To investigate the clinical efficacy of a 10-day intervention combining progressive core training with individually adjusted intensity, neuromuscular electrical stimulation (NMES), and manual therapy.
A total of 50 postpartum patients with diastasis recti abdominis (DRA) who visited the Pelvic Floor Clinic of our hospital from December 2024 to January 2026 were enrolled and randomly divided into a control group and an experimental group, with 25 cases in each group. The control group received NMES and manual therapy, while the experimental group received progressive core training in addition to the same NMES and manual therapy. Both groups were treated once daily for 10 consecutive days. The inter-rectus distance (IRD), abdominal circumference, and Oswestry disability index (ODI) scores were compared between the two groups before and after the intervention.
After 10 consecutive days of intervention, both groups showed significant improvements in IRD measured at three sites (4.5 cm above the umbilicus, at the umbilicus, and 4.5 cm below the umbilicus), abdominal circumference, and ODI scores compared with baseline (all P<0.001). Compared with the control group, the experimental group demonstrated significantly greater improvements in IRD at all three sites, abdominal circumference, and ODI scores after the intervention (all P<0.05).
Under the regimen of once-daily intervention for 10 consecutive days, the combination of progressive core training, NMES, and manual therapy effectively reduces IRD and abdominal circumference, and improves low back pain-related functional disability in postpartum patients with diastasis recti abdominis.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |