Effect of extracorporeal shockwave therapy combined with core stability training in the treatment of postpartum sacroil-iac joint pain
Objective:To evaluate the effectiveness and feasibility of extracorporeal shockwave therapy(ESWT)combined with core stability training(CST)by observing the clinical efficacy in the treatment of postpartum sacroili-ac joint pain.Methods:A total of 91 patients with postpartum sacroiliac joint pain were selected and randomly divid-ed into three groups:basic group(31 cases),experimental group A(30 cases)and experimental group B(30 ca-ses).The basic group received regular rehabilitation.The experimental group A was treated with ESWT on the ba-sis of the basic group,and the experimental group B was treated with ESWT combined with core stability training(CST)on the basis of the basic group.Visual analogue scale(VAS),Oswestry disability index(ODI),short form 36(SF-36),and cross sectional area of erector spinae at L5-S1 intervertebral discs on MRI were compared among the three groups before treatment and 4 weeks after treatment.Results:Before treatment,there were no significant differences inVAS,ODI,SF-36 scores and cross sectional area of erector spinae.After 4 weeks of treatment,among the three groups,the VAS and ODI scores in the experimental group A and experimental group B were lower than those in the basic group(P＜0.05),and both of these scores in the experimental group B were significantly lower than those in the experimental group A(P＜0.05).The SF-36 score in the experimental group A and experimental group B was higher than that in the basic group(P＜0.05),and that in the experimental group B was significantly higher than that in the experimental group A(P＜0.05).There was no significant difference in the cross sectional area of erector spinae at L5-S1 intervertebral discs on MRI in the three groups before and after treatment,and a-mong the three groups after treatment.Conclusion:ESWT combined with CST can relieve postpartum sacroiliac joint pain and improve the quality of daily life,which is effective and feasible.
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