Ortiz Mario I, Cortés-Márquez Sandra Kristal, Romero-Quezada Luis C, Murguía-Cánovas Gabriela, Jaramillo-Díaz Alfonso P
Área Académica de Medicina del Instituto de Ciencias de la Salud, Universidad Autónoma del Estado de Hidalgo, Pachuca, Hidalgo, Mexico; Universidad del Futbol y Ciencias del Deporte, San Agustín Tlaxiaca, Hidalgo, Mexico.
Universidad Politécnica de Pachuca, Zempoala, Hidalgo, Mexico.
Eur J Obstet Gynecol Reprod Biol. 2015 Nov;194:24-9. doi: 10.1016/j.ejogrb.2015.08.008. Epub 2015 Aug 17.
To evaluate the efficacy of a physiotherapy program for relieving symptoms of primary dysmenorrhea among Mexican women.
This was a single-center, prospective, experimental, parallel group, randomized controlled trial. This cross-sectional study was performed at the Universidad Politécnica de Pachuca, Hidalgo, Mexico. Female patients with primary dysmenorrhea, age of 18-22 years; pain intensity from 4 to 10cm on a Visual Analogue Scale (VAS); and sedentary lifestyle were included. The patients were then randomized to receive a physiotherapy program for three months or to no intervention program. The physiotherapy program consisted of overall stretching, specific stretches, Kegel exercises, jogging, and relaxation exercises. Patient evaluations of symptomatology and pain intensity were recorded basally and throughout for three menstrual periods. The data were entered into a computerized database for descriptive and inferential statistical analyses.
A per-protocol population of eighty three women with a mean age of 20.2±1.8 years underwent the physiotherapy program, and seventy seven participants with a mean age of 20.4±1.2 years received no treatment. The participant assessments of pain on the VAS during the second and the third menstrual cycles demonstrated a significant reduction in the treatment group (p<0.05) compared with the control group.
The results showed that strengthening, stretching and muscle relaxation techniques, in addition to jogging, are effective for reducing dysmenorrheic symptoms when they are regularly performed.
评估一项物理治疗方案对缓解墨西哥女性原发性痛经症状的疗效。
这是一项单中心、前瞻性、实验性、平行组随机对照试验。这项横断面研究在墨西哥伊达尔戈州帕丘卡的墨西哥理工大学进行。纳入年龄在18 - 22岁、视觉模拟量表（VAS）疼痛强度为4至10厘米、久坐不动的原发性痛经女性患者。然后将患者随机分为接受为期三个月的物理治疗方案组或不接受干预方案组。物理治疗方案包括全身伸展、特定伸展、凯格尔运动、慢跑和放松运动。在三个月经周期的基线期及整个期间记录患者的症状学和疼痛强度评估。数据录入计算机数据库进行描述性和推断性统计分析。
83名平均年龄为20.2±1.8岁的女性按方案人群接受了物理治疗方案，77名平均年龄为20.4±1.2岁的参与者未接受治疗。与对照组相比，治疗组在第二个和第三个月经周期VAS疼痛评估显示有显著降低（p<0.05）。
结果表明，除慢跑外，强化、伸展和肌肉放松技术在定期进行时对减轻痛经症状有效。
