核心稳定练习和高速推力操作对骨盆-腰带疼痛的影响:一项随机对照试验

Ayesha Amin, Arooj Fatima, Sajjan Iqbal Memon, Arsalan Younus, Hafsa Syed
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引用次数: 0

摘要

骨盆带痛是一种非常普遍的机械性疾病,导致个体遭受残疾和功能限制。目的:探讨核心稳定运动配合推力手法(HVT)对产后妇女骨盆带痛的治疗效果。方法:这项随机、安慰剂治疗对照试验在巴基斯坦古杰兰瓦拉真纳纪念信托医院物理治疗门诊进行。我们纳入了40名年龄在18至45岁之间的产后女性,在过去6至16个月的分娩会议中出现骨盆带痛,我们采用方便抽样的方法将其分为两组。对照组在常规物理治疗的基础上进行稳定训练,治疗组采用高速推力手法(HVTT)。研究工具包括Oswestry残疾指数问卷和数值疼痛评定量表。数据采用SPSS 21.0进行分析。结果:人口统计学年龄为31.08±6.36。在参与者疼痛中,治疗后组的数字疼痛和ODI评分显著(p< 0.01),一般运动组显著(p<0.02)。两组ODI前后评分除组内评分p >0.068外,p值均为0.05。结论:应用高速推力手法是减轻产后妇女骨盆带疼痛不适的有效方法。HVTT治疗可以被认为优于核心稳定练习。
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Effects of Core Stabilization Exercises and High-Velocity Thrust Manipulation on Pelvic-Girdle Pain: A Randomized Controlled Trial
Pelvic-girdle pain is a mechanical disorder is very prevalent that leads the individual to suffer with disability and functional limitations. Objective: To determine the effectiveness of core stabilization exercises with thrust manipulation (HVT) on pelvic girdle pain in postpartum women. Methods: This randomized, placebo treatment-controlled trial was conducted in Physiotherapy OPD clinic in Jinnah Memorial Trust Hospital Gujranwala, Pakistan. We included 40 post-partum females consecutively aged 18 to 45 years presenting with pelvic girdle pain for over the past 6 to 16 months of the delivery meeting were isolated in two groups using convenient sampling. The control group received stabilization exercises with routine physical therapy treatment and the treatment group received a high velocity thrust manipulations technique (HVTT). The study instruments included Oswestry Disability Index Questionnaire and numeric pain rating scale. Data were analysed using SPSS 21.0. Results: The findings indicated demographics age with a mean and S.D score of 31.08 ± 6.36. In participants pain numeric pain and ODI scores in the post-treatment group were significant with a p <0.01 and general exercise with a p<0.02. The pre and post ODI scores in both groups had a p-value <0.05 except the within-group score of p >0.068. Conclusions: The application of high velocity thrust manipulation is effective approach in reducing pelvic girdle pain and discomfort in postpartum women. The HVTT treatment therapy can be deemed superior to core stabilization exercises.
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