摘要
目的:本研究通过观察肌肉能量技术联合核心稳定性训练治疗产后女性骶髂关节功能障碍的临床疗效,探索骶髂关节功能障碍对产后女性的特殊发病机理及物理治疗策略。方法:选取产后骶髂关节功能障碍患者60例,随机分为3组各20例,对照组采用干扰电疗法及抗阻训练等常规治疗;观察A组在对照组治疗基础上加用肌肉能量技术(MET)治疗和观察B组在对照组基础上采用MET联合核心稳定性训练(CSE)治疗。比较3组治疗前、治疗3周及6周的视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)及竖脊肌、臀大肌和股二头肌表面肌电均方根值(RMS)的变化。结果:对照组各项指标治疗前后各时间点比较差异无统计学意义。治疗3周后,观察A组和观察B组竖脊肌RMS评分高于治疗前及对照组(P<0.05),且2组间比较差异无统计学意义;2组臀大肌和股二头肌RMS评分较治疗前及组间比较均无统计学意义;2组VAS评分和ODI评分均较治疗前及对照组降低(均P<0.05)。治疗6周后,观察A组竖脊肌RMS评分较治疗3周降低(P<0.05),且与对照组和治疗前比较差异无统计学意义,观察B组竖脊肌、臀大肌、股二头肌RMS评分较治疗前和治疗3周均增高(P<0.05),且高于对照组和观察A组(P<0.05);观察B组VAS评分和ODI评分较治疗前及对照组和观察A组均显著降低(P<0.05),对照组和观察A组组间比较差异无统计学意义,观察A组较治疗3周后升高(P<0.05)。结论:MET联合CSE可改善产后女性骶髂关节功能障碍的疼痛及日常生活活动能力,可增强骶髂关节周围稳定性,提高患病部位相关肌力。
Objective:To observe the clinical efficacy of muscle energy technique(MET)combined with core stability training in the treatment of postpartum women with sacroiliac joint dysfunction,and to explore the special pathogenesis and physical therapy strategies of sacroiliac joint dysfunction in postpartum women.Methods:A toral of 60 patients with postpartum sacroiliac joint dysfunction were selected and randomly divided into three groups,20 cases in each group.The control group was treated with routine treatment such as interference current therapy+resistance training,while the observation group A was treated with muscle energy technology(MET)on the basis of the control group,and the observation group B was treated with MET combined with core stability training(CSE)on the basis of the control group.The Visual Analog Scale(VAS),Oswestry Disability Index(ODI)and surface EMG root mean square(RMS)of erector spinae,gluteus maximus and biceps femoris were compared among the three groups before treatment,3 weeks and 6 weeks after treatment.Results:There was no statistically significant difference in each index before and after treatment in the control group at each time point.After 3 weeks of treatment,the RMS scores of erector spinae in the observation group A and the observation group B were significantly higher than those before treatment and the control group(P<0.05),and there was no significant difference in comparison with the control group and before treatment.Compared with those before treatment and after 3 weeks of treatment,the muscle RMS scores increased(P<0.05),and significantly higher in the observation group B than those in the control group and observation group A(P<0.05);the VAS score and ODI score in the observation group B were sig-nificantly higher than those before treatment,the control group and the observation group A(P<0.05),there was no significant difference between the control group and the observation group A,and those in the observation group B increased after 3 weeks of treatment(P<0.05).Conclusio
作者
乔彩娜
吕振
黄秋晨
李子锋
刘克敏
Qiao Caina;Lv Zhen;Huang Qiuchen(Capital Medical University School of Rehabilitation Medicine,Beijing 100068,China)
出处
《中国康复》
2023年第3期178-183,共6页
Chinese Journal of Rehabilitation
基金
2019湖北省技术创新专项(重大项目)(2019ACA132)
2019中央高校基本科研业务费专项资金资助(2019kfyXKJC075)。
关键词
骶髂关节功能障碍
肌肉能量技术
稳定性训练
产后
sacroiliac joint dysfunction
muscle energy techniques
stabilization exercise
postpartum
