Diastasis Recti Abdominis
Conditions
Keywords
postpartum diastasis rectus abdominis Belt channel, stone needle therapy, Belt channel, rehabilitative nursing
Brief summary
This clinical trial aims to find out whether stone needles therapy can effectively assist in the treatment of maternal diastasis rectus abdominis (DRA) based on the Belt channel theory, it will also validate whether the Ben-Tovim Walker body attitude questionnaire (BAQ) can be used as a tool to measure body image satisfaction in Chinese patients with postpartum DRA. The main questions it aims to answer are: Can stone needles therapy promote the recovery of maternal DRA? Whether the Chinese version of the Body attitude questionnaire (BAQ-C) can be used as a body image satisfaction measurement tool for patients with postpartum DRA. The researchers will add stone needles therapy to neuromuscular electrical stimulation (NMES) and massage therapy to see if stone needles therapy can promote the recovery of postpartum DRA.
Detailed description
Participants will: Receive NMES combined with massage therapy or the addition of stone needles therapy on a sub-basis every day for 10 days. Abdominal circumference, inner rectus distance will be measured and recorded after each treatment Body imagery satisfaction, low back pain and dysfunction scores, anxiety, depression scores, and quality of life scores will be measured after all treatments are completed.
Interventions
OTHERStone needle therapy follows the Belt channel
Stone needle therapy follows the Belt channel involves the use of stones by the intervener to follow the path of the Belt channel by pushing and rubbing the abdomen of patients with postpartum diastasis rectus abdominis.
Sponsors
Yunnan University of Chinese Medicine
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
The outcomes assessor did not know whether the patient being measured belonged to the control or intervention group.
Intervention model description
The patients were divided into control and intervention groups according to the time of their visit to the clinic. The patients who met the inclusion and exclusion criteria of the study from February to May 2023 were the control group and the patients who met the inclusion and exclusion criteria of the study from June to September 2023 were the intervention group. The number of patients in each group was 60.
Eligibility
Sex/Gender
FEMALE
Age
15 Years to 49 Years
Healthy volunteers
No
Inclusion criteria
1. patients who meet the diagnostic criteria of postpartum rectus abdominis muscle separation, and the distance of rectus abdominis muscle separation is ≥3.0cm with postpartum low back pain. 2. Patients who are \>42d postpartum and have cleaned up their discharge; 3. Women who are 42day-3 mouths after normal delivery; 4. Postpartum women who have not received any other treatment before treatment in our hospital;
Exclusion criteria
1. With severe parenchymal organ diseases such as renal, cardiac, or hepatic diseases or due to comorbid cognitive impairment, Alzheimer's disease or psychological or psychiatric diseases can not complete the cooperation, etc; 2. Those with contraindications to stone therapy; 3. Those with contraindications to bioelectric stimulation therapy. 4. Combined with puerperal infection and gastrointestinal adhesion; 5. Patients with postpartum back pain due to other reasons such as lumbar disc herniation or kidney stones; 6. Patients who cannot tolerate the program;
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| inter-recti distance | pre-intervention and after three stone needle therapies interventions | Bilateral rectus abdominis distance |
| Abdominal circumference | pre-intervention and after three stone needle therapies interventions | Horizontal circumference of the abdomen via the iliac crest point. |
| Body Image Satisfaction | pre-intervention and after intervention | Body image satisfaction refers to how a person perceives, thinks, or feels about his or her body. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Edinburgh postnatal depression scale | pre-intervention and measured immediately after completion of all treatments | A standardized questionnaire to detect symptoms of depression in postnatal women. |
| Low back pain Visual Analogue Scale | pre-intervention and after intervention | A 10 cm horizontal line is drawn on top of the paper, and the visual analogue scale (VAS) is used for the horizontal line. The line is 0mm at one end, which means 'no pain at all'; 10mm at the other end, which means 'extreme pain'; the pain level increases from 0mm to 10mm, with higher scores representing more intense pain. |
| THE WORLD HEALTH ORGANIZATION QUALITY OF LIFE | pre-intervention and measured immediately after completion of all treatments | It is a tool used to assess people's quality of life, which helps to collect and analyse information about the individual's state of health, psychological functioning, social competence, etc. |
| Oswestry Disability Index | pre-intervention and measured immediately after completion of all treatments | The Oswestry Disability Index (ODI) is a widely used measure for assessing the function a limitations and disability associated with lower back pain. This index provides a standardized way to evaluate the impact of back pain on a person's daily activities and overall quality of life. |
| Self-Rating Anxiety Scale | pre-intervention and measured immediately after completion of all treatments | It is a commonly used psychometric tool developed by the American psychologist Zung, and is a self-report scale used to assess an individual's level of anxiety. |
Countries
China
Contacts
Primary ContactZuiqin Zhang
Outcome results
None listed