| In recent years,with the development of social technology,economy,and improvement of people’s living standards,the issue of women’s health has been increasingly concerned by the state and society.Pelvic floor dysfunction disorder(PFD)is a major issue of women’s health problems,which has seriously affected the health and quality of the life of women.PFD is a series of diseases caused by damaged pelvic floor structure.The pelvic floor muscle refers to the muscle group that closes to the bottom of the pelvis and it is an important part of the pelvic floor supporting tissue.Damage to the pelvic floor has been considered as one of the major causes of PFD induction.During pregnancy and childbirth,the pelvic floor muscles undergo varying degrees of abnormalities or injury.If they are not recovered in time,the incidence of PFD increases.At present,the methods for postpartum recovery of pelvic floor muscles include myoelectric stimulation,Kegel training,biofeedback,and vaginal dumbbell training.These methods have certain therapeutic effects when used alone or in combination.However,its function is too single to achieve the desired therapeutic effect.Postpartum mothers need not only to restore the pelvic floor muscles,but also to restore other aspects of the body,such as the recovery of rectus abdominis muscle separation,and the recovery of other parts of the body will affect the recovery of pelvic floor muscles.Functional exercise has the functions of promoting the recovery of body movement organs,improving physical dysfunction,and improving physical performance,etc.It originated in the field of rehabilitation and is a type of exercise therapy.It can promote the recovery of the body’s postpartum body systems.However,comprehensive methods for the recovery of postpartum pelvic floor muscles using a combination of physical functional exercise and pelvic floor medical treatment have not been reported.Purpose:In this study,postpartum women were given functional exercise combined with myoelectric stimulation intervention to explore the effect of functional exercise combined with myoelectric stimulation on the recovery of postpartum pelvic floor muscles,providing a certain theoretical basis of recovery and treatment for postpartum pelvic floor muscles.Method:In the study,theoretical argumentation and functional exercise plan design were carried out through literature review and expert interview.In the experiment,recruit 60 women(ages 22-45 years old,37-42 weeks gestational age)who have spontaneous vaginal delivery and in puerperal delivery stage from March 2017 to June 2017.They are randomly assigned to control group,exercise group,treatment group,and exercise + treatment group,15 people in each group.The control group did not undergo any intervention and they recovered spontaneously;the exercise group started functional exercise on the second postpartum day and exercise for 3 months;the treatment group started muscle electrical stimulation treatment under the guidance of medical staff from the 42 nd day after childbirth to the end of the third month;the exercise+treatment group started functional exercise on the second postpartum,and started functional exercise combined with myoelectric stimulation from the 42 nd day after childbirth,ended at the end of March after birth.Glazer Pelvic myoelectric evaluation tests were performed at the 42 nd day after childbirth,at the end of February and at the end of March in each group,and Repeated Measure ANOVA was performed on the relevant data.Result:(1)There were significant differences(P<0.05)between the mean value of the former resting period of the control group,the exercise group,the treatment group,the exercise+treatment group,and the variability itself.The index values tend to be normal over time;There is no interaction between the time and grouping of the mean and variability of the former resting period(P>0.05),and there was no statistical difference between the former resting stage average and the variability assessment test results of the four groups(P>0.05).(2)There was a significant difference between the control group,the exercise group,the treatment group,and the exercise+treatment group in terms of rapid contraction time,maximum value,and rapid relaxation time in the test phase of the fast muscle(Type II muscle)(P<0.01),and the indicator values change linearly with time;There was interaction function between the time of fast systolic time,maximum value,and rapid relaxation time of the fast muscle(Type II muscle)of the test group(P<0.05),and there was a significant difference between the time of contraction,maximal value,and rapid relaxation time of the fast muscle(Type II muscle)of the four groups(P<0.01).(3)There was a significant difference between the mean value of the slow muscles(Type I muscle)of the control group,the exercise group,the treatment group,and the exercise+treatment group in the test phase and the variability itself(P<0.01).The change of the time index to the normal range showed a linear change.There was an interaction(P<0.05)between the time and the subgroups of the mean and variability of the slow muscle(Type I muscle).Comparing the mean and variability of the slow muscle(Type I muscle)in the test phase of the four groups,it can be found that there was a significant difference(P<0.01).(4)There was a very significant difference(P<0.01)between the control group,exercise group,treatment group,and exercise+treatment group in the endurance evaluation stage mean,variability,and after 10s/before 10 s ratios.The change of the indicator value to the normal range showed a linear change with time.There was an interaction between the mean of endurance evaluation period,the time after the 10s/before 10 s ratio and the time between grouping(P<0.05).Compared with each other,there was a significant difference in the mean value of the endurance evaluation and the ratio of the last 10s/the first 10 s among the testing groups(P<0.01);there was no interaction between the time of endurance assessment stage variability and grouping(P>0.05).Through comparing the variability test results in the endurance assessment phase of the four groups of subjects,it can be found that there was no statistical significance(P>0.05).(5)There was a significant difference(P<0.05)among the mean values of after resting period and the variability testing results of the control group,the exercise group,the treatment group,and the exercise+treatment group,and the index value decreased with time,and the index value is basically within the normal range;There was no interaction between the time and grouping of the mean and variability of the after resting period(P>0.05),and there was no statistical significance(P>0.05)in the compare of the mean of the after resting stage and the variability assessment test results among the four groups of subjects.Conclusion:(1)Functional exercise,myoelectric stimulation,functional exercise combined with myoelectric stimulation can all significantly improve postpartum pelvic floor muscle function.(2)Functional exercise combined with myoelectric stimulation has the best effect on the improvement of postpartum pelvic floor muscle function. |
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