Clinical observation on the treatment of pubic symphysis separation syndrome with the combination of returning and squeezing, patting and pulling manoeuvre and pelvic fabric band fixation
10.3760/cma.j.cn115398-20240601-00005
- VernacularTitle:归挤拍打牵拉手法联合骨盆带固定治疗耻骨联合分离的临床研究
- Author:
Da WANG
1
;
Jie LUO
;
Shangquan WANG
;
Mingyang CAI
;
Guodong ZHAO
;
Yongkeng FENG
;
Dong YU
Author Information
1. 中国中医科学院望京医院运动医学二科（全国中医康复中心 北京），北京 100102
- Keywords:
Pubic symphysis diastasis;
Postpartum;
Orthopaedic manipulation
- From:
International Journal of Traditional Chinese Medicine
2025;47(5):619-623
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical efficacy of returning, squeezing, patting and pulling orthopaedic manipulation combined with pelvic fabric tape fixation for the treatment of postpartum pubic symphysis separation.Methods:The clinical data of 80 patients with postpartum pubic symphysis separation from June 2015 to March 2019 were retrospectively analyzed, and all of them were given orthopaedic manipulative therapy using return squeezing and patting and pulling, once a week, for a total of 3 times. After the manipulative treatment, the patients were instructed to brake the pelvic fixation straps for not less than 8 h per day, and digital X-ray (DR) pelvic radiographs or ultrasound tests were performed before and after the treatment to measure the distance between the pubic symphysis. VAS scale was used to assess the degree of pain, and the Oswestry dysfunction index (ODI) was used to assess the degree of dysfunction. The clinical efficacy was evaluated.Results:After treatment of 80 patients, 6 showed significant improvement, 69 showed improvement, and 5 showed no improvement, with a total effective rate of 93.8%. Compared with before group, the inter-pubic symphysis distance [(15.09±3.10) mm, (12.01±4.36) mm, (9.64±0.30) mm, (8.18±1.56) mm vs. (19.35±1.08) mm, F=254.64] were significantly smaller at 1 week, 2 weeks, 3 weeks, and 1 month ( P<0.001); VAS scores (2.90±1.24, 1.29±0.88, 0.84±0.43, 0.56±0.32 vs. 6.11±2.93, F=122.60) were significantly lower than before treatment ( P<0.001); ODI (28.09±4.30, 22.01±4.95, 20.64±0.41, 14.18±1.36 vs. 45.43±4.01, F=734.17) were significantly reduced ( P<0.001). Conclusion:Returning, squeezing, patting and pulling orthopaedic manipulation combined with pelvic fabric tape fixation can quickly restore the separation distance of the pubic symphysis, reduce local pain and improve lumbosacral function.
