盆底肌肉训练增强节段性稳定训练对产后骨盆带疼痛女性的影响：一项随机对照试验。
Effect of segmental stabilizing exercises augmented by pelvic floor muscles training on women with postpartum pelvic girdle pain: A randomized controlled trial.
作者信息
ElDeeb Abeer M, Abd-Ghafar Khaled S, Ayad Waled A, Sabbour Adly A
机构信息
Department of Physical Therapy for Women's Health, Faculty of Physical Therapy, Cairo University, Dokki, Giza, Egypt.
Department of Gynecology and Obstetrics, Faculty of Medicine, Al-Azhr University, Nasr City, Cairo, Egypt.
出版信息
J Back Musculoskelet Rehabil. 2019;32(5):693-700. doi: 10.3233/BMR-181258.
BACKGROUND
Pelvic girdle pain (PGP) is a significant problem that affects daily living activities in postpartum women.
OBJECTIVE
This study aimed to investigate the effect of stabilizing exercises with or without pelvic floor muscles (PFM) training on pain, functional disability, trunk range of motion (ROM) and PFM strength in women with PGP.
METHODS
Forty postpartum women participated in the study. Their age ranged from 25-35 years and their body mass index (BMI) was 25-29.9 kg/m2. They were randomly assigned into two groups equal in number. Group (A) received local stabilizing exercises, while group (B) received stabilizing exercises and PFM training. Pain, functional disability, trunk ROM and PFM strength have been evaluated using visual analogue scale (VAS), Oswestry Disability Index (ODI), Schober test and Kegel periniometer respectively.
RESULTS
Both groups (A and B) revealed a significant decrease (p= 0.001) in pain and functional disability and a significant increase (p= 0.001) in trunk ROM and PFM strength. However, group (B) showed a significant decrease (p= 0.001) in pain, and functional disability and a significant increase in PFM strength when compared with group (A).
CONCLUSIONS
PFM training should be an essential part in rehabilitation programs of PGP postpartum.
背景
骨盆带疼痛（PGP）是一个严重影响产后女性日常生活活动的问题。
目的
本研究旨在探讨有或无盆底肌（PFM）训练的稳定练习对PGP女性疼痛、功能障碍、躯干活动范围（ROM）和PFM力量的影响。
方法
40名产后女性参与了本研究。她们的年龄在25至35岁之间，体重指数（BMI）为25至29.9kg/m²。她们被随机分为两组，每组人数相等。A组接受局部稳定练习，而B组接受稳定练习和PFM训练。分别使用视觉模拟量表（VAS）、Oswestry功能障碍指数（ODI）、Schober试验和凯格尔肌动测量仪评估疼痛、功能障碍、躯干ROM和PFM力量。
结果
A组和B组的疼痛和功能障碍均显著降低（p = 0.001），躯干ROM和PFM力量均显著增加（p = 0.001）。然而，与A组相比，B组的疼痛和功能障碍显著降低（p = 0.001），PFM力量显著增加。
结论
PFM训练应成为PGP产后康复计划的重要组成部分。
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