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Efficacy of electro-acupuncture in postpartum with diastasis recti abdominis: A randomized controlled clinical trial

BACKGROUND: Electro-acupuncture (EA) has promising effects on diastasis rectus abdominis (DRA), defined as a separation of the two muscle bellies of rectus abdominis. To study, there is scant knowledge or scarce high-quality evidence. OBJECTIVE: We aimed to evaluate the long-term efficacy and safety...

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Autores principales: Liu, Yan, Zhu, Ying, Jiang, Liyuan, Lu, Chao, Xiao, Lijuan, Wang, Ting, Chen, Jiayu, Sun, Li, Deng, Lujun, Gu, Meiyu, Zheng, Tingting, Feng, Min, Shi, Yingying
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9724647/
https://www.ncbi.nlm.nih.gov/pubmed/36483239
http://dx.doi.org/10.3389/fpubh.2022.1003361
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author Liu, Yan
Zhu, Ying
Jiang, Liyuan
Lu, Chao
Xiao, Lijuan
Wang, Ting
Chen, Jiayu
Sun, Li
Deng, Lujun
Gu, Meiyu
Zheng, Tingting
Feng, Min
Shi, Yingying
author_facet Liu, Yan
Zhu, Ying
Jiang, Liyuan
Lu, Chao
Xiao, Lijuan
Wang, Ting
Chen, Jiayu
Sun, Li
Deng, Lujun
Gu, Meiyu
Zheng, Tingting
Feng, Min
Shi, Yingying
author_sort Liu, Yan
collection PubMed
description BACKGROUND: Electro-acupuncture (EA) has promising effects on diastasis rectus abdominis (DRA), defined as a separation of the two muscle bellies of rectus abdominis. To study, there is scant knowledge or scarce high-quality evidence. OBJECTIVE: We aimed to evaluate the long-term efficacy and safety of EA in treating DRA during postpartum. It was assumed that the improvement of DRA was more obvious in the EA group than in the control group. DESIGN: Randomized, controlled, blinded trial (Clinical Trial Registration: ChiCTR2100041891). SETTING: Hangzhou Hospital of Traditional Chinese Medicine in China. PARTICIPANTS: Females aged 20–45 years without a past medical history of pathological rectus abdominal dissection were recruited from DRA inclusion criteria from 42 days to 1 year postpartum. INTERVENTION: 110 participants were randomly assigned in a 1:1 ratio to a control group with no EA intervention (n = 55), and EA group (n = 55). The EA group received ten sessions of EA combined with physical exercise or only physical exercise for 2 weeks with a 26-week follow-up. MEASUREMENTS: Outcomes were assessed at baseline, week 2, and week 26. The primary outcome was the change of the inter recti distance (IRD) and electromyographic evaluation of the pelvic floor. Secondary outcomes included elasticity of linea alba (LA), paraumbilical subcutaneous adipose tissue (SAT) measurement, body mass index (BMI), percentage body fat (F%), dyspepsia symptoms, menstrual symptoms, quality of life (QoL), pain performance of patients with lower back pain, postnatal depression symptoms (PDS), postpartum self-image, and DRA-related symptom assessment including urine leakage, frequency, and urgency, constipation, sexual dysfunction, and chronic pelvic pain. RESULTS: A total of 110 maternal (55 in each group) were recruited. The mean difference in IRD from baseline to week 2 and week 26 in all states of the two groups were reduced compared with those before treatment, with statistical significance (P < 0.05). The mean of IRD at the horizontal line of the umbilicus in the end-expiratory state was smaller in the EA group than in the control group, but the difference was not statistically significant (P > 0.05) at week 2. The mean of IRD at the horizontal line of the umbilicus in head-up and flexed knee state was smaller in the EA group than in the control group, and the difference was statistically significant (P < 0.05) at week 26. Five (9.1%) and thirteen (23.64%) adverse events were reported in EA and control groups, respectively. No serious adverse events were reported. LIMITATION: The frequency intensity of EA parameters was selected between 4 and 6 because of individual tolerance differences. CONCLUSION: EA is an effective approach to improve IRD, electromyographic evaluation of the pelvic floor, BMI, the elasticity of LA, paraumbilical SAT, and symptoms of DRA, with durable effects at 26 weeks. PRIMARY FUNDING SOURCE: The Construction Fund of Medical Key Disciplines of Hangzhou (Project Number: OO20200097), Hangzhou Medical and Health Science and Technology Project No. A20200483, and Zhejiang Traditional Chinese Medicine Science and Technology Plan Project (Project Number: 2021ZQ065). CLINICAL TRIAL REGISTRATION: http://www.chictr.org.cn/index.aspx, identifier: ChiCTR2100041891.
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spelling pubmed-97246472022-12-07 Efficacy of electro-acupuncture in postpartum with diastasis recti abdominis: A randomized controlled clinical trial Liu, Yan Zhu, Ying Jiang, Liyuan Lu, Chao Xiao, Lijuan Wang, Ting Chen, Jiayu Sun, Li Deng, Lujun Gu, Meiyu Zheng, Tingting Feng, Min Shi, Yingying Front Public Health Public Health BACKGROUND: Electro-acupuncture (EA) has promising effects on diastasis rectus abdominis (DRA), defined as a separation of the two muscle bellies of rectus abdominis. To study, there is scant knowledge or scarce high-quality evidence. OBJECTIVE: We aimed to evaluate the long-term efficacy and safety of EA in treating DRA during postpartum. It was assumed that the improvement of DRA was more obvious in the EA group than in the control group. DESIGN: Randomized, controlled, blinded trial (Clinical Trial Registration: ChiCTR2100041891). SETTING: Hangzhou Hospital of Traditional Chinese Medicine in China. PARTICIPANTS: Females aged 20–45 years without a past medical history of pathological rectus abdominal dissection were recruited from DRA inclusion criteria from 42 days to 1 year postpartum. INTERVENTION: 110 participants were randomly assigned in a 1:1 ratio to a control group with no EA intervention (n = 55), and EA group (n = 55). The EA group received ten sessions of EA combined with physical exercise or only physical exercise for 2 weeks with a 26-week follow-up. MEASUREMENTS: Outcomes were assessed at baseline, week 2, and week 26. The primary outcome was the change of the inter recti distance (IRD) and electromyographic evaluation of the pelvic floor. Secondary outcomes included elasticity of linea alba (LA), paraumbilical subcutaneous adipose tissue (SAT) measurement, body mass index (BMI), percentage body fat (F%), dyspepsia symptoms, menstrual symptoms, quality of life (QoL), pain performance of patients with lower back pain, postnatal depression symptoms (PDS), postpartum self-image, and DRA-related symptom assessment including urine leakage, frequency, and urgency, constipation, sexual dysfunction, and chronic pelvic pain. RESULTS: A total of 110 maternal (55 in each group) were recruited. The mean difference in IRD from baseline to week 2 and week 26 in all states of the two groups were reduced compared with those before treatment, with statistical significance (P < 0.05). The mean of IRD at the horizontal line of the umbilicus in the end-expiratory state was smaller in the EA group than in the control group, but the difference was not statistically significant (P > 0.05) at week 2. The mean of IRD at the horizontal line of the umbilicus in head-up and flexed knee state was smaller in the EA group than in the control group, and the difference was statistically significant (P < 0.05) at week 26. Five (9.1%) and thirteen (23.64%) adverse events were reported in EA and control groups, respectively. No serious adverse events were reported. LIMITATION: The frequency intensity of EA parameters was selected between 4 and 6 because of individual tolerance differences. CONCLUSION: EA is an effective approach to improve IRD, electromyographic evaluation of the pelvic floor, BMI, the elasticity of LA, paraumbilical SAT, and symptoms of DRA, with durable effects at 26 weeks. PRIMARY FUNDING SOURCE: The Construction Fund of Medical Key Disciplines of Hangzhou (Project Number: OO20200097), Hangzhou Medical and Health Science and Technology Project No. A20200483, and Zhejiang Traditional Chinese Medicine Science and Technology Plan Project (Project Number: 2021ZQ065). CLINICAL TRIAL REGISTRATION: http://www.chictr.org.cn/index.aspx, identifier: ChiCTR2100041891. Frontiers Media S.A. 2022-11-15 /pmc/articles/PMC9724647/ /pubmed/36483239 http://dx.doi.org/10.3389/fpubh.2022.1003361 Text en Copyright © 2022 Liu, Zhu, Jiang, Lu, Xiao, Wang, Chen, Sun, Deng, Gu, Zheng, Feng and Shi. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Liu, Yan
Zhu, Ying
Jiang, Liyuan
Lu, Chao
Xiao, Lijuan
Wang, Ting
Chen, Jiayu
Sun, Li
Deng, Lujun
Gu, Meiyu
Zheng, Tingting
Feng, Min
Shi, Yingying
Efficacy of electro-acupuncture in postpartum with diastasis recti abdominis: A randomized controlled clinical trial
title Efficacy of electro-acupuncture in postpartum with diastasis recti abdominis: A randomized controlled clinical trial
title_full Efficacy of electro-acupuncture in postpartum with diastasis recti abdominis: A randomized controlled clinical trial
title_fullStr Efficacy of electro-acupuncture in postpartum with diastasis recti abdominis: A randomized controlled clinical trial
title_full_unstemmed Efficacy of electro-acupuncture in postpartum with diastasis recti abdominis: A randomized controlled clinical trial
title_short Efficacy of electro-acupuncture in postpartum with diastasis recti abdominis: A randomized controlled clinical trial
title_sort efficacy of electro-acupuncture in postpartum with diastasis recti abdominis: a randomized controlled clinical trial
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9724647/
https://www.ncbi.nlm.nih.gov/pubmed/36483239
http://dx.doi.org/10.3389/fpubh.2022.1003361
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