改良"六字诀"功法对产后腹直肌分离的疗效OA

Objective:This study aimed to observe the clinical efficacy of modified Liuzijue Qigong for postpartum diastasis recti abdominis(DRA),and to explore its effects on rectus abdominis separation distance and muscle thickness,as well as on concomitant low back pain and pelvic floor dysfunction,so as to provide evidence for its clinical promotion.Methods:A total of 74 postpartum patients with DRA were randomly divided into a control group and an observation group.The control group received routine basic treatment and abdominal breathing training,while the observation group received modified Liuzijue Qigong intervention on the basis of basic treatment.Ultrasound examination was performed to compare the separation degree and thickness of the rectus abdominis at resting and abdominal flexion states,as well as the thickness of abdominal internal and external oblique muscles and transverse abdominis muscle at resting and inspiratory states before and after intervention.Pelvic floor muscle fiber strength,Oswestry Disability Index(ODI)and Visual Analogue Scale(VAS)scores were evaluated in all patients.Results:After four weeks of treatment,the observation group exhibited significantly decreased rectus abdominis separation and thickness(P<0.05),significantly improved type Ⅰ and type Ⅱ pelvic floor muscle strength(P<0.05),and reduced ODI and VAS scores(P<0.05).Compared with the control group,the observation group showed statistically better results in rectus abdominis separation,pelvic floor muscle strength and VAS scores(P<0.05).No significant inter-group or intra-group differences were found in the thickness of abdominal oblique muscles and transverse abdominis muscle before and after treatment(P>0.05).Conclusion:Modified Liuzijue Qigong can effectively improve rectus abdominis separation,enhance the contractility of type Ⅰ and type Ⅱ pelvic floor muscle fibers,and relieve lumbar dysfunction and low back pain in postpartum women with DRA.