Investigation of the short-term effectiveness of training in primary dysmenorrhea

Öz

Purpose: The aim of this study was to investigate the short-term efficacy of relaxation training in women diagnosed with primary dysmenorrhea.

Methods: Forty-four cases (22.64±3.45 years, height: 164.8±4.91 cm, body mass index: 22.03±4.04 kg/m²) who diagnosed with primary dysmenorrhea were evaluated in two consecutive menstruation. Demographic characteristics and medical history of the patients were recorded. Menstrual pain symptoms of the cases were evaluated with the Menstrual Symptom Scale and menstrual pain severity with the Visual Analog Scale. No intervention was performed in the first menstruation.  In the second menstruation, Laura Mitchell Physiological Relaxation Training was applied at the first 3 days a total of 30 minutes.

Results: There was no difference in menstrual symptoms between the first and the second menstruation (p>0.05). Laura Mitchell's Physiological Relaxation Training in which applied second menstrual cycle reduced pain severity (p<0.05).

Conclusion: In primary dysmenorrhea, Laura Mitchell's Simple Relaxation Training can be used to be an effective approach in the short term. Randomized controlled studies are needed to examine the long-term effects.

Anahtar Kelimeler

• Relaxation techniques,Dysmenorrhea,Relaxation

Primer dismenorede gevşeme eğitiminin kısa süreli etkinliğinin incelenmesi

Öz

Amaç: Bu çalışmanın amacı primer dismenore tanısı almış kadınlarda gevşeme eğitiminin kısa süreli etkinliğini araştırmaktı.

Yöntem: Primer dismenore teşhisi alan 44 birey (yaş:22,64±3,45 yıl, boy uzunluğu: 164,8±4,91cm, vücut kütle indeksi: 22,03±4,04 kg/m²) ardışık iki menstürasyonda değerlendirildi. Bireylerin demografik özellikleri ve tıbbi hikayeleri kaydedildi. Bireylerin menstrüel semptomları Menstrüel Semptom Ölçeği ile menstrüel ağrı şiddeti ise vizüel analog skalası ile değerlendirildi. Birinci menstürasyonda hiçbir müdahale yapılmadı. İkinci menstürasyonda ise adetin ilk 3 günü toplamda 30 dakika Laura Mitchell’in fizyolojik gevşeme eğitimi uygulandı.

Bulgular: Birinci ve ikinci menstürasyonun menstrüel semptomları arasında bir fark yoktu (p>0,05). İkinci menstürasyonda uygulanan Laura Mitchell’in fizyolojik gevşeme eğitimi ağrı şiddetini azalttı (p<0,05).

Sonuç: Primer dismenorede ağrıyı azaltma konusunda, Laura Mitchell’in fizyolojik gevşeme eğitimi kısa dönemde etkili bir yaklaşım olarak kullanılabilir. Bu konuda uzun dönem etkileri inceleyen randomize kontrollü çalışmalara ihtiyaç vardır.

Anahtar Kelimeler

• gevşeme eğitimi,dismenore,relaksasyon

Kaynakça

1. 1. Motesharee E, Mehboodı M, Karemzade L. The effect of an 8-week-flexibility training on primary dysmenorrhea’s physical and psychologıcal syndromes in nonathletıc girls. Int J Biol allied Sci. 2015;4:659-667.
2. 2. De Sanctis V, Ashraf S, Sergio B et al. Definition and Self-Reported Pain Intensity in Adolescents with Dysmenorrhea: A Debate Report. J Pediatr Child Heal Care. 2016;1:1-6.
3. 3. Kustriyanti D, Boediarsih B. Muscle Relaxation Therapy for Dysmenorrhea. Heal Notions. 2017;1:315-320.
4. 4. Özgül S, Üzelpasaci E, Orhan C, et al. Short-term effects of connective tissue manipulation in women with primary dysmenorrhea: A randomized controlled trial. Complement Ther Clin Pract. 2018;33:1-6.
5. 5. Kannan P, Chapple CM, Miller D et al. Menstrual pain and quality of life in women with primary dysmenorrhea: Rationale, design, and interventions of a randomized controlled trial of effects of a treadmill-based exercise intervention. Contemp Clin Trials. 2015;42:81-89.
6. 6. Bavil D, Dolatian M, Mahmoodi Z et al. Comparison of lifestyles of young women with and without primary dysmenorrhea. Electron Physician. 2016;8: 2107-2114.
7. 7. Orhan C, Çelenay Ş, Demirtürk F et al. Effects of menstrual pain on the academic performance and participation in sports and social activities in Turkish university students with primary dysmenorrhea: A case control study. J Obstet Gynecol Res. 2018;44:1-9.
8. 8. Tugay N, Akbayrak T, Demirtürk F et al. Effectiveness of transcutaneous electrical nerve stimulation and interferential current in primary dysmenorrhea. PAIN Med. 2007;8:295-300.

9. 9. Ansaripour L, Behbahani B, Akbarzadeh M et al.Comparison of the influence of acupressure and self-care behavior education on the severity of primary dysmenorrhea based on visual analogue scale among students. Int J Med Res Heal Sci. 2016;5:200-207.
10. 10. Chiu M, Wang H, Hsu S et al. Dysmenorrhea and self-care behaviours among hospital nurses: a questionnaire survey. J Clin Nurs. 2013;22:3130-3140.
11. 11. Demirturk F, Gungör T, Demirturk F et al. Relief of primary dysmenorrhea by supplementation with omega-3 fatty acids. Pain Clin. 2002;14:81-84.
12. 12. Salt V, Kerr K. Mitchell’s Simple Physiological Relaxation and Jacobson’s Progressive Relaxation Techniques: A comparison. Physiotherapy. 1997;83:200-207.
13. 13. 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;5:25379-25387.
14. 14. El Kosery S, Saleh A, Farouk A. Efficacy of Mitchell’s Simple Physiological Relaxation Technique in Alleviating Primary Dysmenorrhea. Bull Fac Phys Ther. 2006;11:247-255.
15. 15. Price D, McGrath P, Rafii A et al. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain. 1983;17:45-56.
16. 16. Güvenç G, Seven M, Akyüz A. Menstrüasyon Semptom Ölçeği'nin Türkçe’ye Uyarlanması. TAF Prev Med Bull. 2014;13:367-374.
17. 17. Mitchell L. The Mitchell Method of Physiological Relaxation. In: McGuigan FJ, Sime WE, Wallace JM (eds). Stress and Tension Control 2. Springer, Boston, MA. 1984; pp:399-404.
18. 18. McKenna J. The Mitchell method of physiological relaxation. Physiotherapy. 1978;64:234-235.
19. 19. Kannan P, Claydon L. Some physiotherapy treatments may relieve menstrual pain in women with primary dysmenorrhea: a systematic review. J Physiother. 2014;60:13-21.
20. 20. Yu A. Complementary and alternative treatments for primary dysmenorrhea in adolescents. Nurse Pract. 2014;39:1-12.
21. 21. Khalatbari J, Salimynezhad S. The Effect of Relaxation on Premenstrual Syndrome in Dormitory Students of Azad Tonekabon University of Iran. Procedia -Social and Behavioral Sciences. 2013;80:1580-1584.
22. 22. McCallie M, Blum C, Hood C. Progressive Muscle Relaxation. J Hum Behav Soc Environ. 2006;13:50-66.