神经肌肉电刺激联合手法推拿在产后腹直肌分离患者中的应用价值OA

Objective To explore the application value of neuromuscular electrical stimulation combined with manual therapy in patients with postpartum diastasis recti abdominis based on abdominopelvic dynamics and rectus abdominis ultrasound parameter changes.Methods 60 patients with postpartum diastasis recti abdominis admitted to the hospital from August 2024 to August 2025 were selected and divided into control group and study group by random envelope method,with 30 cases in each group.The control group received routine rehabilitation training and neuromuscular electrical stimulation,while the study group received manual therapy on the basis of the control group.After 4 weeks of intervention,the rectus abdominis ultrasound parameters(inter-rectus distance,rectus abdominis separation distance),pelvic floor muscle strength(average muscle strength of type Ⅰ muscle fibers,maximum muscle strength of type Ⅱ muscle fibers),pelvic floor function[pelvic floor dysfunction inventory(PFDI-20)score],low back pain degree[Oswestry disability index(ODI)],quality of life[World Health Organization Quality of Life-BREF(WHOQOL-BREF)score]and adverse reactions were evaluated in the two groups.Results After intervention,inter-rectus distances and rectus abdominis separation distances of 3 cm above the umbilicus,the umbilicus level and 3 cm below the umbilicus were decreased in both groups,and the indexes in study group were lower than those in control group(t=2.418-3.325,P<0.05).After intervention,the average muscle strength of type Ⅰ muscle fibers and maximum muscle strength of type Ⅱ muscle fibers were increased in both groups,and the values in study group were higher than those in reference group(t=3.323,2.921,P<0.05).After intervention,the PFDI-20 score and ODI score in the two groups were decreased,and the scores in study group were lower than those in reference group,and the WHOQOL-BREF score was increased,and the score in study group was higher than that in reference group(t=4.933,5.344,3.305,P<0.05).There was no statistical difference in the occurrence of adverse reactions between the two groups(P>0.05).Conclusion Neuromuscular electrical stimulation combined with manual therapy can effectively improve diastasis recti abdominis and abdominopelvic function in patients with postpartum diastasis recti abdominis,relieve low back pain,and improve quality of life,with good safety.