Afzal Ujala, Saeed Quratulain, Anwar Muhammad Nabeel, Pervaiz Sanna, Shahid Manahil, Javed Rimsha, Ali Muhammad Umair, Lee Seung Won
Foundation University College of Physical Therapy, Foundation University Islamabad, Islamabad 44000, Pakistan.
School of Mechanical and Manufacturing Engineering (SMME), National University of Sciences and Technology (NUST), Islamabad 44000, Pakistan.
Healthcare (Basel). 2024 Aug 7;12(16):1567. doi: 10.3390/healthcare12161567.
Current medical treatments for diastasis recti often involve exercises to strengthen the core muscles, along with abdominal binders or supports. However, there is limited evidence comparing the effectiveness of surface electromyography (SEMG) biofeedback-assisted core strengthening exercises combined with kinesiotaping to other approaches. This study aimed to assess the impact of three interventions on core strength, inter-rectus distance, and quality of life in postpartum women with diastasis recti. The interventions included core strengthening exercises with kinesiotaping and SEMG biofeedback-assisted core strengthening with kinesiotaping. This randomized controlled trial (NCT05897255) included 24 postpartum women divided into three groups. We measured inter-rectus distance, quality of life using the Short Form Health Survey 36, and core strength using the McGill torso battery test. The SEMG biofeedback provided auditory and visual cues. We used one-way analysis of variance to compare outcomes between groups, while a -test for within-group analysis. Both the SEMG biofeedback-assisted and non-assisted core strengthening exercises with kinesiotaping groups showed significantly greater improvements in energy, bodily pain, general health, physical functioning, and limitations due to physical problems than the core strengthening group. Additionally, the SEMG biofeedback-assisted group demonstrated a greater reduction in inter-rectus distance. There were no statistically significant differences in core strength improvement among the three groups. Core strengthening exercises with SEMG-assisted kinesiotaping were superior to core strengthening alone in reducing inter-rectus distance, enhancing physical function, energy levels, and general health, and decreasing bodily pain and limitations due to physical problems. Core strength improvements were similar across all groups.
目前治疗腹直肌分离的医学方法通常包括加强核心肌肉的锻炼，以及使用腹带或支撑物。然而，将表面肌电图（SEMG）生物反馈辅助的核心强化锻炼与肌内效贴扎相结合的方法与其他方法相比，其有效性的证据有限。本研究旨在评估三种干预措施对腹直肌分离的产后女性的核心力量、腹直肌间距和生活质量的影响。干预措施包括肌内效贴扎的核心强化锻炼以及肌内效贴扎的SEMG生物反馈辅助核心强化锻炼。这项随机对照试验（NCT05897255）纳入了24名产后女性，分为三组。我们测量了腹直肌间距、使用简短健康调查问卷36评估生活质量以及使用麦吉尔躯干电池测试评估核心力量。SEMG生物反馈提供听觉和视觉提示。我们使用单因素方差分析比较组间结果，同时使用t检验进行组内分析。与核心强化组相比，肌内效贴扎的SEMG生物反馈辅助和非辅助核心强化锻炼组在精力、身体疼痛、总体健康、身体功能以及因身体问题导致的限制方面均有显著更大的改善。此外，SEMG生物反馈辅助组的腹直肌间距减小幅度更大。三组之间在核心力量改善方面没有统计学上的显著差异。肌内效贴扎的SEMG辅助核心强化锻炼在减少腹直肌间距、增强身体功能、提高精力水平和总体健康状况以及减轻身体疼痛和因身体问题导致的限制方面优于单纯的核心强化锻炼。所有组的核心力量改善情况相似。
