全身振动训练减轻产后骨盆带痛的疗效:一项随机对照试验。

IF 1.4 4区 医学 Q3 ORTHOPEDICS
ZhenFei Li, Shuai Yin, Ping Zhao, LongFeng Qi, Lin Li
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引用次数: 0

摘要

虽然研究人员已经研究了全身振动(WBV)训练对腰痛、骨盆底肌肉和下肢的影响,但仍然缺乏随机对照试验评估其缓解产后骨盆带痛(PPGP)疗效的证据。目的探讨WBV训练在减轻PPGP患者疼痛、改善功能状态、提高生活质量方面的效果。方法在双盲随机对照试验中,52例PPGP女性患者随机分为核心稳定性训练联合腰宽训练(15-20 Hz)组和核心稳定性训练组(每组26例)。两组均进行40分钟的训练,每周3次,持续4周。主要观察指标为视觉模拟量表(VAS)和骨盆带问卷(PGQ)。次要结果包括计时起身和行走测试(TUG)、10米步行测试(10MW)和患者健康问卷-9 (PHQ-9)。结果50名受试者完成了为期4周的干预。与干预前相比,两组在所有结局指标上均有显著改善。两组间比较,干预组TUG时间更短,10MW速度更快(p p = 0.07), PGQ评分更低(p = 0.28)。干预前后,干预组在TUG方面的改善程度均高于对照组(p < 0.05)
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The efficacy of whole-body vibration training in alleviating postpartum pelvic girdle pain: A randomized controlled trial.

BackgroundAlthough whole-body vibration (WBV) training has been investigated for its effects on low back pain, pelvic floor muscles, and lower limbs, evidence from randomized controlled trials evaluating its efficacy in alleviating postpartum pelvic girdle pain (PPGP) remains lacking.ObjectiveTo investigate the effectiveness of WBV training in alleviating pain, improving functional status, and enhancing quality of life in women with PPGP.MethodsIn the double-blind randomized controlled trial, 52 women with PPGP were randomly assigned to either core stability training combined with WBV training (15-20 Hz) or core stability training (26 women in each group). Both groups performed 40-min training, 3 times per week, for 4 weeks. The primary outcome measures were the Visual Analog Scale (VAS) and the Pelvic Girdle Questionnaire (PGQ). Secondary outcomes included the Timed Up and Go test (TUG), the 10-Meter Walk Test (10MW), and the Patient Health Questionnaire-9 (PHQ-9).Results50 subjects completed the 4-week intervention. Both groups showed significant improvement in all outcome indicators compared with those before the intervention. Intergroup comparison showed that the intervention group had a shorter TUG time and a faster 10MW speed (p < 0.001). However, there were no significant differences in VAS (p = 0.07) and PGQ (p = 0.28) scores between the two groups. And after the pre- and post-intervention, a higher improvement in TUG in the intervention group than in the control group (p < 0.001), and a higher increase in 10MW velocity than in the control group (p < 0.001). 4-week post-intervention follow-up, 47 participants completed the PGQ assessment, with lower scores in the intervention group, indicating sustained pelvic-specific improvements.ConclusionResearch suggests that core stability training combined with WBV training is more beneficial than core stabilization training alone in improving functional disability and quality of life in women with postpartum pelvic girdle pain.

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来源期刊
CiteScore
2.70
自引率
0.00%
发文量
194
审稿时长
6 months
期刊介绍: The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty. In each issue clinicians can find information which they can use in their patient setting the very next day.
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