Primary Dysmenorrhea
Conditions
Keywords
trigger points
Brief summary
The rationale of this study is despite the widespread belief that exercise can reduce dysmenorrhea, evidence-based studies are limited. Studies are therefore required to evaluate the association between quality of life and the primary dysmenorrheal females, the functional impact on the quality of life and primary dysmenorrhea females also it's a crucial time for females to focus on their studies and dysmenorrhea can add to the fatigue levels and cause distress in this age group thus the purpose of this study is to determine whether myokinetic active release of trigger points in the rectus abdominis, gluteus medius and quadratus lumborum is a more effective way to reduce dysmenorrhea than kegel exercises
Detailed description
Existing research may concentrate on specific interventions or populations, leaving a void in our knowledge of the possible synergistic effects of various exercises when done both alone and in combination, Studies have provided that dysmenorrhea is treated with pelvic floor strengthening however, there is little evidence that myokinetic involvement can lead to progressive outcomes. Given the interdependence of physiology, anatomy and dysfunction. Myokinetic trigger point release may be helpful in promoting the recovery of primary dysmenorrhea.
Interventions
It consists of 25 patients who will receive Kegel exercises with Myokinetic active release of trigger points in quadratus lumborum, rectus abdominis and gluteus medius. Patient will be in lying position with empty bladder. Ask patient to tight pelvic floor muscle group and hold tight from 3-5 seconds Then relax muscle group from 3-5 seconds with Myokinetic therapy targeted at releasing muscle of quadratus lumborum, rectus abdominis and gluteus medius release was applied passively by sustained pressure for 8-10 seconds. This protocol consisted of three sets with 2 minutes of rest..Participants will be asked to perform exercise 30 times each session following hold and relax of muscle group for 3-5 seconds
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 17-25 years * Diagnosed cases of dysmenorrhea * Subject having trigger point in rectus abdominins, quadratus lumborum and gluteus medius * With regular cycles 21-35 days lasting 3-7 days
Exclusion criteria
* Oral contraceptives used for menstrual irregularity * Other gynecological disease like fibroids, endometriosis * Who take analgesia * Endometrial polyp, having pelvic infection using IUD, having venous congestion in internal genital organs.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| pain is assessed by numerical pain rating scale | at baseline pre intervention, at the end of 8 week post intervention | 11 point numeric pain rating scale |
| FSS scale is used to access fatigue severity | at baseline pre intervention, at the end of 8 week post intervention | 9 items scale |
| SF-36 is used to access quality of life | at baseline pre intervention, at the end of 8 week post intervention | 8 domains with further items |
Countries
Pakistan