Effectiveness of Structured Myofascial Release in the Treatment of Primary Dysmenorrhea
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 41
- 试验地点
- 2
- 主要终点
- McGILL Pain Scale Short Form
研究概览
简要总结
The aim of our research is to examine the effects of myofascial release techniques on symptoms in patients with primary dysmenorrhea. With this research, we aim to improve the clinical symptoms, pain and tension of primary dysmenorrhea with a structured manual therapy consisting of myofascial release and sacral mobilization in individuals with primary dysmenorrhea and an educational program that includes changes in daily life. Can Structured Myofascial Release Techniques Reduce Pain and Other Symptoms in Primary Dysmenorrhea? H0: Myofascial release techniques applied to individuals with primary dysmenorrhea have no effect on symptoms. H1: Myofascial release techniques applied to individuals with primary dysmenorrhea have an effect on symptoms.
详细描述
Although primary dysmenorrhea is a common problem, especially among young women, there is generally no approach aimed at solving the main issue apart from symptomatic treatment or medication. Due to the side effects of medical treatments, many patients tend to opt for cheaper, non-medical, and non-aggressive methods.
The Weissman scale is scored between 0 and 3, where:
0: No dysmenorrhea
- Minimal (Able to work but feels discomfort)
- Moderate (Able to work but feels significant discomfort)
- Severe (Unable to work, bedridden) According to the Weissman scale, women in groups 1 and 2 continue with their daily lives or work/school but experience significant declines in their quality of life. On the other hand, individuals in group 3 suffer from work loss. Primary dysmenorrhea is associated with a significant economic burden caused by absenteeism and 2 to 3 times higher healthcare costs. Considering this cycle repeats in every menstrual period, a treatment approach is needed not only to alleviate symptoms but also to address the pathophysiological mechanisms of dysmenorrhea. The aim is to reduce elevated prostaglandin levels, decrease increased uterine contractions, relieve ischemia, and improve blood flow using structured myofascial release techniques.
Structured Myofascial Release Techniques
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 30 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Primary dysmenorrhea diagnosed by a specialist gynecologist with 'Ultrasonography',
- •Complaints of pain and spasm in the first 2 days of the menstrual cycle,
- •Being two or above on the Weissmann scale,
- •Being between the ages of 18-30,
- •Volunteering to participate in the study
排除标准
- •Having pelvic pathology,
- •Having a history of previous pregnancy,
- •Using a medication that causes or affects dysmenorrhea,
- •Being pregnant,
- •Using intrauterine or oral contraceptives,
- •Having a Body Mass Index (BMI) of 30 and above
结局指标
主要结局
McGILL Pain Scale Short Form
时间窗: three mounth
The McGill pain questionnaire consists of four sections. In the first section, the individual marks the location of the pain on the body diagram and determines whether the pain comes from deep or superficial. In the second section, there are 20 word groups that examine pain in terms of sensory, perceptual and evaluative aspects. The individual is asked to select a set of words that fit their pain and mark the word that fits their pain within the selected set. The third section includes the relationship between pain and time. In the fourth section, five word groups ranging from "mild" pain to "unbearable" pain are defined to determine the severity of pain. The McGill Pain Questionnaire determines the location of the pain, the feeling it creates in the individual, its relationship with time, its severity and the level of pain that can be experienced by the individual. A high score indicates high level pain.
次要结局
- Menstruation Symptom Scale(three mounth)
- Functional and Emotional Dysmenorrhea Scale(three mounth)
- Myotonometry (MyotonPRO)(three mounth)
研究者
Buse Sert
MSc physiotherapist
Medipol University