Department of gynecology and obstetrics, The Third Affiliated Hospital of Southern Medical University, China.
J Rehabil Med. 2021 Apr 12;53(4):jrm00180. doi: 10.2340/16501977-2812.
To evaluate the effects of a rehabilitation programme for lumbopelvic pain after childbirth.
Women with lumbopelvic pain 3 months postpartum were included in a randomized controlled trial. Patients in the intervention group (n = 48) received pelvic floor muscle training combined with neuromuscular electrical stimulation of the paraspinal muscles for 12 weeks, while patients in the control group (n = 48) received neuromuscular electrical stimulation for 12 weeks. Outcomes were measured with the Triple Numerical Pain Rating Scale (NPRS), Modified Oswestry Disability Questionnaire (MODQ) and Short-Form Health Survey-36 (SF-36).
The NPRS score was significantly better in the intervention group at 12 weeks compared with the control group (p = 0.000). The MODQ score was significantly better at 6 and 12 weeks compared with the control group (p = 0.009 and p = 0.015, respectively). The mean value of the Physical Components Summary of the SF-36, was significantly better in the intervention group at 6 weeks (p = 0.000) and 12 weeks (p = 0.000) compared with the control group, but there was no significant improvement in Mental Components Summary of the SF-36.
A postpartum programme for women with lumbopelvic pain is feasible and improves the physical domain of quality of life.
评估产后腰骨盆疼痛康复方案的效果。
将产后 3 个月有腰骨盆疼痛的女性纳入一项随机对照试验。干预组（n=48）患者接受骨盆底肌肉训练联合腰背肌神经肌肉电刺激 12 周，而对照组（n=48）患者仅接受神经肌肉电刺激 12 周。采用三重数字疼痛评分量表（NPRS）、改良 Oswestry 残疾问卷（MODQ）和健康调查简表-36（SF-36）评估结局。
与对照组相比，干预组在 12 周时 NPRS 评分显著改善（p=0.000）。与对照组相比，干预组在 6 周和 12 周时 MODQ 评分显著改善（p=0.009 和 p=0.015）。SF-36 的生理成分综合评分在干预组 6 周（p=0.000）和 12 周（p=0.000）时均显著高于对照组，但 SF-36 的心理成分综合评分无显著改善。
针对产后腰骨盆疼痛女性的方案是可行的，可改善生活质量的生理领域。
