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.
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;
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;
Parallel
Stone needle therapy follows the Belt channel
Other interventionStone 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.
inter-recti distance
Bilateral rectus abdominis distance
Abdominal circumference
Horizontal circumference of the abdomen via the iliac crest point.
Body Image Satisfaction
Body image satisfaction refers to how a person perceives, thinks, or feels about his or her body.
Low back pain Visual Analogue Scale
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.
Oswestry Disability Index
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
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.
Edinburgh postnatal depression scale
A standardized questionnaire to detect symptoms of depression in postnatal women.
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