College of Acupuncture and Tuina, Changchun University of Chinese Medicine, Changchun, China.
The Rehabilitation Medicine Department of Zhejiang Provincial People's Hospital, China.
Medicine (Baltimore). 2024 Oct 4;103(40):e39869. doi: 10.1097/MD.0000000000039869.
During pregnancy, fetal growth could lead to changes in human biomechanics. If postpartum recovery was not properly managed, it could be exacerbated, resulting in myofascial system disorders and various functional impairments. Among them, pain-related functional disorders were an important issue affecting quality of life in postpartum women. The pathogenesis of these disorders remained unclear but it was primarily associated with changes in biomechanics, the endocrine system, and nervous function. However, postpartum pain-related dysfunction had been considered a normal physiological response to childbirth, leading to a lack of attention. Therefore, many postpartum women failed to receive timely, effective, and standardized treatment, hindering their ability to reintegrate into family and society, and causing severe damage to their physical and mental health. In clinical practice, myofascial therapy could effectively alleviate postpartum pain and muscle spasms, improve excessive tension injuries in myofascial, and had a good therapeutic effect on postpartum pain-related functional disorders. The mechanism of myofascial therapy involved improving core muscle strength, restoring normal body alignment, and promoting the remodeling of myofascial mechanical structures. This article explored the positive effects of myofascial therapy on postpartum pain-related functional disorders from a biomechanical perspective, aiming to provide diverse treatment approaches for clinical practitioners.
在妊娠期间,胎儿的生长可能导致人体生物力学发生变化。如果产后恢复不当,这种变化可能会加剧,导致筋膜系统紊乱和各种功能障碍。其中,与疼痛相关的功能障碍是影响产后妇女生活质量的一个重要问题。这些障碍的发病机制尚不清楚,但主要与生物力学、内分泌系统和神经功能的变化有关。然而,产后与疼痛相关的功能障碍被认为是分娩的一种正常生理反应,因此往往得不到关注。因此,许多产后女性未能及时、有效和规范地接受治疗,阻碍了她们重新融入家庭和社会的能力,对她们的身心健康造成了严重损害。在临床实践中,肌筋膜疗法可以有效缓解产后疼痛和肌肉痉挛,改善肌筋膜过度紧张损伤,对产后与疼痛相关的功能障碍有良好的治疗效果。肌筋膜疗法的作用机制包括改善核心肌肉力量、恢复正常的身体排列和促进肌筋膜机械结构的重塑。本文从生物力学的角度探讨了肌筋膜疗法对产后与疼痛相关的功能障碍的积极影响,旨在为临床医生提供多样化的治疗方法。