悬吊推拿运动技术对产后骨盆带疼痛的效果  

Effect of sling massage exercise on postpartum pelvic girdle pain

作　　者：王雪妍 张鹏燕[2] 廖烜东 丁懿 许强强[2] 李丽[2] WANG Xueyan;ZHANG Pengyan;LIAO Xuandong;DING Yi;XU Qiangqiang;LI Li(College of Rehabilitation,Shandong University of Traditional Chinese Medicine,Ji'nan,Shandong 250355,China;The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Ji'nan,Shandong 250000,China)

机构地区：[1]山东中医药大学康复医学院,山东济南市250355 [2]山东中医药大学第二附属医院,山东济南市250000

出　　处：《中国康复理论与实践》2024年第6期719-725,共7页Chinese Journal of Rehabilitation Theory and Practice

基　　金：山东省重点研发计划项目(No.2017GSF19114);山东省中医药科技项目(No.2021M006,No.Q-2023067)。

摘　　要：目的探讨悬吊推拿运动技术对产后骨盆带疼痛(PPGP)的效果。方法2022年3月至2023年5月,山东中医药大学第二附属医院PPGP患者56例,随机分为对照组(n=28)和观察组(n=28)。两组均接受常规物理治疗和健康宣教,对照组接受运动疗法,观察组接受悬吊推拿运动技术,共6周。治疗前后采用视觉模拟量表(VAS)、骨盆带问卷(PGQ)、主动直腿抬高试验(ASLR)进行评估,采用超声测量腹横肌休息和收缩时厚度和收缩率,表面肌电图测量盆底肌积分肌电值(iEMG)、均方根值(RMS)、中位频率(MF)和平均功率频率(MPF)。结果治疗后,观察组总有效率为96.43%,对照组为78.57%(Z=2.728,P<0.05);除休息状态下腹横肌厚度外,两组各项指标均改善(|t|>2.080,P<0.05),观察组优于对照组(|t|>2.161,P<0.05)。结论悬吊推拿运动技术能够减轻疼痛,增强核心肌群稳定性,提高负荷转移能力和生活质量,优于单纯运动疗法。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.

关 键 词：产后骨盆带疼痛 悬吊推拿运动 核心肌力 疼痛 

分 类 号：R685[医药卫生—骨科学]