Primer Dismenore’li Bir Genç Yetişkinde Transkütanöz Auriküler Vagus Sinir Stimülasyonunun Etkileri: Bir Olgu Sunumu

Yıl 2023, , 1314 - 1322, 05.01.2024

Hüsniye Merve Demirer , Hasan Kerem Alptekin , Esra Erğun Keşli

https://doi.org/10.38079/igusabder.1292902

Öz

Amaç: Bu olgu sunumunun amacı Primer Dismenore’li bir genç yetişkinde transkütanöz auriküler vagus sinir stimülasyonunun ağrı, menstrüal semptomlar, depresyon ve anksiyete üzerine etkisinin araştırılmasıdır.
Yöntem: Olgunun, ilk menstrüal siklusunun 1. gününde, ağrı şiddeti “Visüel Analog Skala (VAS)”, ağrı eşiği “basınç algometresi”, depresyon düzeyi “Beck Depresyon Envanteri”, anksiyete düzeyi “Beck Anksiyete Envanteri”, menstrüal semptomları da “Menstrüal Belirti Ölçeği” ile değerlendirildi. Olguya menstrüal siklusun 14. gününden ikinci menstrüal siklusa kadar 10 seans vagus sinir stimülasyonu uygulandı. Uygulamalardan sonra ikinci menstrüal siklusun en ağrılı gününde olgu tekrar değerlendirildi.
Bulgular: Müdahale sonrası olgunun menstrüal ağrı şiddetinde azalma, ağrı eşiği değerlerinde artma, depresyon ve anksiyete düzeylerinde azalma ve menstrüal belirtilerinin şiddetinde azalma görüldü.
Sonuç: Primer Dismenore’li bireylerde vagal sinir stimülasyonu ağrı ve ilişkili belirtileri iyileştirmede etkili olabilir.

Anahtar Kelimeler

Primer dismenore, transkütanöz auriküler vagus sinir stimülasyonu, ağrı

The Effects of Transcutaneous Auricular Vagus Nerve Stimulation in a Young Adult with Primary Dysmenorrhea: A Case Report

Öz

Aim: The aim of this case report is to investigate the effect of transcutaneous auricular vagus nerve stimulation on pain, menstrual symptoms, depression and anxiety in a young adult with Primary Dysmenorrhea.
Method: On the first day of the patient's first menstrual cycle, pain intensity was evaluated with "Visual Analog Scale (VAS)", pain threshold was evaluated with "pressure algometer", depression level was evaluated with "Beck Depression Inventory", anxiety level was evaluated with "Beck Anxiety Inventory", and menstrual symptoms were evaluated with the "Menstrual Symptom Scale". 10 sessions of vagus nerve stimulation were applied to the patient from the 14th day of the menstrual cycle to the second menstrual cycle. After the applications, the patient was re-evaluated on the most painful day of the second menstrual cycle.
Results: After the intervention, a decrease in menstrual pain severity, an increase in pain threshold values, a decrease in depression and anxiety levels, and a decrease in the severity of menstrual symptoms were observed.
Conclusion: In individuals with Primary Dysmenorrhea, vagus nerve stimulation can be effective in relieving pain and associated symptoms.

Anahtar Kelimeler

Primary dysmenorrhea, transcutaneous auricular vagus nerve stimulation, pain

Kaynakça

• 1. Hewitt GD, Gerancher KR. ACOG committee opinion number 760 dysmenorrhea and endometriosis in the adolescent. Obstetrics and Gynecology. 2018;132(6):E249-E258.
• 2. Burnett MA, Antao V, Black A, et al. Prevalence of primary dysmenorrhea in Canada. Journal of Obstetrics and Gynaecology Canada. 2005;27(8):765-770.
• 3. Morrow C, Naumburg EH. Dysmenorrhea. Primary care: Clinics in office practice. 2009;36(1):19-32.
• 4. Latthe PM, Champaneria R. Dysmenorrhoea. BMJ Clinical Evidence. 2014:0813.
• 5. Shah S, Verma N, Begani P, Nagar H, Mujawar N. Effect of exercises on primary dysmenorrhoea in young females. Int J Physiother Res. 2016;4(5):1652-1657.
• 6. Maha H, Hassan N. Heart rate variability [HRV] in young healthy females with primary dysmenorrhea. Bull Alex: Fac Med. 2007;685-693.
• 7. Abbaspour Z, Rostami M, Najjar SH. The effect of exercise on primary dysmenorrhea. Journal of Research in Health sciences. 2006;6(1):26-31.
• 8. Güçlüer EÖ. Erkek Bireylerde Vagus Terapinin Solunum Fonksiyonu, Nabız, Satürasyon ve Otonomik Ölçüm Üzerine Etkisi. [Yüksek Lisans Tezi]. İstanbul, Türkiye: Fizyoterapi ve Rehabilitasyon, Sağlık Bilimleri Enstitüsü; 2020.
• 9. Dixon JS, Bird HA. Reproducibility along a 10 cm vertical visual analogue scale. Annals of the Rheumatic Diseases. 1981;40(1):87-89.
• 10. Perez Machado AF, Perracini MR, Cruz Saraiva De Morais AD, et al. Microwave diathermy and transcutaneous electrical nerve stimulation effects in primary dysmenorrhea: Clinical trial protocol. Pain Management. 2017;7(5):359-366.
• 11. Hisli N. Beck depresyon envanterinin üniversite öğrencileri için geçerliliği, güvenilirliği. J. Psychol. 1989;7:3-13.
• 12. Ulusoy M, Şahin NH, Erkmen H. The Beck anxiety inventory: Psychometric properties, Journal of Cognitive Psychotherapy. 1998;12(2):163-172.
• 13. Güvenç G, Seven M, Akyüz A. Menstrüasyon Semptom Ölçeği’nin Türkçe’ye uyarlanması. TAF Preventive Medicine Bulletin. 2014;13(5):367-374.
• 14. Park MK, Watanuki S. Specific physiological responses in women with severe primary dysmenorrhea during the menstrual cycle. Journal of Physiological Anthropology and Applied Human Science. 2005;24(6):601-609.
• 15. Özden AV, Perçin A, Karaağaç A, et. al. Tamamlayıcı-integratif tıp yaklaşımlarının ortak etki mekanizması ve otonom sinir sistemi regülasyonu: Geleneksel derleme. J Tradit Complem Med. 2022;5(2):160-9.
• 16. Ünal S, Karagözoğlu Coşkunsu D, Hatık SH, Özden AV. Short-term effectiveness of auricular vagus nerve stimulation in patients with myofascial pain syndrome. Eur Res J. 2022;8(5):573-582.
• 17. Şaşmaz Y. Çevrimiçi Yoga Temelli Egzersiz Programının Primer Dismenoreli Kadınlarda Etkisinin Araştırılması. [Yüksek Lisans Tezi]. İstanbul, Türkiye: Fizyoterapi ve Rehabilitasyon, Sağlık Bilimleri Enstitüsü; 2022.
• 18. Yang NY, Kim SD. Effects of a yoga program on menstrual cramps and menstrual distress in undergraduate students with primary dysmenorrhea: A single-blind, randomized controlled trial. The Journal of Alternative and Complementary Medicine. 2016;22(9):732-738.
• 19. Giamberardino MA, Berkley KJ, Iezzi S, De Bigontina P, Vecchiet L. Pain threshold variations in somatic wall tissues as a function of menstrual cycle, segmental site and tissue depth in nondysmenorrheic women, dysmenorrheic women and men. Pain. 1997;71(2):187-197.
• 20. Rodrigues AC, Gala S, Neves Â, et. al. Dysmenorrhea in adolescents and young adults: Prevalence, related factors and limitations in daily living. Acta Medica Portuguesa. 2011;24:383-88.
• 21. Gagua T, Tkeshelashvili B, Gagua D, Mchedlishvili N. Assessment of anxiety and depression in adolescents with primary dysmenorrhea: A case-control study. Journal of Pediatric and Adolescent Gynecology. 2013;26(6):350-354.
• 22. Patel V, Tanksale V, Sahasrabhojanee M, Gupte S, Nevrekar P. The burden and determinants of dysmenorrhoea: a population‐based survey of 2262 women in Goa, India, BJOG. An International Journal of Obstetrics & Gynaecology. 2006;113(4):453-463.
• 23. Dehkordi ZR, Baharanchi FSH, Bekhradi R. Effect of lavender inhalation on the symptoms of primary dysmenorrhea and the amount of menstrual bleeding: A randomized clinical trial. Complementary Therapies in Medicine. 2014;22(2):212-219.
• 24. Eryılmaz S. Primer Dismenorede Akupresür ve Masajın Ağrı, Menstrual Semptomlar ve Yaşam Kalitesine Etkisi. [Doktora Tezi]. Malatya, Türkiye: Ebelik, Sağlık Bilimleri Enstitüsü; 2021.
• 25. Yılmaz HM, Biçki D, Ağar E. Comparison of the effectiveness of connective tissue massage and myofascial release technique in young adult women with primary dysmenorrhea: Comparison of connective tissue massage and myofascial release. Journal of Surgery and Medicine. 2023;7(1):48–53. doi: 10.28982/josam.7503.