INVESTIGATION OF THE EFFECT OF AN ONLINE YOGA-BASED EXERCISE PROGRAM ON WOMEN WITH PRIMARY DYSMENORRHEA: A RANDOMIZED CONTROLLED TRIAL

Abstract

Purpose: It was aimed to investigate the effects of telerehabilitation method and online yoga-based exercise program on pain, menstrual attitude, body awareness and quality of life in women with primary dysmenorrhea (PD). Methods: This study is an experimental randomized controlled single-blind study. Fifty women (25 in the intervention group, and 25 in the control group) between the ages of 18-35 were included in the study. At the beginning of the study, both groups were given informational training on PD and treatment methods. In addition to informational training, an online yoga-based exercise program was applied individually to the intervention group, twice a week for 8 weeks, for a total of 16 sessions. Visual analog scale (VAS), menstrual attitude scale (MAS), body awareness questionnaire (BAQ), short form-36 (SF-36), and satisfaction questionnaire were used for data collection. Results: The VAS score of the intervention group decreased from 6.76 to 3.76 points. VAS (p<0.001), MAS (p<0.001), BAQ (p<0.001), and SF-36 (p<0.05) questionnaire scores in the intervention group were found to be significant compared to the control group. While VAS scores increased significantly (p<0.001) in the control group, no change was observed in MAS (p=0.791) and BAQ (p=0.174) scores. In SF-36, improvement was observed only in social functionality (p=0.050), pain (p=0.002) and general health (p=0.004). Conclusion: The results of this study showed that the online yoga-based exercise program had a positive effect on pain, menstrual attitude, body awareness and quality of life in PD.

Keywords

• Dysmenorrhea
• Exercise
• Pain
• Telerehabilitation
• Yoga

ÇEVRİMİÇİ YOGA TEMELLİ EGZERSİZ PROGRAMININ PRİMER DİSMENORELİ KADINLARDA ETKİSİNİN ARAŞTIRILMASI: RANDOMİZE KONTROLLÜ ÇALIŞMA

Abstract

Amaç: Bu çalışmada primer dismenoreli (PD) kadınlarda çevrimiçi yoga temelli egzersiz programının ağrı, menstrual tutum, beden farkındalığı ve yaşam kalitesi üzerine etkisinin araştırılması amaçlanmıştır. Yöntem: Bu çalışma deneysel, randomize kontrollü, tek kör bir çalışmadır. Çalışmaya 18-35 yaş arası 50 kadın (müdahale grubunda 25, kontrol grubunda 25) dahil edildi. Çalışmanın başında her iki gruba da PD ve tedavi yöntemleri hakkında bilgilendirme eğitimi verildi. Müdahale grubuna bilgilendirme eğitimine ilave olarak, haftada iki kez, 8 hafta boyunca toplam 16 seans bireysel olarak çevrimiçi yoga temelli egzersiz programı uygulandı. Verilerin toplanmasında Görsel Analog Ölçeği (GAS), Menstruasyon Tutum Ölçeği (MTÖ), Vücut Farkındalığı Anketi (VFA), Kısa Form-36 (SF-36) Anketi ve Memnuniyet Anketi kullanıldı. Sonuçlar: Müdahale grubunun GAS puanı 6,76'dan 3,76'ya düştü. Müdahale grubundaki GAS (p<0,001), MTÖ (p<0,001), VFA (p<0,001) ve SF-36 (p<0,05) anket puanları kontrol grubuna göre anlamlı bulundu. Kontrol grubunda GAS puanı anlamlı derecede artarken (p<0,001), MTÖ (p=0,791) ve VFA (p=0,174) puanlarında herhangi bir değişiklik gözlenmedi. SF-36’da ise sadece sosyal işlevsellik (p=0,05), ağrıda (p=0,002) ve genel sağlıkta (p=0,004) iyileşme gözlendi. Tartışma: Bu çalışmanın sonuçları çevrimiçi yoga temelli egzersiz programının PD’de ağrı, menstrual tutum, vücut farkındalığı ve yaşam kalitesi üzerinde olumlu etkisinin olduğunu gösterdi.

Keywords

• Ağrı
• Dismenore
• Egzersiz
• Telerehabilitasyon
• Yoga

References

1. Ferries-Rowe E, Corey E, Archer JS. Primary dysmenorrhea: Diagnosis and therapy. Obstet Gynecol. 2020;136(5): 1047-58.
2. Karanth S, Liya SR. Prevalence and risk factors for dysmenorrhoea among nursing student and its impact on their quality of life. IJRCOG, 2018;7(7): 2661-8.
3. Li R, Li B, Kreher DA, Benjamin AR, Gubbels A, Smith AM. Association between dysmenorrhea and chronic pain: a systematic review and meta-analysis of population-based studies. Am J Obstet Gynecol, 2020;223(3): 350-71.
4. Shetty GB, Shetty B, Mooventhan A. Efficacy of acupuncture in the management of primary dysmenorrhea: a randomized controlled trial. J Acupunct Meridian Stud, 2018;11(4): 153-8.
5. Kannan P, Claydon LS, Miller D, Chapple M. Vigorous exercises in the management of primary dysmenorrhea: a feasibility study. Disabil Rehabil, 2015;37(15): 1334-9.
6. Navvabi Rigi S, Kermansaravi F, Navidian A, Safabakhsh L, Safarzadeh A, Khazaian S, et al. Comparing the analgesic effect of heat patch containing iron chip and ibuprofen for primary dysmenorrhea: a randomized controlled trial. BMC Womens Health. 2012;12:25.
7. Morrow C, Naumburg EH. Dysmenorrhea. Prim Care. 2009;36(1): 19-32.
8. Kannan P, Cheung KK, Lau BWM. Does aerobic exercise induced-analgesia occur through hormone and inflammatory cytokine-mediated mechanisms in primary dysmenorrhea? Med Hypotheses, 2018;123: 50-4.

9. Vaziri F, Hoseini A, Kamali F, Abdali K, Hadianfard M, Sayadi M. Comparing the effects of aerobic and stretching exercises on the intensity of primary dysmenorrhea in the students of universities of bushehr. J Family Reprod Health, 2015;9(1): 23.
10. Muñoz-Tomás MT, Burillo-Lafuente M, Vicente-Parra A, Sanz-Rubio MC, Suarez-Serrano C, Marcén-Román Y, et al. Telerehabilitation as a therapeutic exercise tool versus face-to-face physiotherapy: A systematic review. Int J Environ Res Public Health. 2023;28;20(5):4358.
11. Mathersul DC, Mahoney LA, Bayley PJ. Tele-yoga for chronic pain: current status and future directions. Glob Adv Health Med, 2018;2:7.
12. Özgül S, Üzelpasaci E, Orhan C, Baran E, Beksaç MS, Akbayrak T. Short-term effects of connective tissue manipulation in women with primary dysmenorrhea: A randomized controlled trial. Complement Ther Clin Pract, 2018;33: 1-6.
13. Doğan H, Eroğlu S, Akbayrak T. The effect of kinesio taping and lifestyle changes on pain, body awareness and quality of life in primary dysmenorrhea. Complement Ther Clin Pract, 2020;39, 101120.
14. Yang NY, and Kim S. Effects of a yoga program on menstrual cramps and menstrual distress in undergraduate students with primary dysmenorrhea: A single-blind, randomized controlled trial, J Altern Complement Med, 2016;22(9),732-8.
15. Yonglitthipagon P, Muansiangsai S, Wongkhumngern W, Donpunha W, Chanavirut R, Siritaratiwat W, et al. Effect of yoga on the menstrual pain, physical fitness, and quality of life of young women with primary dysmenorrhea. J Bodyw Mov Ther, 2017;21(4), 840-6.
16. Bryant RA. Memory for pain and affect in chronic pain patients. Pain, 1993;54(3): 347-51.
17. Aydin A, Araz A, Asan A. Görsel analog ölçegi ve duygu kafesi: Kültürümüze uyarlama çalismasi. Turk Psikoloji Yazilari, 2011;14(27): 1.
18. Brooks-Gunn J, Ruble DN. The menstrual attitude questionnaire. Psychosom Med 1980; 42:503-12.
19. Kulakaç Ö, Öncel S, Fırat MZ, Akcan A. Menstruasyon tutum ölçeği: geçerlik ve güvenirlik çalışması. Turkiye Klinikleri J Gynecol Obst, 2008;18(6): 347-56.
20. Shields SA, Mallory ME, Simon A. The body awareness questionnaire: reliability and validity. J Pers Assess, 1989;53(4): 802-15.
21. Karaca S. Vücut farkındalığı anketinin Türkçe uyarlaması: geçerlik ve güvenirlik çalışması (Master's thesis, Sağlık Bilimleri Enstitüsü), 2017.
22. Ware Jr JE, Gandek B. Overview of the SF-36 health survey and the international quality of life assessment (IQOLA) project. J Clin Epidemiol, 1998;51(11): 903-12.
23. Koçyiğit H, Aydemir Ö, Fişek G, Ölmez N, Memiş AK. Form-36 (KF-36)’nın Türkçe versiyonunun güvenilirliği ve geçerliliği. İlaç ve tedavi dergisi, 1999;12(2): 102-6.
24. Rakhshaee Z. Effect of three yoga poses (cobra, cat and fish poses) in women with primary dysmenorrhea: a randomized clinical trial. J Pediatr Adolesc Gynecol, 2011;24(4): 192-6.
25. Bavil DA, Dolatian M, Mahmoodi Z, Baghban AA. Comparison of lifestyles of young women with and without primary dysmenorrhea. Electronic physician, 2016;8(3): 2107.
26. Sönmezer E, Yosmaoğlu HB. Dismenoresi olan kadınlarda menstruasyona yönelik tutum ve stres algısı değişiklikleri. Turk J Physiother Rehabil, 2014;25(2): 1-7.
27. Ganesh B, Chodankar A, Parvatkar B. Comparative study of Laura Mitchell's Physiological Relaxation Technique versus Jacobson's Progressive Relaxation Technique on severity of pain and quality of life in primary dysmenorrhea: randomized clinical trial. J Med Sci Clin Res, 2017;5(7): 25379-87.
28. Atılgan E, Ergezen G, Demircan A, Algun ZC. Yoga temelli egzersizlerin plantar basınç dağılımı, vücut farkındalığı ve duygu durumu üzerindeki etkisi. J Tradit Complem Med, 2019; 2(2):83-8.
29. Ramachandra P. Telerehabilitation for pelvic girdle dysfunction in pregnancy during COVID-19 pandemic crisis: A case report. Physiother Theory Pract, 2022;38(12): 2250-6.