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Clinical effect of early postpartum medical gymnastics combined with neuromuscular electrical stimulation in the treatment of postpartum rectus abdominis separation#br# |
ZHAO Yang1 CHENG Fang2 LIU Weiping2 LI Xiaowei2 CHEN Wei3▲ |
1.The Second Clinical Medical College of Xuzhou Medical University, Jiangsu Province, Xuzhou 221001, China;
2.Department of Postpartum Health Care, Xuzhou Medical University Huaian Maternal and Child Clinical College Huaian Maternal and Child Health Hospital, Jiangsu Province, Huaian 223001, China;
3.Department of Rehabilitation Medicine, Xuzhou Clinical College, Xuzhou Medical University Xuzhou Central Hospital, Jiangsu Province, Xuzhou 221001, China |
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Abstract Objective To explore the clinical effect of early postpartum medical gymnastics combined with neuromuscular electrical stimulation in the treatment of postpartum rectus abdominis separation. Methods A total of 68 patients with postpartum rectus abdominis separation who received treatment in Huaian Maternal and Child Health Hospital of Jiangsu Province from August 2019 to June 2020 were selected as the research objects. They were divided into group A (PHENIX neuromuscular electrical stimulation treatment, 34 cases) and group B (early medical gymnastics+PHENIX neuromuscular electrical stimulation therapy, 34 cases) by random number table method. The rectus abdominis separation distance, rectus abdominis muscle strength, rectus abdominis myoelectric value and the angle of upper abdomen angle were compared between two groups before treatment, the second week after treatment, and the fifth week after treatment. Results The rectus abdominis separation distance, rectus abdominis myoelectric value, and the angle of upper abdomen angle were compared between two groups at different time points, and the differences were statistically significant (P < 0.05). The second and the fifth week after treatment, rectus abdominis separation distance and the angle of upper abdomen angle in group B were smaller than those in group A; rectus abdominis muscle strength was better than that of group A; rectus abdominis myoelectric value was higher than that of group A, and the differences were statistically significant (P < 0.05). Conclusion Early postpartum medical gymnastics combined with neuromuscular electrical stimulation for postpartum rectus abdominis separation can significantly reduce the rectus abdominis separation distance and the angle of the upper abdomen angle, restore the rectus abdominis muscle strength faster and better, and increase the rectus abdominis myaelectric value.
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