【摘要】 研究目的：探讨普拉提教学对产后女性腹直肌和盆底肌的干预效果。研究方法：以60名42天左右的产妇为研究对象，随机分成实验组及对照组，实验组的产妇每周接受3次普拉提教学，每次教学时间为1h,实验周期为8周，对照组产妇不进行任何干预。使用重复方差分析测试8周前、8周后的效果差异。研究结果：实验组8周后腹直肌间距改善优于对照组，具有非常显著性差异(P<0.001)。实验组8周后盆底肌Glazer盆底表面肌电评估和澳大利亚APFQ盆底自适问卷得分改善也优于对照组，具有非常显著性差异(P<0.001)或统计学差异(P<0.05)。结论：普拉提教学能促进产后腹直肌和盆底肌的康复，能有效减小腹直肌分离的距离，促进盆底肌肉和筋膜的康复，改善产后膀胱功能、肠功能和性功能，缓解脱垂症状。更多还原

【Abstract】 Objective: This study evaluates the intervention effect of Pilates instruction on the postpartum rehabilitation of the rectus abdominal and pelvic floor muscles. Methods: 60 postpartum mothers, about 42 days after delivery, were selected and randomly divided into an experimental group and a control group. Participants in the experimental group received Pilates instruction three times per week for 8 weeks, and no interference was found in the control group.Repeated ANOVA was used to analyze the difference in effectsbefore and after 8 weeks.Results: The result showed that the effect of the experimental group was much better than that of the control group in the separation distance of rectus abdomins with a highly significant difference(P<0.001) after 8 weeks. The improvement of pelvic floor muscles in the experimental group was better than the control group in Glazer surface electromyography(sEMG) and The Australian Pelvic Floor Questionnaire with a highly significant difference(P<0.001) or a statistical difference(P<0.05)after 8 weeks. Conclusion: Pilates instruction can enhance the recovery of the rectus abdominal and pelvic floor muscles after childbirth, effectivelydecrease the separation distance of the rectus abdominal, and accelerate the recovery of the pelvic floor muscles and fascia, improve the bladder function, bowel function, and sexual function after childbirth, and relieve the symptoms of prolapse.更多还原