Premenstrüel Sendrom (PMS) Olan Bireylerde Pilates Egzersizlerine Ek Olarak Uygulanan Pelvik Taban Egzersizlerinin Premenstrüel Semptomlar, Ağrı, Uyku ve Yaşam Kalitesi Üzerine Etkileri

Öz

Amaç: Bu çalışma, premenstrüel sendrom (PMS) tanısı alan kadınlarda Pilates egzersiz programına ek olarak uygulanan pelvik taban kası egzersizlerinin premenstrüel semptomlar, ağrı şiddeti, uyku kalitesi, yaşam kalitesi ve saldırganlık eğilimleri üzerindeki etkilerini değerlendirmeyi amaçlamaktadır. Gereç ve Yöntem: Premenstrüel Sendrom Ölçeği (PMSS) puanı ≥111 olan toplam 30 kadın, randomize olarak iki gruba ayrılmıştır: yalnızca Pilates egzersizleri uygulanan grup (PG, n=15) ve Pilates egzersizlerine ilave pelvik taban kas eğitimi uygulanan grup (PFMT, n=15). PMS şiddeti, ağrı, uyku kalitesi ve yaşam kalitesi sırasıyla PMSS, Görsel Analog Skala (VAS), Pittsburgh Uyku Kalitesi İndeksi (PUKİ) ve Kısa Form-12 (SF-12) ölçekleriyle değerlendirilmiştir. Katılımcılar sekiz hafta boyunca, haftada iki kez, 50 dakikalık gözetimli egzersiz seanslarına katılmıştır. Bulgular: Her iki grup da PMS semptomları, ağrı düzeyi, uyku kalitesi ve yaşam kalitesinde istatistiksel olarak anlamlı iyileşme göstermiştir (p < 0.01). Gruplar arası karşılaştırmalarda anlamlı fark saptanmamış olmakla birlikte (p > 0.05), Pilates + PFMT grubunda PMS alt ölçeklerinde, uyku kalitesinde ve yaşam kalitesinde daha belirgin gelişmeler gözlenmiştir. Yalnızca Pilates uygulanan grupta ise kısmi ancak klinik açıdan anlamlı ilerlemeler kaydedilmiştir. Sonuç: Pilates temelli egzersiz yaklaşımları, PMS’li kadınlarda ağrının azaltılmasında, uyku kalitesinin ve yaşam kalitesinin artırılmasında etkili bulunmuştur. Gruplar arasında istatistiksel olarak anlamlı fark olmamasına rağmen, Pilates egzersizlerine pelvik taban kası egzersizlerinin eklenmesi, beden farkındalığını güçlendirerek fiziksel ve psikolojik iyilik halini daha fazla destekleyebilecek potansiyel bir tamamlayıcı müdahale olarak değerlendirilebilir.

Anahtar Kelimeler

• Premenstrüel Sendrom
• pilates temelli egzersizler
• pelvik taban
• yaşam kalitesi
• ağrı

The Effects of Pelvic Floor Exercises Applied in Addition to Pilates on Premenstrual Symptoms, Pain, Sleep, and Quality of Life in Individuals with Premenstrual Syndrome (PMS)

Öz

Aim: This study aimed to examine the effects of adding pelvic floor muscle exercises to a Pilates program on premenstrual symptoms, pain intensity, sleep quality, quality of life, and aggression tendencies in women with premenstrual syndrome (PMS). Materials and Methods:A total of 30 women with Premenstrual Syndrome Scale (PMSS) scores ≥111 were randomly assigned to either a Pilates group (PG, n=15) or a Pilates plus pelvic floor muscle training group (PFMT, n=15). PMS severity, pain, sleep quality, and quality of life were assessed using the PMSS, Visual Analog Scale (VAS), Pittsburgh Sleep Quality Index (PSQI), and Short Form-12 (SF-12). Both groups completed supervised 50-minute exercise sessions twice weekly for eight weeks. Results:Both interventions led to significant improvements in PMS, pain, sleep quality, and quality of life (p < 0.01), with no statistically significant differences between the two groups (p > 0.05). The Pilates + PFMT group demonstrated greater improvements across PMS subscales and larger effects on sleep and quality of life, while the Pilates group showed partial but meaningful progress. Conclusion: Both Pilates-based programs were effective in improving pain, sleep, and quality of life in women with PMS. Although intergroup differences were not significant, incorporating pelvic floor exercises enhanced body awareness and may further promote physical and psychological well-being.

Anahtar Kelimeler

• Premenstrual Syndrome
• pain
• pilates-based exercises
• pelvic floor
• quality of life

Kaynakça

1. Yoshimi K, et al. Practical diagnosis and treatment of premenstrual syndrome and premenstrual dysphoric disorder by psychiatrists and obstetricians/gynecologists in Japan. Psychiatry Clin Neurosci Rep. 2024;3(3):e234.
2. American College of Obstetricians and Gynecologists. Management of premenstrual disorders: ACOG clinical practice guideline No. 7. Obstet Gynecol. 2023.
3. Wochekaw, D.T., et al., Prevalence and determinant factors of premenstrual syndrome among secondary and preparatory school students in Dessie city administration, Northeast Ethiopia. BMC Women's Health, 2024. 24(1): p. 368.
4. Oboza, P., et al., Relationships between premenstrual syndrome (PMS) and diet composition, dietary patterns and eating behaviors. Nutrients, 2024. 16(12): p. 1911.
5. Nascimento AF, et al. Efficacy of open-label placebos for premenstrual syndrome: a randomized controlled trial. BMJ Evid Based Med. 2025.
6. Khan S, et al. An exploratory randomized, double-blind, placebo-controlled trial protocol on combined cognitive behavioral therapy and adjunct Bacopa monnieri tablets in premenstrual syndrome management. Front Med (Lausanne).2025;12:1657004.
7. Ayyub S, et al. The effect of physical activity on premenstrual syndrome: a systematic review. Ann Neurosci.2025;32(4):315-320.
8. Balmumcu A, Ozturk N. The effect of pilates and a WhatsApp-based health intervention program on symptoms of premenstrual syndrome: a randomized controlled study. Health Care Women Int. 2024;45(8):929-945.

9. Pearce E, et al. Exercise for premenstrual syndrome: a systematic review and meta-analysis of randomized controlled trials. BJGP Open. 2020;4(3).
10. Yang H, et al. Association between physical activity and risk of premenstrual syndrome among female college students: a systematic review and meta-analysis. BMC Womens Health. 2024;24(1):307.
11. Ravichandran H, Janakiraman B. Effect of aerobic exercises in improving premenstrual symptoms among healthy women: a systematic review of randomized controlled trials. Int J Womens Health. 2022:1105-1114.
12. Çitil ET, Kaya N. Effect of pilates exercises on premenstrual syndrome symptoms: a quasi-experimental study. Complement Ther Med. 2021;57:102623.
13. Niroomand A, et al. The effectiveness of pilates exercises on emotion regulation and distress tolerance in students with premenstrual syndrome. Health Dev J. 2022;11(4):187-194.
14. Cancelliero-Gaiad KM, et al. Respiratory pattern of diaphragmatic breathing and pilates breathing in COPD subjects. Braz J Phys Ther. 2014;18:291-299.
15. Zachovajeviene B, et al. Effect of diaphragm and abdominal muscle training on pelvic floor strength and endurance: results of a prospective randomized trial. Sci Rep. 2019;9(1):19192.
16. Shah CH, Brown JD. Reliability and validity of the short-form 12-item version 2 (SF-12v2) health-related quality of life survey. J Clin Med. 2020;9(3):661.
17. Shah, C.H. and J.D. Brown, Reliability and validity of the short-form 12 item version 2 (SF− 12v2) health-related quality of life survey and disutilities associated with relevant conditions in the US older adult population. Journal of clinical medicine, 2020. 9(3): p. 661.
18. De Moraes ACF, et al. Reliability and validity of the online Pittsburgh sleep quality index. Front Digit Health.2024;6:1394901.
19. Bjelkarøy MT, et al. Measuring pain intensity in older adults. Prog Neuropsychopharmacol Biol Psychiatry.2024;130:110925.
20. Field A. Discovering Statistics Using IBM SPSS Statistics. Sage Publications; 2024.
21. Neumann P, Gill V. Pelvic floor and abdominal muscle interaction. Int Urogynecol J. 2002;13(2):125-132.
22. Deodato M, et al. Efficacy of manual therapy and pelvic floor exercises for pain reduction in primary dysmenorrhea. J Bodyw Mov Ther. 2023;36:185-191.
23. Sheerin Banu S, Jebakani DB, Sabitha P. Effect of pilates and breathing exercise on quality of life and sleep quality. Int J Reprod Contracept Obstet Gynecol. 2023;12(7):2207.
24. Curillo-Aguirre CA, Gea-Izquierdo E. Effectiveness of pelvic floor muscle training on quality of life. Medicina (Kaunas). 2023;59(6):1004.
25. Tejmalji VP, Mahalakshmi B. Pilates exercises for managing premenstrual syndrome among adolescent girls. Bioinformation. 2025;21(2):127.
26. Hassan Ahmed A, et al. Effect of pilates exercises versus Benson relaxation technique. Egypt J Health Care.2022;13(2):39-53.
27. Samadi Z, Taghian F, Valiani M. Effects of pilates and aerobic exercise on symptoms of premenstrual syndrome. J Isfahan Med Sch. 2013;30(213).