测试不同分娩方式的产后妇女的腰部疼痛强度和核心肌肉强度之间的关联:一个分析的横截面研究
Mohamed G Ali1, Amel M Yousef2, Mohammed A M Sarhan3
1Department of Physical Therapy for Women's Health, Faculty of Physical Therapy, South Valley (Qena) University, Qena 83523, Egypt.
Journal of clinical medicine
|September 27, 2025
概括
剖腹产 (CD) 与阴道分娩 (VD) 相比,与更高的非特异性腰部疼痛 (NSLBP) 和较弱的横腹部 (TrA) 强度有关. 然而,疼痛强度与TrA或腰部多体 (LM) 强度没有相关性,这表明其他因素影响产后背痛.
科学领域:
- 产科和妇科 产科和妇科
- 物理疗法物理治疗
- 康复医学 康复医学 康复医学
背景情况:
- 产后妇女通常经历非特异性腰部疼痛 (NSLBP).
- 传递方式对核心肌肉功能的影响,特别是腹部横向 (TrA) 和腰部多 (LM),仍然不清楚.
- 这种知识差距阻碍了制定有效的康复策略.
研究的目的:
- 为了比较剖腹产 (CD) 和阴道分娩 (VD) 的女性之间的NSLBP强度和TrA/LM肌肉力量.
- 为了研究NSLBP强度和产后妇女的核心肌肉力量之间的关系.
主要方法:
- 一项涉及36名产后妇女 (18名CD,18名VD) 的分析横截面研究.
- 使用视觉模拟尺度测量NSLBP强度.
- 使用压力生物反装置评估TrA和LM肌肉力量.
主要成果:
- 与阴道分娩组相比,剖腹产组报告了显著更高的NSLBP强度和较弱的TrA强度.
- 两组之间腰部多筋 (LM) 强度没有显著差异.
- 在任何一个输送组中,在NSLBP强度和TrA或LM强度之间没有发现显著的关联.
结论:
- 剖腹产与产后NSLBP增加和TrA强度降低有关.
- 腰部多体强度在分娩组之间没有显著差异.
- 疼痛和核心肌肉力量之间缺乏相关性表明,剖腹产后其他因素也会导致NSLBP,需要更广泛的康复方法.
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