The Therapeutic Role of Kinesio Taping in Primary Dysmenorrhea: Reducing Pain and Enhancing Functionality: A Randomized Controlled Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 36
- 试验地点
- 1
- 主要终点
- Visual analogue scale
研究概览
简要总结
Purpose: Dysmenorrhea is one of the most common causes of disability in women's health worldwide. It affects women's daily activities and negatively affects their social life. It increases healthcare costs and constitutes a significant burden for both women and society. Therefore, interventions to improve dysmenorrhea are needed. The aim of the study is to examine the effect of kinesio taping (KT) intervention on pain, muscle strength, functional disability, physical activity level, and quality of life.
Methods: Participants with primary dysmenorrhea were divided into kinesio taping (KT) and control (C) groups. The KT group underwent consecutive taping for 12 days starting from the premenstrual week. Trunk muscle strength evaluation, visual analogue scale (VAS), the pressure pain threshold, menstrual distress questionnaire (MDQ), SF-36 quality of life scale, Oswestry disability index (ODI), international physical activity questionnaire (IPAQ) were used as outcome measures.
详细描述
Dysmenorrhea is a prevalent and commonly experienced menstrual issue, characterized by pain that typically starts a day prior to menstruation and persists for 2-3 days, adversely impacting the individual's quality of life and hindering their ability to work and study . Dysmenorrhea can be categorized into two main types: primary and secondary. Primary dysmenorrhea refers to the occurrence of menstrual pain without any identifiable underlying anatomical or physiological abnormalities. In contrast, secondary dysmenorrhea is associated with an identifiable anatomical or physiological condition that contributes to the menstrual discomfort. Prior research has found the prevalence of dysmenorrhea among adolescent girls to be as high as 90.0%, while studies within the local context have reported a range of 34.0% to 89.6% . Given the high prevalence of dysmenorrhea, effective management strategies are crucial. Physiotherapy modalities are also among the non-pharmacological approaches frequently used to manage dysmenorrhea. These interventions include electrotherapy, massage, and taping techniques. The impact of kinesio taping on primary dysmenorrhea has been a subject of research. The Kinesio tape, which shares characteristics similar to human skin and is also breathable, smooth, hypoallergenic, able to remain affixed to the target tissue for 3-5 days, and does not impede movement . It is commonly used to reduce pain, modulate muscle function, influence joint positioning, enhance blood flow, and augment proprioceptive feedback . In a comparative analysis of the impacts of kinesio taping versus connective tissue massage interventions on pain and quality of life in individuals with primary dysmenorrhea, it is observed that despite a notable improvement in pain intensity and generally favorable outcomes associated with kinesio taping administered over three menstrual cycles, connective tissue massage demonstrates a more pronounced improvement. The levels of anxiety experienced by participants and their perceptions regarding menstruation were not influenced . In another study in premenstrual syndrome, the efficacy of kinesio taping and thermal application was analyzed by employing the Menstrual Distress Complaint List.The results demonstrated a significant improvement in symptomatic alleviation when these two methods were utilized together. Kinesio taping was recommended for use in premenstrual syndrome as an easy and non pharmacological application. In a separate study comparing the effects of kinesio taping and spiral taping on menstrual pain and premenstrual syndrome, participants underwent the intervention six times, specifically 14 days prior to the beginning of their menstrual cycle. The results revealed that kinesio taping was effective in menstrual pain, while spiral taping was effective in both menstrual pain and premenstrual syndrome. A comprehensive review of the current literature reveals a notable deficiency of empirical research exploring the effects of kinesio taping on primary dysmenorrhea, both within national boundaries and on an international scale. The most frequently evaluated parameters in these studies are pain intensity and menstrual complaint list, however, these studies fail to examine the influence of dysmenorrhea on functional status. Considering this identified gap, the present study aimed to evaluate the influence of Kinesio tape on dysmenorrhea by conducting supplementary assessments, including abdominal and lumbar muscle strength, the degree of functional disability, levels of physical activity, and quality of life metrics.
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
- Single (Participant)
盲法说明
Participants were blinded to their group assignments. Outcome assessors were not blinded.
入排标准
- 年龄范围
- 18 Years 至 30 Years(Adult)
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Being between the ages of 18-30
- •No hormonal contraception or intrauterine devices in the last 3 months
- •Regular menstruation (every 21-35 days) for the last 6 months
- •Pain score of 5 or more according to VAS.
排除标准
- •Gynecological diseases
- •Chronic systemic diseases
- •Pregnancy or multiparousus
- •Psychotherapeutic medications
研究组 & 干预措施
kinesio taping group
kinesio taping was applied to the KT group taping was initiated during the participants' second menstrual cycle
干预措施: kinesio taping group (Other)
control
This group only received assessments.
结局指标
主要结局
Visual analogue scale
时间窗: from baseline to 4th week
The Visual Analogue Scale (VAS) was used to evaluate the intensity of menstrual pain experienced by participants.It is a valid, reliable, and easily understandable scale that has been employed in research to assess the severity of primary dysmenorrhea. VAS is widely recognized as the most common quantitative measure for assessing the intensity of pain, where "0" represents no pain and "10" represents the most severe pain experienced .
Pressure pain threshold assessment
时间窗: from baseline to 4th week
Trigger points, whether active or latent, can contribute to increased muscle tension and subsequently lead to musculoskeletal pain. The pressure pain threshold at trigger points in the lumbar region was assessed using an analog algometer. Participants were instructed to indicate when they first experienced pain, and the corresponding pressure value was documented .
Muscle strength measurement
时间窗: from baseline to 4th week
A handheld dynamometer (Lafayette Instrument Company, Lafayette®, Lafayette, LA, USA) was used to evaluate the maximal muscle strength of the trunk muscles. This device represents a cost-effective and portable tool for assessing muscular strength, which is commonly employed in clinical settings due to its high reliability and validity relative to more sophisticated laboratory-based dynamometers. Participants were instructed to exert maximum muscle force against the fixed dynamometer held by the therapist, and their strength was measured. To assess trunk flexor strength, participants were positioned in supine with knees slightly bent, arms at their sides, and head in neutral. The dynamometer was placed on the midpoint of the sternum, and participants were asked to lift their scapulae from the floor. Trunk extensor strength was evaluated with participants in the prone position.
次要结局
- Menstrual distress questionnaire (MDQ)(from baseline to 4th week)
- SF-36 quality of life scale(from baseline to 4th week)
- Oswestry disability index(from baseline to 4th week)
- International physical activity questionnaire (IPAQ)(From baseline to 4th week)
研究者
özge ece günaydın
Assistant Professor
Aydin Adnan Menderes University
