悬吊推拿运动技术对产后骨盆带疼痛的效果

doi:10.3969/j.issn.1006-9771.2024.06.012

Abstract

Abstract:

Objective To investigate the effect of the sling massage exercise on postpartum pelvic girdle pain (PPGP).

Methods From March, 2022 to May, 2023, 56 patients with PPGP in Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine were randomly divided into control group (n = 28) and observation group (n = 28). Both groups received routine physical therapy and healthy education, while the control group received exercise therapy and the observation group received sling massage exercise, for six weeks. They were assessed with Visual Analog Scale (VAS), Pelvic Girdle Questionnaire (PGQ) and active straight leg raise (ASLR) test before and after treatment, and measured resting and contraction thickness of transversus abdominis with ultrasound; and integrated electromyography (iEMG), root mean square (RMS), median frequency (MF) and mean power frequency (MPF) of pelvic floor muscles with surface electromyography.

Results After treatment, the total effective rate was 96.43% in the observation group and 78.57% in the control group (Z = 2.728, P < 0.05). All the indexes improved in both groups (|t| > 2.080, P < 0.05) except resting thickness of transverse abdominis muscle, and improved more in the observation group than in the control group (|t| > 2.161, P < 0.05).

Conclusion The sling massage exercise can alleviate pain, enhance the stability of the core muscle group, and improve load transfer and quality of life, better than exercise therapy.

Key words: postpartum pelvic girdle pain, sling massage exercise, core muscle strength, pain

CLC Number:

R685

WANG Xueyan, ZHANG Pengyan, LIAO Xuandong, DING Yi, XU Qiangqiang, LI Li. Effect of sling massage exercise on postpartum pelvic girdle pain[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(6): 719-725.

Figures/Tables 4

Table 1

Table 2

Comparison of clinical scores between two groups pre- and post-treatment"

变量	组别	n	测试	$x - ± s$	t值	P值
VAS	对照组	28	前测	6.87±2.03	6.073	< 0.001
			后测	4.53±0.88
	观察组	28	前测	6.95±1.98	9.901	< 0.001
			后测	3.05±0.71
	治疗前两组均值差			-0.08±2.70	-0.150	0.881
	治疗后两组均值差			1.48±1.18	6.887	< 0.001
PGQ	对照组	28	前测	27.59±5.13	6.252	< 0.001
			后测	19.60±3.25
	观察组	28	前测	28.42±5.78	11.961	< 0.001
			后测	13.29±2.85
	治疗前两组均值差			-0.82±7.44	-0.561	0.577
	治疗后两组均值差			6.30±4.69	7.723	< 0.001
ASLR	对照组	28	前测	3.94±1.05	12.501	< 0.001
			后测	1.53±0.61
	观察组	28	前测	4.05±1.02	14.033	< 0.001
			后测	1.06±0.55
	治疗前两组均值差			-0.11±1.32	-0.398	0.692
	治疗后两组均值差			0.47±0.88	3.029	0.004

Table 2

Table 3

Comparison of thickness of transverse abdominis muscle between two groups pre- and post-treatment"

变量	组别	n	测试	$x - ± s$	t值	P值
静息下腹横肌厚度/cm	对照组	28	前测	0.33±0.19	-0.139	0.890
			后测	0.34±0.10
	观察组	28	前测	0.35±0.14	-1.228	0.230
			后测	0.38±0.07
	治疗前两组均值差			-0.01±0.22	0.282	0.779
	治疗后两组均值差			-0.05±0.11	-2.011	0.049
收缩下腹横肌厚度/cm	对照组	28	前测	0.53±0.13	-3.980	< 0.001
			后测	0.68±0.19
	观察组	28	前测	0.54±0.17	-5.195	< 0.001
			后测	0.78±0.18
	治疗前两组均值差			-0.01±0.20	-0.303	0.973
	治疗后两组均值差			-0.11±0.26	-2.161	0.035
腹横肌收缩率/%	对照组	28	前测	65.68±22.46	-2.080	0.047
			后测	80.29±28.31
	观察组	28	前测	65.14±21.55	-5.255	< 0.001
			后测	98.18±30.07
	治疗前两组均值差			0.54±32.76	0.092	0.927
	治疗后两组均值差			-18.99±45.51	-2.434	0.018

Table 3

Table 4

Comparison of surface electromyography between two groups pre- and post-treatment"

变量	组别	n	测试	$x - ± s$	t值	P值
iEMG/(μV·ms)	对照组	28	前测	11.98±2.26	-2.168	0.039
			后测	13.27±2.29
	观察组	28	前测	11.85±2.31	-7.496	< 0.001
			后测	15.83±2.33
	治疗前两组均值差			0.14±3.51	0.229	0.820
	治疗后两组均值差			-2.49±3.69	-4.026	< 0.001
RMS/μV	对照组	28	前测	16.23±3.36	-2.741	0.011
			后测	18.04±3.41
	观察组	28	前测	16.66±3.31	-3.859	0.001
			后测	20.12±3.39
	治疗前两组均值差			-0.43±4.37	-0.482	0.632
	治疗后两组均值差			-2.07±4.02	-2.278	0.027
MF/Hz	对照组	28	前测	40.25±10.17	-4.183	< 0.001
			后测	48.27±5.98
	观察组	28	前测	40.89±10.11	-6.480	< 0.001
			后测	53.13±5.47
	治疗前两组均值差			-0.64±13.50	-0.236	0.814
	治疗后两组均值差			-4.87±8.44	-3.179	0.002
MPF/Hz	对照组	28	前测	58.33±5.18	-2.186	0.038
			后测	61.65±6.21
	观察组	28	前测	59.45±5.31	-5.894	< 0.001
			后测	67.39±6.57
	治疗前两组均值差			-1.12±7.57	-0.799	0.428
	治疗后两组均值差			-5.74±8.70	-3.360	0.001

Table 4

References 36

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组别	n	年龄/岁	体质量指数/(kg·m^-2)	病程/周
对照组	28	33.05±4.00	24.19±3.11	5.17±1.13
观察组	28	32.03±3.91	23.86±3.05	4.86±1.10

Effect of sling massage exercise on postpartum pelvic girdle pain

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