Acupressure, Drug Effect, Dysmenorrhea Primary, Exercise, Pelvic Floor, Telerehabilitation
Conditions
Keywords
Pelvic Floor, Dysmenorrhea Primary, Drug therapy, Telerehabilitation, Acupressure
Brief summary
Primary dysmenorrhea is a common problem in women. Women use many treatment methods to deal with primary dysmenorrhea. Therefore, this study aims to find the most effective treatment by determining the effectiveness of conservative and non-conservative treatment in women with primary dysmenorrhea. Another aim of the study is to generalize the use of conservative treatment methods in the treatment of primary dysmenorrhea.On the other hand, it aims to spread the telerehabilitation method, which allows the global Covid 19 outbreak to be maintained remotely online, in the world and in our country.
Detailed description
This study aims to determine the effects of different treatment approaches in women diagnosed with primary dysmenorrhea. Patients who are examined by a physician and diagnosed with primary dysmenorrhea using ultrasonography will be included in the study. The cases will be divided into 5 groups by randomization. In the first group, patients who are prescribed diosmin by the attending physician will be taken. The second group; Patients who are prescribed naproxen sodium by the attending physician will be taken. The third group; Pelvic floor exercises will be performed 2 days a week and 12 weeks a week using the motor imagination technique created by the women health physiotherapist. In the fourth group, acupressure technique applied by applying pressure to non-invasive acupuncture points will be applied daily for 12 weeks. The fifth group will be the control group. Online access will be synchronized with the phone or computer, and training sessions will not be recorded to protect the patient's personal information. Cases will be evaluated online at the beginning of the study and at the end of the 12-week program.
Interventions
OTHERConservative and Non-conservative treatments
This program includes Focused Pelvic Floor with Motor Imagery Technique Group ,Nonsteroidal Anti-Inflammatory Drug Group, Diosmin Group, Acupressure Group (LI-4 (Bilateral), CV-6, CV-4, SP-6 (Bilateral). It is aimed to determine the most effective treatment among these groups.
Sponsors
Istanbul Medipol University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Randomized controlled clinical trial
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
* Over the age of 18 whose menstrual cycle continues, * Primary dysmenorrhea was diagnosed by the obstetrician by ultrasonographic evaluation. * Participants who agree to participate in the study will be included. * Participants in the diosmin group who were prescribed diosmin by the physician * Participants in the NSAI group who were prescribed an NSAI by the physician
Exclusion criteria
* Receiving hormone therapy * Those receiving psychiatric treatment for stress disorder or anxiety * Intrauterine contraceptive device * Using birth control pills * Women diagnosed with secondary dysmenorrhea * With neurological deficits * Patients who were not suitable for NSAI and Diosmin treatment by the physician were excluded by the physician and were not included in our study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Demographic Information Form | 5 minutes | Participants age, height, weight, educational status, marital status, exercise habits will be recorded. In addition, sociodemographic information, clinical features such as background and family history; Information on menarche age, average cycle duration and menstruation duration, and methods of coping with dysmenorrhea were recorded. |
| Visual Analogue Scale (VAS) | 2 minutes | The Visual Analogue Scale (VAS) is used to convert non-numerical values to digital. The value 0 means I have no pain, 10 means I have unbearable pain. The person marks his pain on this ruler. It measures the intensity of the pain. |
| McGill Pain Questionnaire | 5 minutes | The characteristic of pain felt by the patients during menstruation was evaluated using the McGill Pain Questionnaire-Short Form,With the McGill Melzack Pain Questionnaire, the location of the pain, the feeling it creates in the individual, its relationship with time, its severity and the level of viable pain for the individual are determined. High score indicates high level of pain |
| Ultrasonography (US) | 5 minutes | Ultrasonography is a soft tissue examination method.Its biggest advantages are that it is an easily accessible method and does not contain ionizing radiation. In the evaluation by ultrasonography, dysmenorrhea due to organic problems will be evaluated and excluded by the obstetrician. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Menstrual Attitude Questionnaire | 5 minutes | The Turkish version of the Menstrual Attitude Scale (MBI) will be applied to determine the attitudes and behaviors of the participants during the menstrual period. Menstruation attitude scale includes 5 subtitles. These subheadings are; 1. Menstruation as a debilitating event 2. Menstruation as a bothersome event 3. Menstruation as a natural event 4. Ancipitation and prediction of the onset of menstruation 5. Denial of any effect of menstruation |
Countries
Turkey (Türkiye)
Outcome results
None listed