Chen Chao, Zhang Huai-Ming, Shen Lei, He Hua-Ping, Ma Zhen-Yu, Zhu Yu-Qin, Geng Zhao-Hui, Qin Yan-Xia
Department of Rehabilitative Medicine, Shanghai Pudong New Area Tang Zhen Community Health Service Center, Shanghai, 201210, China.
Department of Prevention and Control, Shanghai Yangpu District Mental Health Center, Shanghai, 200093, China.
Open Med (Wars). 2025 Feb 28;20(1):20251164. doi: 10.1515/med-2025-1164. eCollection 2025.
The aim of this study was to examine the impact of stability-focused core muscle strength training coupled with respiratory techniques on diminishing the inter-recti distance (IRD) among postpartum women.
A total of 106 women diagnosed with diastasis recti abdominis within 42 days following delivery were 1:1 randomly allocated into a control group ( = 53) and an intervention group ( = 53). Both groups underwent standard postpartum follow-up care and independently pursued self-directed rehabilitation exercises. Additionally, the intervention group commenced a 6-week program of core muscle strength stability-oriented breathing training 42 days postpartum. Measurements of IRD were taken both pre- and post-intervention.
Prior to the intervention, no statistically significant difference in IRD was observed between the two groups ( > 0.05). Subsequent to the intervention, notable reductions in IRD measurements were evident above, at the level of, and below the umbilicus in both groups compared to baseline measurements (intervention group: < 0.001 at all measured points; control group: = 0.035 above the umbilicus, < 0.001 at the level of, and below the umbilicus). However, the intervention group exhibited a more pronounced decrease in IRD at all measured points when compared to the control group, demonstrating statistical significance with = 0.000.
Core muscle strength stability-oriented breathing training demonstrates efficacy in reducing IRD among postpartum women.
本研究旨在探讨以稳定性为重点的核心肌肉力量训练结合呼吸技巧对减少产后妇女腹直肌间距(IRD)的影响。
总共106名在产后42天内被诊断为腹直肌分离的妇女被1:1随机分配到对照组(n = 53)和干预组(n = 53)。两组均接受标准的产后随访护理,并独立进行自主康复锻炼。此外,干预组在产后42天开始了为期6周的核心肌肉力量稳定性呼吸训练计划。在干预前后均测量IRD。
干预前,两组之间的IRD无统计学显著差异(P > 0.05)。干预后,与基线测量相比,两组在脐上、脐水平和脐下的IRD测量值均明显降低(干预组:所有测量点P < 0.001;对照组:脐上P = 0.035,脐水平和脐下P < 0.001)。然而,与对照组相比,干预组在所有测量点的IRD下降更为明显,P = 0.000,具有统计学意义。
以核心肌肉力量稳定性为导向的呼吸训练在减少产后妇女的IRD方面显示出疗效。