核心肌群训练联合经皮神经电刺激治疗产后非特异性下背痛的疗效观察OACSTPCD

Objective:To investigate the efficacy of core muscle training combined with transcutaneous electrical nerve stimulation(TENS)in the treatment of postpartum non-specific low back pain(NLBP).Methods:A total of 50 patients with postpartum NLBP who visited the Female Pelvic Floor Dysfunction Diagnosis and Treatment Center of Beijing Obstetrics and Gynecology Hospital,Capital Medical University from October 2021 to September 2022 were selected and divided into an observation group and a control group by the random number table,with 25 cases in each group.The control group was treated with TENS for myofascial trigger points on the lower back,and the observation group was treated with TENS for myofascial trigger points on the lower back,combined with core mus-cle group training.Efficacy was evaluated by visual analogue scale(VAS),Oswestry disability index(ODI),and Edinburgh Postnatal Depression Scale(EPDS)before and after treatment,and after 4 weeks of follow-up.Results:After treatment,the VAS score and ODI index in the two groups were significantly lower than those before treat-ment(P＜0.05),and those in the observation group were significantly lower than those in the control group(P＜0.05).After 4 weeks of follow-up,the VAS score and ODI index in the control group were significantly higher than those after treatment,while the VAS score and ODI index in the observation group were not statistically different from those after treatment.In the control group,the EPDS score after treatment was not significantly different from that before treatment,while the EPDS scores of the observation group after treatment and after 4 weeks of follow-up were significantly lower than those before treatment(P＜0.05).Conclusion:Core muscle training combined with TNES can effectively improve the pain,dysfunction and depressive state of postpartum NLBP patients and reduce the recurrence of NLBP.