Manobra do Ligamento Largo versus Liberacao Miofascial Instrumentalizada na Sindrome Pre Menstrual e dismenorreia

Abstract

Background: Dysmenorrhea is the most disabling symptom of premenstrual syndrome (PMS), for which there are both external and intracavitary myofascial release techniques. Aims: To compare the effectiveness and efficiency of two myofascial release protocols, one internal and one external, in relieving dysmenorrhea and other PMS symptoms. Method: 12 women with an average age of 21.1 years were randomized into two groups and received a weekly session of instrumented myofascial release (G2) or the Broad Ligament Maneuver (G1) for four weeks. Before and after the intervention, pain intensity (VAS), pain quality (McGill) and SPM itself (PSST) were measured. Results: Initially half of the volunteers had PMS, and the average scores for VAS and McGill were 8 and 44.4 respectively. After the intervention, none met the SPM criteria and the VAS and McGill scores fell to 1.9 and 7.9 respectively, with more significant results for G1. Conclusion: Both the Largo Ligament Maneuver and IASTM® Instrumentalized Myofascial Release are efficient in the treatment of PMS and dysmenorrhea, with a slight advantage for the former. The etiology of dysmenorrhea and PMS must lie in myofascial and not hormonal dysfunctions.