物理疗法与运动疗法和物理药物来减少产后扩散:一个随机试验
Delgado Alexandre1, Marinho Geyson1, Revorêdo Lígia de Oliveira2
1Professor Fernando Figueira Institute of Integral Medicine, Recife, Brazil.
概括
将物理疗法与物理药物相结合,可显著减少产后妇女腹直肌分离 (腹直肌扩张). 这种结合的方法被证明比单独的治疗更有效,以恢复腹部直径扩张.
科学领域:
- 物理治疗和康复科学 物理治疗和康复科学
- 妇女健康 妇女健康
- 产后恢复 产后恢复
背景情况:
- 腹腔直流 (DRA) 是一种常见的产后疾病,涉及腹腔直流肌肉的分离.
- 这项研究解决了对DRA有效的非手术干预的需求.
- 研究DRA治疗的联合物理疗法和物理药物.
研究的目的:
- 评估联合物理治疗方案 (运动疗法和物理药物) 与减少DRA产后妇女直肠间距离 (IRD) 的单个治疗方案的疗效.
- 为了比较单独的运动疗法的有效性,单独的物理药物,以及在治疗DRA时两者的组合.
主要方法:
- 一项随机对照试验,涉及60名被诊断患有DRA的产后妇女.
- 参与者被分配到三个组:运动疗法,物理药物 (电磁冲击波,TECAR疗法,神经肌肉电刺激) 或组合.
- 在治疗前和治疗后使用超声波和测量带测量直肠间距离和腹腔周长.
主要成果:
- 组合疗法组 (C组) 与单独的运动疗法 (A组) 和单独的物理药物 (B组) 相比,在下直肠间距离中表现出优异的减少.
- 与A组相比,B组和C组观察到下周长的显著减少.
- 在上或上区域没有发现显著差异.
结论:
- 运动疗法和物理剂的组合在减少DRA的产后妇女的直肠间距离和腹周方面更有效.
- 与单一治疗相比,组合治疗提供了一种优越的治疗策略,用于管理腹部直径扩张,与单一治疗相比.
- 这一发现支持将物理剂纳入产后DRA的标准物理治疗方案.
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