MedPath

The Effects of Sacroiliac Joint Manual Therapy on Autonomic Nervous System and Lower Abdominal Pain in Women in Their 20s With Primary Dysmenorrhea

Not Applicable
Completed
Conditions
Primary Dysmenorrhea
Interventions
Behavioral: spine manual therapy
Device: Superficial heat therapy
Registration Number
NCT05752864
Lead Sponsor
Sahmyook University
Brief Summary

Disorders of the autonomic nervous system are considered another possible cause of dysmenorrhea. spinal manual threapty is acting on the parasympathetic and sympathetic nerves.

The sacrum affects all vertebrae, which affects the position of this bone, is thought to have a lot to do with dysmenorrhea.

In this study, by applying spinal manual threapty threapty to the sacroiliac joint in women in their 20s with primary dysmenorrhea, we tried to present an effective treatment method by evaluating the function of the autonomic nervous system and confirming the occurrence of pain in the lower abdomen.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
40
Inclusion Criteria
  • Women between the ages of 20-29
  • Regular menstrual cycle (24-32 days)
  • Those who have had symptoms of primary dysmenorrhea for at least 1 year
  • Those who have lower back pain symptoms related to menstrual pain of 5 or higher on the Visual Analysis Scale (VAS)
  • The body mass index is between 20-30
  • Positive reaction to Gillet test
Exclusion Criteria
  • pelvic inflammatory disease
  • uterine fibroids, polycystic ovary syndrome. Those with gynecological findings such as endometriosis
  • Those who have used an intrauterine contraceptive device
  • Those who took birth control pills or nonsteroidal anti-inflammatory drugs at the time of the experiment

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
spine manual therapy of sacroiliac jointspine manual therapyThe group which treats spine manual therapy of sacroiliac joint
Superficial heat therapySuperficial heat therapyGroup treated with superficial heat therapy for 20 minutes
Primary Outcome Measures
NameTimeMethod
Heart Rate VariabilityChange from baseline after intervention at 4 weeks, follow-up at 4 weeks

Autonomic nervous system balance tester (SA3000new, Medicore Co. Korea) was used. The subjects placed electrodes on three areas (left arm, left leg, right leg) while lying down and performed for 3 minutes.

Secondary Outcome Measures
NameTimeMethod
Menstrual distress questionnaireChange from baseline after intervention at 4 weeks, follow-up at 4 weeks

The Menstrual Distress Questionnaire (MDQ) is a standard method for measuring cyclical menstrual cycle symptoms. The MDQ can differentiate between cyclical and non-cyclical changes in somatic symptoms, mood and behavior, and arousal.

-The measured scores range from 0 to 185; higher scores indicate severe dysmenorrhea symptoms.

Pressure pain thresholdChange from baseline after intervention at 4 weeks, follow-up at 4 weeks

The test determines the amount of pressure over a given area in which a steadily increasing nonpainful pressure stimulus turns into a painful pressure sensation. With the participant seated comfortably, the examiner identified the sacroiliac joint and applied pressure with the algometer perpendicular to the skin surface until the participant made an "Ah" sound.

* Lower pressure pain thresholds indicate higher sensitivity to pressure and a lower pain tolerance.

* Higher pressure pain thresholds suggest lower sensitivity and a higher pain tolerance.

Visual analog scaleChange from baseline after intervention at 4 weeks, follow-up at 4 weeks

On a line consisting of 10 cm, 0 at either end represents 'no pain' and 10 represents 'worst pain'.

Trial Locations

Locations (1)

The wells neuropain clinic

🇰🇷

Seoul, Korea, Republic of

© Copyright 2025. All Rights Reserved by MedPath