]. 安徽医专学报, 2022, 21(06): 119-121.
[19] 郭丽双, 姜冬霞. 雷火灸联合手法按摩对产后腹直肌分离的疗效分析[J]. 中外医疗, 2022, 41(29): 180-184.
[20] 武广艳, 张冉, 王璐, 等. 核心肌群运动控制训练对产后腹直肌分离的效果[J]. 中国康复理论与实践, 2023, 29(08): 948-953.
[21] 黄丹平, 左净, 高以旋, 等. 核心肌群训练治疗产后腹直肌分离效果的Meta分析[J]. 中国循证医学杂志, 2023, 23(09): 1026-1032.
[22] 言功立, 袁光辉, 陈欢. 核心训练联合筋膜手法治疗产后腹直肌分离的疗效观察[J]. 中国康复, 2023, 38(07): 434-436.
[23] 陈丽霞, 吴春燕, 唐翠兰. Waff核心运动配合生物电刺激对产后腹直肌分离的干预效果分析[J]. 医学理论与实践, 2023, 36(21): 3693-3695.