产后腹直肌分离的神经肌肉电刺激与力量恢复
Neuromuscular Electrical Stimulation and Strength Recovery of Postnatal Diastasis Recti Abdominis Muscles.
作者信息
Kamel Dalia M, Yousif Amel M
机构信息
Department of Physiotherapy for Obstetrics and Gynecology, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
Department of Physiotherapy, College of Medical & Health Sciences, Ahlia University, Manama, Bahrain.
出版信息
Ann Rehabil Med. 2017 Jun;41(3):465-474. doi: 10.5535/arm.2017.41.3.465. Epub 2017 Jun 29.
OBJECTIVE
To assess the effect of neuromuscular electrical stimulation (NMES) on the recovery of abdominal muscle strength in postnatal women with diastasis of recti abdominis muscles (DRAM).
METHODS
Sixty women, 2 months postnatal, participated in this study. They were divided randomly into two equal groups. Group A received NMES in addition to abdominal exercises; group B received only abdominal exercises. The intervention in both groups was for three times per week for 8 weeks. The outcome measures were body mass index (BMI), waist/hip ratio, inter recti distance (IRD), and abdominal muscle strength in terms of peak torque, maximum repetition total work, and average power.
RESULTS
Both groups showed highly significant (p<0.05) improvement in all outcomes. Further, intergroup comparisons showed significant improvement (p<0.05) in all parameters in favor of group A, except for the BMI.
CONCLUSION
NMES helps reduce DRAM in postnatal women; if combined with abdominal exercises, it can augment the effects.
目的
评估神经肌肉电刺激（NMES）对腹直肌分离（DRAM）产后女性腹肌力量恢复的影响。
方法
60名产后2个月的女性参与了本研究。她们被随机分为两组，每组人数相等。A组除了进行腹部锻炼外还接受NMES治疗；B组仅进行腹部锻炼。两组干预均为每周3次，共8周。结果指标包括体重指数（BMI）、腰臀比、腹直肌间距（IRD）以及腹肌力量，具体为峰值扭矩、最大重复总功和平均功率。
结果
两组在所有结果方面均显示出高度显著（p<0.05）的改善。此外，组间比较显示，除BMI外，A组在所有参数方面均有显著改善（p<0.05）。
结论
NMES有助于减少产后女性的腹直肌分离；若与腹部锻炼相结合，可增强效果。
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