PRİMER DİSMENORELİ KADINLARDA KİNEZYOLOJİK BANTLAMA VE AEROBİK EGZERSİZİN ETKİLERİ: RANDOMİZE TEK KÖR KONTROLLÜ ÇALIŞMA

Yıl 2025, Cilt: 36 Sayı: 2, 133 - 142, 22.09.2025

Simge Temizkan , Miray Budak

https://doi.org/10.21653/tjpr.1121215

Öz

Amaç: Bu çalışmanın amacı, primer dismenoreli (PD) kadınlarda kinesiyolojik bantlama (KT) ve aerobik egzersizin (AE) ağrı, menstrüasyona yönelik tutum, depresyon ve yaşam kalitesi (YK) üzerindeki etkilerini incelemektir.
Yöntem: Primer dismenore tanısı almış 45 katılımcı rastgele olarak KT grubu (n=15), AE grubu (n=15) ve kontrol grubu (n=15) olmak üzere üç gruba ayrıldı. KT grubuna menstrüel döngünün 14. gününden başlayarak döngü sonuna kadar haftada iki kez, 3 hafta boyunca KT uygulandı. AE grubuna aynı dönem boyunca haftada iki kez, 45 dakikalık orta şiddette AE uygulandı. Kontrol grubuna herhangi bir müdahale yapılmadı. Tüm katılımcılar ağrı için McGill Ağrı Anketi (MAA), tutum için Menstrüel Tutum Ölçeği (MTÖ), depresyon için Beck Depresyon Ölçeği (BDÖ) ve YK için kısa form-36 (SF-36) ile değerlendirildi. Değerlendirmeler menstrüel döngünün 14. gününde ve 3 hafta sonra yapıldı.
Bulgular: Grup içi değerlendirmelerde, KT grubunda MTÖ ve SF-36, AE grubunda MAA’da anlamlı iyileşme saptandı (p<0,05). Kontrol grubunda anlamlı fark görülmedi (p>0,05). Zaman*Grup etkileşim analizinde, AE grubunda MAA lehine (p<0,05), KT grubunda MTÖ lehine anlamlı fark bulundu (p<0,05).
Sonuç: Sonuçlar, PD kadınlarda KT’nin menstrüasyona yönelik tutumu iyileştirebileceğini, AE’nin ise ağrıyı azaltabileceğini göstermektedir.

Anahtar Kelimeler

Tutum , Dismenore , Egzersiz , Ağrı , Yaşam kalitesi

THE EFFECTS OF KINESIOLOGICAL TAPING AND AEROBIC EXERCISE IN WOMEN WITH PRIMARY DYSMENORRHEA: A RANDOMİZED SINGLE-BLIND CONTROLLED TRIAL

Öz

Purpose: This study aimed to investigate the effects of kinesiological taping (KT) and aerobic exercise (AE) on pain, menstrual attitude, depression, and quality of life (QoL) in women with primary dysmenorrhea (PD).
Methods: Forty-five participants diagnosed with PD were randomly assigned into three groups: KT group (n=15), AE group (n=15), and control group (n=15). The KT group received taping twice a week over 3 weeks, starting from the 14th day of the menstrual cycle until the end of the cycle. The AE group performed moderate-intensity AE for 45 minutes twice a week for 3 weeks, following the same schedule. The control group received no intervention. Participants were evaluated on the 14th day of the cycle and after 3 weeks using the McGill Pain Questionnaire (MPQ) for pain, the Menstrual Attitude Scale (MAS) for attitude, the Beck Depression Scale (BDS) for depression, and the short form-36 (SF-36) for QoL.
Results: Within-group analyses showed significant improvements in MAS and SF-36 in the KT group, and in MPQ in the AE group (p<0.05). No significant changes were observed in the control group (p>0.05). Time*Group interaction analysis revealed a significant improvement in MPQ favoring the AE group and in MAS favoring the KT group (p<0.05).
Conclusion: These findings suggest that KT may improve menstrual attitude, while AE may reduce pain in women with PD.

Anahtar Kelimeler

Dysmenorrhea , Exercise , Pain , Attitude , Quality of Life

Kaynakça

• Xu Y, Zhao W, Li T, Bu H, Zhao Z, Zhao Y, et al. Effects of acupoint-stimulation for the treatment of primary dysmenorrhoea compared with NSAIDs: a systematic review and meta-analysis of 19 RCTs. BMC Complement Altern Med. 2017;17(1):436.
• Ghafourian M, Band NA, Pour AF, Kooti W, Rad MF, Badiee M. The role of CD16+, CD56+, NK (CD16+/CD56+) and B CD20+ cells in the outcome of pregnancy in women with recurrent spontaneous abortion. Int J Womens Health Reprod Sci. 2015;3(1):61-6.
• Wijesiri HS, Suresh TS. Knowledge and attitudes towards dysmenorrhea among adolescent girls in an urban school in Sri Lanka. Nurs Health Sci. 2013;15(1):58-64.
• Romans S, Clarkson R, Einstein G, Petrovic M, Stewart D. Mood and the menstrual cycle: a review of prospective data studies. Gend Med. 2012;9(5):361-84.
• Bernardi M, Lazzeri L, Perelli F, Reis FM, Petraglia F. Dysmenorrhea and related disorders. F1000Res. 2017;6:1645.
• Aboualsoltani F, Bastani P, Khodaie L, Mohammad S, Fazljou B. Non-pharmacological treatments of primary dysmenorrhea: a systematic review. Arch Pharm Pract. 2020;11(S1):136-42.
• Sharghi M, Mansurkhani SM, Larky DA, Kooti W, Niksefat M, Firoozbakht M, et al. An update and systematic review on the treatment of primary dysmenorrhea. JBRA Assist Reprod. 2019;23(1):51-7.
• ACOG. Birth control [Internet]. Washington (DC): ACOG; [cited 2021 Apr 21]. Available from: http://www.acog.org/publications/patient_education/ab020.cfm
• Dehnavi ZM, Jafarnejad F, Kamali Z. The effect of aerobic exercise on primary dysmenorrhea: a clinical trial study. J Educ Health Promot. 2018;7:3.
• 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):23-8.
• Lim C, Park Y, Bae Y. The effect of the kinesio taping and spiral taping on menstrual pain and premenstrual syndrome. J Phys Ther Sci. 2013;25(7):761-4.
• Bac A, Wróbel M, Ogrodzka-Ciechanowicz K, Michalik E, Ścisłowska-Czarnecka A. The influence of the kinesio taping on selected ultrasonography measurements, and quality of life in patients with rotator cuff lesions. Sci Rep. 2020;10(1):18539.
• Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-91.
• Oksuz E, Malhan S, Tulunay FC. Turkish McGill Pain Questionnaire: reliability and validation. Value Health. 2007;10(6):A467.
• Kulakaç Ö, Öncel S, Fırat MZ, Akcan A. Menstrual attitude questionnaire: validity and reliability study. J Clin Obstet Gynecol. 2008;18(6):347-56.
• Hisli N. Beck Depresyon Envanterinin üniversite öğrencileri için geçerliği, güvenirliği. Psikoloji Derg. 1989;7(23):3-13.
• Demiral Y, Ergor G, Unal B, Semin S, Akvardar Y, Kivircik B, et al. Normative data and discriminative properties of short form 36 (SF-36) in Turkish urban population. BMC Public Health. 2006;6:247.
• Waxman A, Waxman A, Norum KR. Why a global strategy on diet, physical activity and health? The growing burden of non-communicable diseases. Public Health Nutr. 2004;7(3):381-3.
• Mooventhan A, Nivethitha L. Scientific evidence-based effects of hydrotherapy on various systems of the body. N Am J Med Sci. 2014;6(5):199-209.
• Su JJ, Lindell D. Promoting the menstrual health of adolescent girls in China. Nurs Health Sci. 2016;18(4):481-7.
• Gürşen C, İnanoğlu D, Kaya S, Akbayrak T, Baltacı G. Effects of exercise and Kinesio taping on abdominal recovery in women with cesarean section: a pilot randomized controlled trial. Arch Gynecol Obstet. 2016;293(3):557-65.
• Toprak Celenay S, Kavalci B, Karakus A, Alkan A. Effects of kinesio tape application on pain, anxiety, and menstrual complaints in women with primary dysmenorrhea: a randomized sham-controlled trial. Complement Ther Clin Pract. 2020;39:101148.
• 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.
• Dehghanzadeh N, Khoshnam E, Nikseresht A. The effect of 8 weeks of aerobic training on primary dysmenorrhea. Eur J Exp Biol. 2014;4(1):380-2.
• Armour M, Smith CA, Steel KA, Macmillan F. The effectiveness of self-care and lifestyle interventions in primary dysmenorrhea: a systematic review and meta-analysis. BMC Complement Altern Med. 2019;19(1):22.
• Bavil DA, Dolatian M, Mahmoodi Z, Baghban AA. Comparison of lifestyles of young women with and without primary dysmenorrhea. Electron Physician. 2016;8(3):2107-14.
• Daley AJ. Exercise and primary dysmenorrhoea: a comprehensive and critical review of the literature. Sports Med. 2008;38(8):659-70.
• Booth FW, Roberts CK, Laye MJ. Lack of exercise is a major cause of chronic diseases. Compr Physiol. 2012;2:1143-211.