Therapeutic effect of manual massage on early postpartum rectus abdominis separation and postpartum depression

IF 3.9 4区医学 Q1 PSYCHIATRY

World Journal of Psychiatry Pub Date : 2024-05-19 DOI:10.5498/wjp.v14.i5.678

Yun Chen, Xiao-Yan Sun, Cheng Qian, Xiao-Xing Zhang, Yin-Jian Zhou, Hong-Yun Zhang, Zhen-Wei Xie

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Abstract

BACKGROUND Rectus abdominis separation (DRA) affects pelvic stability and body image. No studies have explored the effects of manual massage on early postpartum DRA and postpartum depression. AIM To analyze the curative effect of massage on early postpartum DRA and its impact on postpartum depression and thus its ability promote the overall psychosomatic rehabilitation of postpartum women. METHODS Data were retrospectively collected on 70 primiparous women with postpartum DRA who underwent rehabilitation at the Postpartum Rehabilitation Center of Huzhou Maternal and Child Health Hospital from October 2022 to September 2023. The patients were divided into the Group S (35 cases, biomimetic electrical stimulation treatment) and Group L (35 cases, biomimetic electrical stimulation combined with manual massage treatment). Baseline data, the edinburgh postpartum depression scale (EPDS) score, and the visual analog scale (VAS) scores for rectus abdominis distance, waist circumference, and lower back pain before and after treatment were compared. RESULTS No significant differences were found in the baseline data, rectus abdominis distance, waist circumference, and VAS and EPDS scores between the two groups before treatment (P > 0.05). After treatment, the distance between rectus abdominis and waist circumference in Group L were significantly smaller than those in Group S (P < 0.05). Furthermore, lower back pain (VAS score) and the EPDS score in Group L were significantly lower than those in Group S (P < 0.05). CONCLUSION Manual massage can significantly reduce early postpartum DRA, waist circumference, and back pain and improve the patient’s mental state and postpartum depression.

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人工按摩对产后早期腹直肌分离和产后抑郁的治疗效果

背景腹直肌分离（DRA）会影响骨盆的稳定性和身体形象。目前还没有研究探讨人工按摩对产后早期 DRA 和产后抑郁的影响。目的分析按摩对产后早期 DRA 的治疗效果及其对产后抑郁的影响，从而分析其促进产后妇女整体心身康复的能力。方法回顾性收集2022年10月至2023年9月在湖州市妇幼保健院产后康复中心进行康复治疗的70例初产妇产后DRA患者的资料。患者被分为S组（35例，生物仿生电刺激治疗）和L组（35例，生物仿生电刺激联合手法按摩治疗）。比较治疗前后的基线数据、爱丁堡产后抑郁量表（EPDS）评分以及腹直肌距离、腰围和下背痛的视觉模拟量表（VAS）评分。结果两组治疗前的基线数据、腹直肌距离、腰围、VAS 和 EPDS 评分无明显差异（P>0.05）。治疗后，L 组的腹直肌距离和腰围明显小于 S 组（P < 0.05）。此外，L 组的下背痛（VAS 评分）和 EPDS 评分明显低于 S 组（P < 0.05）。结论手法按摩能明显减轻产后早期的 DRA、腰围和背痛，改善患者的精神状态和产后抑郁。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

World Journal of Psychiatry PSYCHIATRY-

自引率

6.50%

发文量

110

期刊介绍： The World Journal of Psychiatry (WJP) is a high-quality, peer reviewed, open-access journal. The primary task of WJP is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of psychiatry. In order to promote productive academic communication, the peer review process for the WJP is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJP are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in psychiatry.