EVALUATION OF THE EFFECT OF MYOFASCIAL RELEASE TECHNIQUES ON PAIN AND GENERAL HEALTH STATUS IN PRIMARY DYSMENORRHEA

Yıl 2023, Cilt: 1 Sayı: 1, 1 - 8, 27.11.2023

Aybüke Fanuscu Burcu Talu

Öz

Objective: The aim of this study is to evaluate the effect of myofascial release techniques on pain and general health status in primary dysmenorrhea.
Methods: Eighty women aged 18-25 years with primary dysmenorrhea were included in the study. After obtaining demographic information and information about the first menstrual cycle pain of all women, the severity of pain was evaluated with the Numerical Pain Scale, and general health status was evaluated with the General Health Questionnaire. After the evaluation, the subjects were divided into two groups. Myofascial release techniques were applied to the experimental group in the second menstrual cycle. No treatment was administered to the control group. The evaluations were repeated after the completion of the treatment.
Results: The mean age of the women participating in the study was 21.17 ± 1.65 years. When the first and second menstrual cycle parameters were compared between the groups, it was found that pain and general health status parameters showed a significant improvement in the experimental group (p<0.05), while there was no significant difference in the control group (p>0.05).
Conclusion: Our results show that myofascial release techniques in primary dysmenorrhea are effective in reducing pain and improving the general health status of individuals. Myofascial release techniques may be an alternative treatment for the relief of dysmenorrhea, reduction of drug use, and improvement of conservative treatment of dysmenorrhea.

Anahtar Kelimeler

Dysmenorrhea, fascia, pain, sleep, depression

Kaynakça

• 1. Kwon JS, Reid RL. Dysmenorrhea. Journal SOGC. 1997;19(9):955-62.
• 2. Yucel U, Gİ CE, Eser S. Izmir ili Bornova ilçesinin üc kentsel mahallesinde dismenore sıklığı ve etkileyen faktorler: Toplum tabanlı bir calisma. Turkiye Klinikleri J Nurs Sci. 2014;6(2):87-93.
• 3. Şahin S, Kaplan S, Halime A, AKALIN A, Demirhan İ, PINAR G. Üniversite öğrencilerinde dismenore yaşama sıklığı ve etkileyen faktörlerin değerlendirilmesi. Ankara Sağlık Bilimleri Dergisi. 2015;4(1):25-44.
• 4. Akbayrak T, Kaya S. Kadın sağlığında fizyoterapi ve rehabilitasyon. Baskı, Ankara, Kalkan Matbaacılık. 2016:141-66.
• 5. Nasir L, Bope ET. Management of pelvic pain from dysmenorrhea or endometriosis. The Journal of the American Board of Family Practice. 2004;17(suppl 1):S43-S7.
• 6. Durain D. Primary dysmenorrhea: assessment and management update. Journal of Midwifery & Women's Health. 2004;49(6):520-8.
• 7. Proctor M, Farquhar C. Diagnosis and management of dysmenorrhea. BMJ. 2006;332(7550):1134-8.
• 8. Taşkın L. Kadın hastalıkları ve doğum hemşireliği. IX. Baskı, Ankara, Sistem Ofset Matbaacılık. 2009.
• 9. Barnes JF. Myofascial release: The search for excellence: A comprehensive evaluatory and treatment approach: JF Barnes; 1990.
• 10. Barnes JF. Myofascial release for craniomandibular pain and dysfunction. International Journal of Orofacial Myology and Myofunctional Therapy. 1996;22(1):20-2.
• 11. Schleip R. Fascial plasticity–a new neurobiological explanation: Part 1. Journal of Bodywork and Movement Therapies. 2003;7(1):11-9.
• 12. Ajimsha M. Effectiveness of direct vs indirect technique myofascial release in the management of tension-type headache. Journal of Bodywork and Movement Therapies. 2011;15(4):431-5.
• 13. Shah S, Bhalara A. Myofascial release. Inter J Health Sci Res. 2012;2(2):69-77.
• 14. Grant KE, Riggs A. Myofascial release. Stillerman E ed Modalities for Massage and Bodywork. 2009:149-66.
• 15. Davis CM. Complementary therapies in rehabilitation: evidence for efficacy in therapy, prevention, and wellness: Slack Incorporated; 2009.
• 16. Kahl C, Cleland JA. Visual analogue scale, numeric pain rating scale and the McGill pain Questionnaire: an overview of psychometric properties. Physical Therapy Reviews. 2005;10(2):123-8.
• 17. Goldberg D, Williams P. General health questionnaire (GHQ). Swindon, Wiltshire, UK: nferNelson. 2000.
• 18. Kılıç C. Genel sağlık anketi: Güvenilirlik ve geçerlilik çalışması. Türk Psikiyatri Dergisi. 1996;7(1):3-9.
• 19. Suresh K, Chandrashekara S. Sample size estimation and power analysis for clinical research studies. Journal of Human Reproductive Sciences. 2012;5(1):7.
• 20. Oulianova I. An investigation into the effects of fascial manipulation on dysmenorrhea. 2011.
• 21. Juhan D. Job's body: A handbook for bodywork: Barrytown Limited; 2003.
• 22. Zondervan KT, Yudkin PL, Vessey MP, Jenkinson CP, Dawes MG, Barlow DH, et al. Chronic pelvic pain in the community-symptoms, investigations, and diagnoses. American Journal of Obstetrics and Gynecology. 2001;184(6):1149-55.
• 23. Barnes JF. Myofascial release: the “missing link” in your treatment. Norfolk, VA: Rehabilitation Services Inc. 1995.
• 24. Anderson RU, Wise D, Sawyer T, Chan C. Integration of myofascial trigger point release and paradoxical relaxation training treatment of chronic pelvic pain in men. The Journal of Urology. 2005;174(1):155-60.
• 25. Van Hemert AM, Den Heijer M, Vorstenbosch M, Bolk J. Detecting psychiatric disorders in medical practice using the General Health Questionnaire. Why do cut-off scores vary? Psychological Medicine. 1995;25(1):165-70.
• 26. Strinić T, Buković D, Pavelić L, Fajdić J, Herman I, Stipić I, et al. Anthropological and clinical characteristics in adolescent women with dysmenorrhea. Collegium Antropologicum. 2003;27(2):707-11.
• 27. El Gilany A, Badawi K, El Fedawy S. Epidemiology of dysmenorrhea among adolescent students in Mansoura, Egypt. EMHJ-Eastern Mediterranean Health Journal, 11 (1-2), 155-163, 2005. 2005.
• 28. Burnett MA, Antao V, Black A, Feldman K, Grenville A, Lea R, et al. Prevalence of primary dysmenorrhea in Canada. Journal of Obstetrics and Gynaecology Canada. 2005;27(8):765-70.
• 29. Potur DC, Bilgin NC, Komurcu N. Prevalence of dysmenorrhea in university students in Turkey: effect on daily activities and evaluation of different pain management methods. Pain Management Nursing. 2014;15(4):768-77.
• 30. Chambers AS, Allen JJ. Vagal tone as an indicator of treatment response in major depression. Psychophysiology. 2002;39(6):861-4.
• 31. Henley CE, Ivins D, Mills M, Wen FK, Benjamin BA. Osteopathic manipulative treatment and its relationship to autonomic nervous system activity as demonstrated by heart rate variability: a repeated measures study. Osteopathic Medicine and Primary Care. 2008;2(1):1-8.
• 32. Field T, Hernandez-Reif M, Diego M, Schanberg S, Kuhn C. Cortisol decreases and serotonin and dopamine increase following massage therapy. International Journal of Neuroscience. 2005;115(10):1397-413.