筋膜松解手法联合Waff核心运动在产后腹直肌分离中的应用价值

The application value of fascial release technique combined with Waff core exercise in postpartum rectus abdominis diastasis

摘要:

目的 探讨筋膜松解手法联合Waff核心运动在产后腹直肌分离中的应用价值。方法 选取2023年6月—2024年1月在淮安市妇幼保健院分娩的产后腹直肌分离产妇96例，采用随机分组法分为观察组与对照组，每组48例。对照组采用Waff核心运动治疗，观察组在对照组基础上联合筋膜松解手法治疗。两组康复治疗时间均为8周。比较两组的腹直肌间距（IRD）、腹直肌厚度、腰围、尿失禁、子宫脱垂、腰背部疼痛、情绪状态及生活质量评分。结果 观察组治疗后肚脐上方5.0 cm、肚脐及肚脐下方5.0 cm处IRD均小于对照组（P <0.05），观察组治疗前后肚脐上方5.0 cm、肚脐及肚脐下方5.0 cm处IRD的差值均大于对照组（P <0.05）。观察组治疗后腹直肌厚度大于对照组，腰围小于对照组（P <0.05），观察组治疗前后腹直肌厚度及腰围的差值均大于对照组（P <0.05）。观察组治疗后尿失禁和子宫脱垂症状评分均低于对照组（P <0.05），观察组治疗前后尿失禁和子宫脱垂症状评分差值均大于对照组（P <0.05）。观察组治疗后腰背部疼痛症状评分均低于对照组（P <0.05），观察组治疗前后腰背部疼痛症状评分的差值大于对照组（P <0.05）。观察组治疗后HAMA、HAMD及SF-36评分均低于对照组（P <0.05），观察组治疗前后HAMA、HAMD及SF-36评分的差值均大于对照组（P <0.05）。结论 Waff核心运动联合筋膜松解手法治疗产后腹直肌分离，有助于缩小患者的IRD，促进腹直肌恢复正常，减轻尿失禁、子宫脱垂及腰背部疼痛等症状。

Abstract:

Objective To explore the application value of fascial release technique combined with Waff core exercise in postpartum rectus abdominis diastasis.Methods A total of 96 parturients with rectus abdominis diastasis who delivered at Huai'an Maternal and Child Health Hospital from June 2023 to January 2024 were enrolled in this study. Using a blinded method, the participants were randomly allocated by computer-generated sequence into two groups: an observation group and a control group, with 48 cases in each group. The control group received Waff core exercise therapy, while the observation group received combined fascial release manual therapy on the basis of the control group. The rehabilitation treatment lasts for 8 weeks. Compare the inter rectus abdominis distance (IRD), rectus abdominis thickness, waist circumference, urinary incontinence symptoms, uterine prolapse symptoms, lower back pain, emotional state, and quality of life scores between two groups.Results The differences in IRD at 5.0 cm above the umbilicus, umbilical IRD, and IRD at 5.0 cm below the umbilicus before and after treatment were significantly greater in the observation group than in the control group (P < 0.05). After treatment, the thickness of rectus abdominis in the observation group was larger than that in the control group, and the waist circumference was smaller than that in the control group (P < 0.05). Significantly greater differences in urinary incontinence and uterine prolapse symptom scores before and after treatment were observed in the observation group than in the control group (P < 0.05). The difference in low back pain symptom scores before and after treatment was shown to be significantly higher in the observation group than in the control group (P < 0.05). The differences in HAMA scores, HAMD scores, and SF-36 scores before and after treatment were all demonstrated to be significantly greater in the observation group compared to the control group (P < 0.05).Conclusion The combination of Waff core exercise and fascial release technique in the treatment of postpartum rectus abdominis diastasis can help reduce the patient's IRD, promote the recovery of rectus abdominis muscle, alleviate symptoms such as urinary incontinence, uterine prolapse, and lower back pain.