上肢速度力量训练在腹直肌分离治疗中的应用

Application of upper limbs speed and strength training on diastasis recti abdominis

目的 观察神经肌肉电刺激(NMES)联合核心训练和上肢速度力量训练治疗产后腹直肌分离的效果。方法选取产后42 d以上、腹直肌分离距离超过2 cm的产妇119例,按照随机数字表法分为对照组(58例)和观察组(61例)。两组均采用NMES联合核心训练,观察组在此基础上增加上肢速度力量训练。所有干预持续6周。干预前后记录患者腹直肌分离距离、腹围和胸围差,并进行比较。结果 干预前,两组患者腹直肌分离距离、腹围和胸围差比较,差异均无统计意义(t分别=1.08、0.11、0.99,P均>0.05)。与干预前比较,观察组和对照组腹直肌分离距离、腹围和胸围差均显著改善(t分别=13.37、8.14、10.10;10.55、2.55、7.94,P均<0.05);且观察组治疗后腹直肌分离距离和胸围差较对照组改善更明显(t分别=2.85、3.45,P均<0.05)。结论 NMES联合核心训练可促进腹直肌分离的恢复,辅以上肢速度力量训练效果更佳。

Objective To explore the therapeutic effect of neuromuscular electrical stimulation(NMES)combined with core training and upper limb speed strength training on diastasis recti abdominis.Methods Totally 119 cases over 42 days postpartum women whose rectus abdominis diastasis greater than 2cm were selected and divided into control group(n=58)and observation group(n=61)using random number table method.Both groups received NMES combined with core training,while the observation group received additional upper limb speed and strength training.All treatments lasted for 6 weeks.The distance of rectus abdominis diastasis(IRD),abdominal circumference,and chest circumference difference were recorded before and after intervention and compared.Results Before intervention,there were no differ-ence in IRD,abdominal circumference,and chest circumference difference between two groups(t=1.08,0.11,0.99,P>0.05).Compared with pre-intervention,both group showed significant improvements in IRD,abdominal circumference and chest circumference difference after intervention(t=13.37,8.14,10.10,10.55,2.55,7.94,P<0.05).Compared with the control group after intervention,the observation group had significantly greater improvements in IRD and chest circumfer-ence(t=2.85,3.45,P<0.05).Conclusion NMES combined with core training can promote the recovery of rectus ab-dominis diastasis,and the effect is better when combined with upper limb speed and strength training.