核心肌群运动控制训练对产后腹直肌分离的效果

doi:10.3969/j.issn.1006-9771.2023.08.012

摘要/Abstract

摘要：

目的探讨核心肌群运动控制训练治疗产后腹直肌分离的效果。
方法 2021年1月至2022年1月，北京同仁医院康复门诊产后腹直肌分离患者30例随机分为对照组(n = 15)和试验组(n = 15)。两组均接受手法治疗和呼吸训练，对照组进行常规核心肌力训练，试验组进行核心肌群运动控制训练，共4周。治疗前后分别测量腹直肌间距、腹围和腰围。
结果治疗后，两组腹直肌间距、腹围和腰围均较治疗前减小(Z = 3.408, t > 5.927, P < 0.05)。试验组腹直肌间距减少值大于对照组(t = 2.328, P < 0.05)。
结论核心肌群运动控制训练能改善产后腹直肌分离，效果优于常规核心肌力训练。

关键词: 产后, 腹直肌分离, 核心肌群, 运动控制训练

Abstract:

Objective To explore the clinical effect of core muscle motor control training on postpartum diastasis recti abdominis.
Methods From January, 2021 to January, 2022, 30 outpatients with postpartum diastasis recti abdominis were randomly divided into control group (n = 15) and experimental group (n = 15). Manipulative therapy and breathing training were performed simultaneously in both groups. Besides, the control group received conventional core strength training, and the experimental group received core muscle motor control training, for four weeks. Their distance of diastasis recti abdominis, abdominal circumference and waist circumference were compared before and after treatment.
Results After treatment, the distance of diastasis recti abdominis, abdominal circumference and waist circumference reduced in both groups (Z = 3.408, t > 5.927, P < 0.05). The reduction value of diastasis recti abdominis distance was more in the experimental group than in the control group (t = 2.328, P < 0.05).
Conclusion Core muscle motor control training can effectively relieve postpartum diastasis recti abdominis, and the effect is better than conventional core strength training.

Key words: postpartum, diastasis recti abdominis, core muscle group, motor control training

中图分类号:

R714.6

武广艳, 张冉, 王璐, 于歌, 陈亚平. 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(8): 948-953.

WU Guangyan, ZHANG Ran, WANG Lu, YU Ge, CHEN Yaping. Effect of core muscle motor control training on postpartum diastasis recti abdominis[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 948-953.

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组别	n	年龄/岁	产后时间/月
对照组	15	33.27±3.45	4.80±2.86
试验组	15	33.67±3.83	3.50±1.54
t/Z值		0.300	1.400
P值		0.766	0.174

组别	n	治疗前	治疗后	减少值	Z值^a	P值^a
对照组	15	4.03(1.52)	2.58(1.35)	1.32(0.92)	3.408	0.001
试验组	15	3.98(1.35)	1.76(1.27)	1.61(0.71)	3.408	0.001
Z值		0.350	1.2600	2.382
P值		0.720	0.210	0.024

组别	n	治疗前	治疗后	减少值	t值^a	P值^a
对照组	15	89.60±7.88	83.13±7.97	6.47±3.47	9.142	< 0.001
试验组	15	92.23±13.57	85.40±12.18	6.83±2.89	7.225	< 0.001
t值		0.650	0.603	0.314
P值		0.521	0.551	0.756

组别	n	治疗前	治疗后	减少值	t值^a	P值^a
对照组	15	81.27±7.58	75.63±6.59	5.63±3.68	9.827	< 0.001
试验组	15	83.50±10.17	75.90±9.47	7.60±3.00	5.927	< 0.001
t值		0.682	0.090	1.605
P值		0.501	0.929	0.120