To compare the effect of stretching and core strengthening exercises on Primary Dysmenohrrea in Young females

Kaur, Sandeep; kaur, Prabhnoor; Shanmugam, Sarvanan; Kang, Manpreet Kaur

doi:10.9790/0853-13652232

Cited by 14 publications

(19 citation statements)

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“…No trabalho de Ortiz et al 16 , através de uma abordagem que misturava diferentes modalidades de exercício -alongamentos gerais e específicos, aeróbico e exercícios de Kegel -3 vezes por semana durante 3 ciclos menstruais, e no trabalho de Vaziri et al 23 em que um dos grupos analisados foi tratado com alongamentos no abdômen, pelve e virilha 3 vezes por semana durante 3 ciclos menstruais, resultando em ambos os grupos reduções significativas na intensidade da dor e nos sintomas dismenorreicos. Estes resultados estão em concordância com dois estudos 33,34 que utilizaram como terapêutica em um dos grupos analisados em suas pesquisas, exercícios de alongamentos realizados por 8 semanas e tendo como resultados reduções significativas na intensidade da dor.…”

Section: Discussionunclassified

Exercício Físico Como Terapia Não Farmacológica No Tratamento Da Dismenorreia Primária: Uma Revisão Sistemática

2017

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| Introduction: Primary dysmenorrhea is characterized as a pelvic pain associated with other symptoms. It is a frequent gynecological complaint that can cause a drop in yield and productivity in affected women, being commonly treated by self-medication despite the side effects that this practice can trigger. Objective: To analyze the efficacy of physical exercises in the treatment of primary dysmenorrhea. symptons. Materials and methods: This systematic review was conducted according to the PRISMA methodology. Randomized controlled clinical trials were searched in PEDro, PubMed, LILACS, SciELO, MEDLINE and CENTRAL databases. The methodological quality os the selected articles was evaluated using the PEDro scale. Results: Five articles were included for analysis with a total sample of 436 women with primary dysmenorrhea symptoms who were submitted or not to a protocol of physical exercises. The overall mean score resulting from the methodological evaluation of the studies was 4.6. All the evaluated articles presented beneficial effects of the practice of physical exercises in the treatment of primary dysmenorrhoea, for at least one evaluated variable. Conclusion: There were identified evidences showing that the practice of physical exercises may reduce the symptoms associated with dysmenorrhea, therefore it can be considered as an effective treatment on detriment of the use of drugs. The development of a more reliable and assertive evaluation instrument that covers the totality of symptoms related to primary dysmenorrhea is necessary to contribute to the elaboration of future standardized studies which allows an analysis and comparison of results in a more consistent manner.Keywords: Dysmenorrhea; Exercise; Review. RESUMO | Introdução: A dismenorreia primária é caracterizada como uma dor pélvica associada a outros sintomas. É uma queixa ginecológica frequente que pode ocasionar queda de rendimento e produtividade nas mulheres afetadas, sendo comumente tratada por automedicações apesar dos efeitos colaterais que esta prática pode desencadear. Objetivo: Analisar a eficácia dos exercícios físicos no tratamento da sintomatologia da dismenorreia primária. Materiais e métodos: Trata-se de um estudo de revisão sistemática, conduzido conforme a metodologia PRISMA. Artigos classificados como ensaios clínicos randomizados controlados foram pesquisados nas bases de dados PEDro, PubMed, LILACS, SciELO, MEDLINE e CENTRAL. Os artigos foram avaliados quanto a sua qualidade metodológica através da escala PEDro. Resultados: Cinco artigos foram incluídos para análise com amostra total de 436 mulheres com sintomas dismenorreicos que foram submetidas ou não a um protocolo de exercícios físicos. O escore médio geral, resultante da avaliação da qualidade dos estudos, foi de 4,6. Todos os artigos avaliados apresentaram resultados benéficos advindos da prática de exercícios físicos no tratamento da dismenorreia primária, para pelo menos uma variável avaliada. Conclusão: Identificaram-se evidências de que a prática de exercícios...

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Section: Discussionunclassified

Exercício Físico Como Terapia Não Farmacológica No Tratamento Da Dismenorreia Primária: Uma Revisão Sistemática

2017

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“…Daley [2] believed that contracted ligamentous bands in the abdominal region were the causative factor for physical compression of nerve pathways and their irritation, so the proposed series of stretching exercise was considered very effective. It was suggested that increasing core stability improve the symptoms of dysmenorrhea [13].…”

Section: Discussionmentioning

confidence: 99%

“…If at any time a certain part of the lumbar spine is weak, it is not as its optimal level to handle functional stress, which can result in pain throughout the abdomen, low back, or thighs. These areas just happen to be the same areas that are affected by females suffering from dysmenorrhea [13]. Core strengthening allows the small intrinsic musculature surrounding the lumbar spine to be conditioned for greater performance, this type of training allows for isolation and strengthening of core muscle groups.…”

Section: Introductionmentioning

confidence: 99%

Stretching or Core Strengthening Exercises for Managing Primary Dysmenorrhea

Saleh¹,

Mowafy²

2016

J Women’s Health Care

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Background: Primary dysmenorrhea is the most common cyclic pelvic pain affecting quality of life. Incidence of primary dysmenorrhea was reported to be between 20% and 90% in different societies. Women that assigned in sports experienced fewer episodes of symptoms of dysmenorrhea. Several studies have shown that the reduction of dysmenorrhea in women, who regularly exercise may be due to effects of hormonal changes on uterine epithelial tissues or an increase in endorphin levels. It appears that exercise has analgesic effects that act in a non-specific way. Aim of study:To prove that physical exercises can manage primary dysmenorrheal thorough using two types (stretching and core strengthening exercises) and compare between them as regard the intensity and duration of pain Type of study: This randomized controlled study conducted on 150 females with primary dysmenorrhea attended to zagazig university hospital outpatient clinic. They were randomly assigned to two exercises and one control groups using a computer-generated randomization list. The interference groups were asked to comprehensive either active stretching or core strengthening practice for 8 weeks (4 days per week, 2 times a day, 10 min) at home. Pre-test and two post tests for all the groups were examined for pain intensity using Visual Analog Scale (VAS).and pain duration by hours. Data were entered into SPSS statistical soft ware (v. 20) and analyzed using independent t-test, repeated measures ANOVA, Mean and Bonferroni Post hoc test. Besides, P<0.05 was considered statistically significant. Results:Intensity and duration of pain were significantly reduced in exercise groups (P<0.001) as comparing to control group but no significant differences between readings of post test in both interventions groups. Conclusion:Active stretching or core strengthening exercises seem to be an easy, non-pharmacological method for managing primary dysmenorrhea. It was believed that contracted ligamentous bands in the abdominal region were the causative factor for physical compression of nerve pathways and their irritation, so the proposed series of stretching exercise was considered very effective as it will increase the blood flow and metabolism of the uterus so reduces dysmenorrheal symptoms [11]. It was believed that the purpose of core strengthening is to combine the concepts of lumber stabilization and how instability can lead to injury and pain specifically during stressful times of the female body and one of these repetitive stressful times is dysmenorrhea [12]. The lumber portion of spine is sturdy and designed to take the force of the body and it also involved in the origin and insertion of certain musculature and nerve innervations to their correlated areas. If at any time a certain part of the lumbar spine is weak, it is not as its optimal level to handle functional stress, which can result in pain throughout the abdomen, low back, or thighs. These areas just happen to be the same areas that are affected by females suffering from dysmenorrhea [13]....

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“…The prescribed exercises were as follows [11]: (15-17 years) and reaches to its highest in 20-24 years and decreases progressively there after [2,3].…”

mentioning

confidence: 99%

“…The side effects from such medications are well known (nausea, breast tenderness, and intermenstrual bleeding, dizziness, drowsiness, hearing and visual disturbances). Nonpharmacological treatments for primary dysmenohrrea include bed rest, exercise, application of heat packs, and alternative treatments like Yoga, Aerobics, TENS, MWD, SWD, Pilates, Connective tissue massage, Acupressure [11]. Despite the widespread belief that exercise can reduce dysmenorrhoea, evidence-based studies are limited.…”

mentioning

confidence: 99%

Effect of Exercises on Primary Dysmenorrhoea in Young Females

Shah¹,

Verma²,

Begani³

et al. 2016

IJPR

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Background: Primary dysmenorrhoea is one of the most common gynaecological problems worldwide among young females. Findings claimed that exercise may positively affect this problem. Therefore, the main purpose of this study was to examine the effect of exercises on primary dysmenorrhoea of female students. Materials and Methods: A convenient sample was taken consisting of 40 participants, randomly and equally divided into two groups .Group A: Stretching exercise group, Group B: Control group. Group A received Stretching Exercises. Participants in group A completed an active stretching exercise program for 6 active stretching exercises in the abdominal, pelvic, and groin regions for 8 weeks (4 days per week twice for 10 min.) Group B was control group. All Participants were examined for pain intensity VAS (10-point scale) and Verbal Multidimensional Scoring System for Assessment of Dysmenorrhoea Severity (VMSS). Level of significance was kept at 5%. Results: The results of Groups A and B were analyzed by Wilcoxon Signed Rank Test. In group A, VAS and VMSS showed significant improvement in pain. VAS was reduced from 6.3 to 4.6 (difference in mean 1.7 ± 0.23, W = 120, p = 0.0002) and VMSS was reduced from 2 to 1 (difference in median 1, W = 171, p <0.0001). In group B, there was no significant improvement in pain. VAS score reduced from 6.5 to 6.4. Difference in mean VAS was (0.10 ± 0.30, W = 9, p = 0.53). There was no difference in mean VMSS at the end of 8 weeks. Comparison of Group A and Group B was done with Mann Whitney U Test. There was a significant difference in improvement in VAS (U = 51.50, p < 0.01) and VMSS (U = 30, p < 0.01) between Groups A and B .There was a significant difference in improvement in VMSS between Groups A and B. Conclusion: Stretching exercises are effective in reducing pain in young females with primary dysmenorrhoea.

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To compare the effect of stretching and core strengthening exercises on Primary Dysmenohrrea in Young females

Cited by 14 publications

References 3 publications

Exercício Físico Como Terapia Não Farmacológica No Tratamento Da Dismenorreia Primária: Uma Revisão Sistemática

Exercício Físico Como Terapia Não Farmacológica No Tratamento Da Dismenorreia Primária: Uma Revisão Sistemática

Stretching or Core Strengthening Exercises for Managing Primary Dysmenorrhea

Effect of Exercises on Primary Dysmenorrhoea in Young Females

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