Clinical study on abdominal wall reinforcement training combined with neuromuscular electrical stimulation in the treatment of postpartum rectus abdominis muscle separation
Objective To study the clinical effect of abdominal wall reinforcement training combined with neuromuscular electrical stimulation in the treatment of postpartum rectus abdominis muscle separation.Methods A total of 108 patients with postpartum rectus abdominis muscle separation admitted to Jiangyin Hospital of Traditional Chinese Medicine of Jiangsu Province from January 2021 to December 2022 were selected,and they were divided into three groups by random number table method,with 36 cases in each group.The abdominal wall strengthening group was treated with abdominal wall strengthening training,the electrical stimulation group was treated with neuromuscular electrical stimulation,and the combined group was treated with abdominal wall strengthening training combined with neuromuscular electrical stimulation.All three groups were treated with three courses of treatment.The clinical efficacy among three groups were compared;postpartum rectus abdominis muscle ultrasound indexes,abdominal core muscle strength,and quality of life score among three groups were compared.Results The clinical efficacy of combined group was better than that of abdominal wall strengthening group and electrical stimulation group(P＜0.05).After treatment,the distance of rectus abdominis muscle among three groups was lower than those before treatment,and the thickness,Emean,and Vmean of rectus abdominis muscle were higher than those before treatment;and the distance of rectus abdominis muscle in combination group was lower than that in abdominal wall strengthening group and electrical stimulation group,and the thickness,Emean,and Vmean of rectus abdominis muscle in combination group were higher than those in abdominal wall strengthening group and electrical stimulation group(P＜0.05).After treatment,the muscle strength of rectus abdominis,transverse abdominis,and oblique abdominis among three groups were higher than those before treatment,and combined group was higher than abdominal wall strengthening group and electrical stimulation group(P＜0.05).After treatment,the scores of physical function,social function,psychological function,and material life status among three groups were higher than those before treatment,and combined group was higher than abdominal wall strengthening group and electrical stimulation group(P＜0.05).Conclusion The effect of abdominal wall strengthening training combined with neuromuscular electrical stimulation in the treatment of postpartum rectus abdominis muscle separation is significant,which can enhance the strength of patients'abdominal core muscle strength and improve their quality of life.
万方数据
维普
