An Applied Study on the Use of Stone Needles Therapy to Assist the Rehabilitation of Maternal Diastasis Rectus Abdominis Based on the Theory of Belt Channel

Обзор

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.

Подробное описание

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.

Вмешательства

• Другое Stone 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.

Первичные конечные точки

• inter-recti distance [Срок оценки: pre-intervention and after three stone needle therapies interventions]
• Abdominal circumference [Срок оценки: pre-intervention and after three stone needle therapies interventions]
• Body Image Satisfaction [Срок оценки: pre-intervention and after intervention]

Вторичные конечные точки (5)

• Low back pain Visual Analogue Scale [Срок оценки: pre-intervention and after intervention]
• Oswestry Disability Index [Срок оценки: pre-intervention and measured immediately after completion of all treatments]
• Self-Rating Anxiety Scale [Срок оценки: pre-intervention and measured immediately after completion of all treatments]
• Edinburgh postnatal depression scale [Срок оценки: pre-intervention and measured immediately after completion of all treatments]
• THE WORLD HEALTH ORGANIZATION QUALITY OF LIFE [Срок оценки: pre-intervention and measured immediately after completion of all treatments]

Критерии участия

Критерии включения

• 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.
• Patients who are >42d postpartum and have cleaned up their discharge;
• Women who are 42day-3 mouths after normal delivery;
• Postpartum women who have not received any other treatment before treatment in our hospital;

Критерии исключения

• 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;
• Those with contraindications to stone therapy;
• Those with contraindications to bioelectric stimulation therapy.
• Combined with puerperal infection and gastrointestinal adhesion;
• Patients with postpartum back pain due to other reasons such as lumbar disc herniation or kidney stones;
• Patients who cannot tolerate the program;

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Нерандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Китай · 1 центр

• YunNan Provincial Hospital of Traditional Chinese Medicine — Куньмин

Идентификаторы

NCT: NCT06552143 · XW2023-025

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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