Primary Dysmenorrhea
Conditions
Brief summary
Disorders of the autonomic nervous system are considered another possible cause of dysmenorrhea. spinal manual threapty is acting on the parasympathetic and sympathetic nerves. The sacrum affects all vertebrae, which affects the position of this bone, is thought to have a lot to do with dysmenorrhea. In this study, by applying spinal manual threapty threapty to the sacroiliac joint in women in their 20s with primary dysmenorrhea, we tried to present an effective treatment method by evaluating the function of the autonomic nervous system and confirming the occurrence of pain in the lower abdomen.
Interventions
BEHAVIORALspine manual therapy
The manual treatment method applied to the sacroiliac joint used high-velocity, low amplitude (HVLA).
DEVICESuperficial heat therapy
In the physical therapy used in this study, it was applied for 20 minutes using conventionally used superficial heat therapy.
Sponsors
Sahmyook University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
20 Years to 29 Years
Healthy volunteers
Yes
Inclusion criteria
* Women between the ages of 20-29 * Regular menstrual cycle (24-32 days) * Those who have had symptoms of primary dysmenorrhea for at least 1 year * Those who have lower back pain symptoms related to menstrual pain of 5 or higher on the Visual Analysis Scale (VAS) * The body mass index is between 20-30 * Positive reaction to Gillet test
Exclusion criteria
* pelvic inflammatory disease * uterine fibroids, polycystic ovary syndrome. Those with gynecological findings such as endometriosis * Those who have used an intrauterine contraceptive device * Those who took birth control pills or nonsteroidal anti-inflammatory drugs at the time of the experiment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Heart Rate Variability | Change from baseline after intervention at 4 weeks, follow-up at 4 weeks | Autonomic nervous system balance tester (SA3000new, Medicore Co. Korea) was used. The subjects placed electrodes on three areas (left arm, left leg, right leg) while lying down and performed for 3 minutes. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual analog scale | Change from baseline after intervention at 4 weeks, follow-up at 4 weeks | On a line consisting of 10 cm, 0 at either end represents 'no pain' and 10 represents 'worst pain'. |
| Pressure pain threshold | Change from baseline after intervention at 4 weeks, follow-up at 4 weeks | The test determines the amount of pressure over a given area in which a steadily increasing nonpainful pressure stimulus turns into a painful pressure sensation. With the participant seated comfortably, the examiner identified the sacroiliac joint and applied pressure with the algometer perpendicular to the skin surface until the participant made an Ah sound. * Lower pressure pain thresholds indicate higher sensitivity to pressure and a lower pain tolerance. * Higher pressure pain thresholds suggest lower sensitivity and a higher pain tolerance. |
| Menstrual distress questionnaire | Change from baseline after intervention at 4 weeks, follow-up at 4 weeks | The Menstrual Distress Questionnaire (MDQ) is a standard method for measuring cyclical menstrual cycle symptoms. The MDQ can differentiate between cyclical and non-cyclical changes in somatic symptoms, mood and behavior, and arousal. -The measured scores range from 0 to 185; higher scores indicate severe dysmenorrhea symptoms. |
Countries
South Korea
Outcome results
None listed