Transcutaneous electrical acupoint stimulation combined with core stability training in postpartum women with diastasis rectus abdominis

IF 3 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Complementary Therapies in Clinical Practice Pub Date : 2025-05-01 Epub Date: 2025-02-03 DOI:10.1016/j.ctcp.2025.101958

Jinxia Li , Jingjun Xie , Xiaoqing Guo , Ruiyang Fu , Zhongqiang Pan , Zengchen Zhao

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Abstract

Background

Diastasis rectus abdominis (DRA) women experience discomfort signs, which had a negative impact like an impairment of the quality of life and functional capacities of women. Transcutaneous electrical acupoint stimulation (TEAS) and core muscle training (CMT) have provided increasing evidence as an important strategy for DRA. Here, we aimed to evaluate the effect of transcutaneous electrical acupoint stimulation (TEAS) combined with core muscle training (TEAS + CMT) in postpartum women with DRA.

Methods

A total of 96 postpartum women with DRA were randomly assigned to three groups: control (waiting-list group), treatment group 1 (CMT), and treatment group 2 (TEAS + CMT), with 32 participants in each group. Ultimately, 90 participants completed the study (30 in each group). The control group received conventional postpartum natural recovery. Treatment group 1 underwent CMT once daily, five times per week, for four consecutive weeks (one treatment course). Treatment group 2 received TEAS + CMT following the same schedule. Changes in interrectus distance (IRD), waistline (WL), body mass index (BMI), lumbago (measured by the Short-Form McGill Pain Questionnaire [SF-MPQ]), and quality of life (assessed via SF-36) were evaluated before and after treatment.

Results

At the end of treatment, each group showed notable reductions in IRD, WL, and BMI(P < 0.05), in with the most significant improvements observed in treatment group 2 (P < 0.05). Lumbago scores (SF-MPQ) distinctly decreased each group (P < 0.05), while quality of life scores (SF-36) evidently improved (P < 0.05), with treatment group 2 showing the most pronounced effects (P < 0.05).

Conclusion

TEAS + CMT may improve DRA of postpartum women, reduce WL and BMI, alleviate lumbago, and improve quality of life.

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经皮穴位电刺激联合核心稳定性训练治疗产后移位性腹直肌

背景腹直肌移位（DRA）女性会出现不适症状，这对女性的生活质量和功能能力造成了负面影响。经皮穴位电刺激（TEAS）和核心肌群训练（CMT）作为治疗DRA的重要策略已得到越来越多的证据。在这里，我们旨在评估经皮穴位电刺激（TEAS）联合核心肌训练（TEAS + CMT）对产后DRA妇女的影响。方法将96例产后DRA患者随机分为对照组（等候名单组）、治疗组1 （CMT）和治疗组2 (TEAS + CMT)，每组32例。最终，90名参与者完成了这项研究（每组30人）。对照组采用常规产后自然恢复。治疗组1每日1次，每周5次，连续4周（1个疗程）。治疗组2按照相同的时间表接受TEAS + CMT治疗。评估治疗前后患者的腹间肌距离（IRD）、腰围（WL）、体重指数（BMI）、腰痛（用短格式McGill疼痛问卷[SF-MPQ]测量）和生活质量（用SF-36评估）的变化。结果治疗结束时，各组IRD、WL、BMI均显著降低(P <；0.05)，以治疗组2改善最为显著(P <；0.05)。腰痛评分（SF-MPQ）各组明显降低(P <；生活质量评分（SF-36）明显改善(P <；0.05)，治疗组2疗效最显著(P <；0.05)。结论tea + CMT可改善产后妇女的DRA，降低WL和BMI，减轻腰痛，提高生活质量。

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来源期刊

Complementary Therapies in Clinical Practice INTEGRATIVE & COMPLEMENTARY MEDICINE-

CiteScore

6.30

自引率

6.70%

发文量

157

审稿时长

40 days

期刊介绍： Complementary Therapies in Clinical Practice is an internationally refereed journal published to meet the broad ranging needs of the healthcare profession in the effective and professional integration of complementary therapies within clinical practice. Complementary Therapies in Clinical Practice aims to provide rigorous peer reviewed papers addressing research, implementation of complementary therapies (CTs) in the clinical setting, legal and ethical concerns, evaluative accounts of therapy in practice, philosophical analysis of emergent social trends in CTs, excellence in clinical judgement, best practice, problem management, therapy information, policy development and management of change in order to promote safe and efficacious clinical practice. Complementary Therapies in Clinical Practice welcomes and considers accounts of reflective practice.