Shi Wei, Niu Xiaoyu, Chen Yueyue, Chen Yu, Huang Xiaoyun, Yu Xiaojuan
Department of Obstetrics and Gynecology rehabilitation, West China Second Hospital, Sichuan University, Huaxi Technology Building, 16 Linjiang Middle Road, Wuhou District, Chengdu, 610000, Sichuan, China.
Key Laboratory of Obstetric & Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education, Chengdu, China.
Sci Rep. 2024 Dec 28;14(1):31272. doi: 10.1038/s41598-024-82702-2.
Rectus abdominis diastasis (RAD) is a key factor in the rehabilitation of postpartum women. This study aimed to evaluate the clinical efficacy of Kinesio Taping (KT) in RAD treatment and abdominal changes. The medical records of women with RAD who received KT treatment at the hospital were reviewed. A total of 138 women were included and their demographic characteristics were reviewed, including data before and after RAD treatment, abdominal circumference at the umbilicus and both above and below the umbilicus, as well as the distance from the xiphoid to the umbilicus, distance from the umbilicus to the pubic symphysis. The width of RAD decreased from 4.58 ± 1.74 cm to 2.33 ± 0.90 cm after KT treatment (t = P < 0.001) compared to before treatment. After treatment, the proportions of women with normal, mild, moderate, and severe RAD were 28.1%, 44.6%, 26.6%, and 0.7%, respectively, showing statistical significance (P < 0.001). A statistically significant difference was observed in the abdominal circumference reduction at the umbilicus and above and below the umbilicus before and after KT treatment. However, no statistically significant difference was noted in terms of the changes in the distance from the umbilicus to the pubic symphysis. A statistically significant difference was observed before treatment in abdominal circumference below the umbilicus between the cured and non-cured groups. Preliminary analysis results showed a positive effect of Kinesio Taping treatment in promoting rectus abdominis diastasis recovery and improving abdominal circumference. Furthermore, rectus abdominis diastasis was positively correlated with lower abdominal circumference and anterior abdominal injury.
腹直肌分离（RAD）是产后女性康复的关键因素。本研究旨在评估肌内效贴布（KT）在治疗RAD及腹部变化方面的临床疗效。回顾了在医院接受KT治疗的RAD女性的病历。共纳入138名女性，回顾了她们的人口统计学特征，包括RAD治疗前后的数据、脐部及脐上和脐下的腹围，以及剑突至脐的距离、脐至耻骨联合的距离。与治疗前相比，KT治疗后RAD的宽度从4.58±1.74厘米降至2.33±0.90厘米（t = P < 0.001）。治疗后，RAD正常、轻度、中度和重度的女性比例分别为28.1%、44.6%、26.6%和0.7%，差异有统计学意义（P < 0.001）。KT治疗前后，脐部及脐上和脐下的腹围减小有统计学意义。然而，脐至耻骨联合距离的变化无统计学意义。治疗前，治愈组和未治愈组脐下腹围有统计学意义的差异。初步分析结果显示，肌内效贴布治疗对促进腹直肌分离恢复和改善腹围有积极作用。此外，腹直肌分离与脐下腹围及前腹壁损伤呈正相关。
