Application of the multidimensional therapy in postpartum rehabilitation
10.3969/j.issn.1001-1242.2024.09.004
- VernacularTitle:多维疗法在产后康复中的应用
- Author:
Luyang HAN
1
;
Wenyang WEI
;
Mengkai ZHENG
Author Information
1. 浙江大学医学院附属妇产科医院,浙江省杭州市,310006
- Keywords:
postpartum home rehabilitation;
pelvic floor muscle injury;
diastasis recti abdominis;
weight reten-tion;
postpartum psychological depression
- From:
Chinese Journal of Rehabilitation Medicine
2024;39(9):1269-1274,1281
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the role of the multidimensional therapy in postpartum rehabilitation. Method:150 patients meeting the inclusion criteria were randomly divided into the control group and the exper-imental group.The control group received routine postpartum rehabilitation education and guidance,while the experimental group received the postpartum rehabilitation multidimensional therapy(PRMT)on this basis.The postpartum weight retention,posture change,body fat distribution,pelvic floor muscle surface voltage,inter-recti distance(IRD)and the scores of incontinence quality of life questionnaire(I-QOL),pelvic floor impact questionnaire short form(PFIQ-7)and Edinburgh postnatal depression scale(EPDS)were respectively mea-sured to observe the effect of intervention.Satisfaction with the PRMT was investigated by self-made question-naire before and after intervention. Result:The body weight(BW),waist circumference(WC),body mass index(BMI)and waist-hip ratio(WHR)of the experimental group were significantly reduced after 40 days intervention(P＜0.01),and the BMI,WC and WHR were significantly lower than those in the control group(P＜0.01);the percentage body fat(PBF),body fat mass(BFM),visceral fat area(VFA)and fat mass index(FMI)were significantly reduced(P＜0.01)in the experimental group,PBF,BFM and FMI were significantly lower than those in the control group(P＜0.05);the pelvic floor type Ⅰ and type Ⅱ muscle fiber voltage,assessment total score,I-QOL score were significantly increased(P＜0.01)and PFIQ-7 score were significantly decreased(P＜0.01)in the experimen-tal group,and the pelvic floor type Ⅰ and type Ⅱ muscle fiber voltage,assessment total score and I-QOL score were significantly higher than those in control group(P＜0.05).The IRD of parturients in the resting and flexion state of experimental groups was significantly reduced,with significant difference compared with before intervention(P＜0.05 or P＜0.01).In addition,the IRD of the upper umbilical margin and the lower um-bilical margin at resting state and the lower umbilical margin at flexion state were significantly lower than those in the control group(P＜0.05).After intervention,the EPDS in the experimental group were significantly decreased(P＜0.01),and the improvement were significantly better than the control group(P＜0.05).The 57 parturients in the experimental group completed the satisfaction questionnaire,about 80％of them were satis-fied with the PRMT process and considered that the PRMT improved their willingness to have a second or third child. Conclusion:PRMT was effective in improving the postpartum weight retention,posture change,body fat dis-tribution,pelvic floor function injury,diastasis recti abdominis(DRA)and postpartum psychological depression.
