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加强腹横肌在妊娠相关骨盆疼痛中的作用:压力生物反馈稳定训练

Strengthening transversus abdominis in pregnancy related pelvic pain: the pressure biofeedback stabilization training.

作者信息

Rajalakshmi Dharmarajan, Senthil Kumar N Sundaramurthy

机构信息

Faculty of Therapeutic Sciences, Masterskill University College of Health Sciences, Cheras, Malaysia-43200.

出版信息

Glob J Health Sci. 2012 May 28;4(4):55-61. doi: 10.5539/gjhs.v4n4p55.

Abstract

UNLABELLED

Pregnancy related pelvic pain (PRPP) refers to musculoskeletal type of persistent posterior pelvic pain during and after pregnancy with feature of reduced endurance capacity for standing, walking and sitting which leads to severe discomfort and considerable impairment of daily activities.

OBJECTIVE

To test the effect of pressure biofeedback stabilizer training, on the pain and dysfunction of a thirty year old subject who presented with PRPP.

STUDY DESIGN

Single case design.

OUTCOME VARIABLES

Oswestry pain and disability index, TrA efficacy.

METHODOLOGY

An initial assessment was followed by treatment sessions which consist of 2 phases (Phase A & Phase B). The baseline phase (A) consists of conventional therapeutic exercises while the intervention phase (B) consists of pressure biofeedback training in conjunction with the conventional therapeutic exercises.

RESULT

The study data demonstrated that the subject showed minimal improvement in pain, disability and TrA efficacy during the baseline phase and shown a steady improvement in all these variables during the intervention phase.

CONCLUSION

Core muscle performance (TrA) can be retrained with pressure biofeedback stabilization training program in subject with PRPP thereby reducing pain and disability.

摘要

未标注

妊娠相关骨盆疼痛(PRPP)是指妊娠期间及产后出现的肌肉骨骼型持续性骨盆后部疼痛,其特点是站立、行走和坐立的耐力下降,导致严重不适和日常活动明显受限。

目的

测试压力生物反馈稳定器训练对一名患有PRPP的30岁受试者的疼痛和功能障碍的影响。

研究设计

单病例设计。

结果变量

奥斯威斯疼痛和残疾指数、腹横肌功效。

方法

在初始评估之后进行治疗,治疗包括两个阶段(A阶段和B阶段)。基线阶段(A)包括传统治疗性锻炼,而干预阶段(B)包括结合传统治疗性锻炼的压力生物反馈训练。

结果

研究数据表明,该受试者在基线阶段疼痛、残疾和腹横肌功效改善甚微,而在干预阶段所有这些变量均稳步改善。

结论

对于患有PRPP的受试者,可通过压力生物反馈稳定训练计划对核心肌肉功能(腹横肌)进行再训练,从而减轻疼痛和残疾程度。

相似文献

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1
Pelvic girdle pain and low back pain in pregnancy: a review.妊娠期间骨盆带疼痛和下腰痛:综述。
Pain Pract. 2010 Jan-Feb;10(1):60-71. doi: 10.1111/j.1533-2500.2009.00327.x. Epub 2010 Oct 26.
6
European guidelines for the diagnosis and treatment of pelvic girdle pain.欧洲骨盆带疼痛诊断与治疗指南。
Eur Spine J. 2008 Jun;17(6):794-819. doi: 10.1007/s00586-008-0602-4. Epub 2008 Feb 8.
7
Rehabilitative ultrasound imaging of the abdominal muscles.腹部肌肉的康复超声成像
J Orthop Sports Phys Ther. 2007 Aug;37(8):450-66. doi: 10.2519/jospt.2007.2558.
8
Pregnancy-related pelvic girdle pain in the Netherlands.荷兰与妊娠相关的骨盆带疼痛
Acta Obstet Gynecol Scand. 2007;86(4):416-22. doi: 10.1080/00016340601151683.

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