Kirthika S Veena, S Sudhakar, G Mohan Kumar, S Ramachandran, Rnv Deepthi, P Senthil Selvam
Physiotherapy (Neurology), Faculty of Physiotherapy, Dr. M.G.R. Educational and Research Institute (Deemed to be University) Maduravoyal, Chennai, IND.
Physiotherapy (Sports), Faculty of Physiotherapy, Dr. M.G.R. Educational and Research Institute (Deemed to be University) Maduravoyal, Chennai, IND.
Cureus. 2024 Apr 28;16(4):e59184. doi: 10.7759/cureus.59184. eCollection 2024 Apr.
Primary dysmenorrhea, commonly known as menstrual cramps, is a prevalent gynecological issue that impacts many women in their childbearing age. It manifests as reoccurring, cramp-like lower abdominal pain, usually commencing right prior to or during the menstrual period. These painful sensations can be severe, extending to the lower back and upper thighs can greatly disrupt a woman's daily life and overall well-being. The optimal exercise approach is needed for individuals seeking relief from primary dysmenorrhea, allowing healthcare providers and women themselves to make informed decisions regarding their treatment options. Though many forms of exercise interventions exist in the treatment of primary dysmenorrhea, this study aims to compare two forms of intervention namely pilates and gym ball exercises on pain and menstrual distress among women with Primary Dysmenorrhea.
This experimental comparative study was carried out with 30 young female participants over a 12-week period. Participant recruitment was done through a simple random sampling method. The criteria of inclusion encompassed young females aged 17-25 years, those in good health, and those experiencing primary dysmenorrhea. Exclusion criteria included secondary dysmenorrhea, medication use, polycystic ovarian syndrome, bleeding disorders, positive pregnancy tests, breastfeeding, and other medical conditions. Group A received Pilates exercises, while Group B underwent Gym ball exercises. The assessment of both groups' menstrual distress levels was conducted using the Moos Menstrual Distress Questionnaire (MDQ) and pain scores using the Visual Analog Scale (VAS).
In the statistical analysis, Group A (Pilates Exercises) showed a significantly lower mean value (2.60) on the VAS compared to Group B (Swiss Ball Exercises) (5.46), with both groups experiencing a notable reduction in post-test scores (p ≤ 0.001). Additionally, on the MOOS MDQ score, Group A (Pilates Exercises) achieved a lower mean value (79.33) compared to Group B (Swiss Ball Exercises) (103.26), with both groups demonstrating a significant decrease in post-test scores (p ≤ 0.001).
In conclusion, this study underscores the significance of exercise therapy, particularly Pilates exercises, as a holistic approach to addressing primary dysmenorrhea, improving physical well-being, and enhancing the overall quality of life.
原发性痛经，通常称为月经痉挛，是一个普遍的妇科问题，影响着许多育龄妇女。它表现为反复出现的、类似痉挛的下腹部疼痛，通常在月经开始前或期间发作。这些疼痛感觉可能很严重，延伸至下背部和大腿上部，会极大地扰乱女性的日常生活和整体健康。对于寻求缓解原发性痛经的个体而言，需要最佳的运动方法，以便医疗保健提供者和女性自身能够就其治疗选择做出明智的决定。尽管在原发性痛经的治疗中存在多种形式的运动干预，但本研究旨在比较两种干预形式，即普拉提和健身球运动，对原发性痛经女性的疼痛和月经不适的影响。
本实验性比较研究对30名年轻女性参与者进行了为期12周的研究。通过简单随机抽样方法招募参与者。纳入标准包括年龄在17 - 25岁的年轻女性、身体健康且患有原发性痛经的女性。排除标准包括继发性痛经、用药情况、多囊卵巢综合征、出血性疾病、妊娠试验阳性、哺乳期以及其他医疗状况。A组接受普拉提运动，而B组进行健身球运动。使用穆氏月经不适问卷（MDQ）对两组的月经不适程度进行评估，并使用视觉模拟量表（VAS）评估疼痛评分。
在统计分析中，A组（普拉提运动）在VAS上的平均值（2.60）显著低于B组（健身球运动）（5.46），两组在测试后的分数均有显著降低（p≤0.001）。此外，在穆氏MDQ评分上，A组（普拉提运动）的平均值（79.33）低于B组（健身球运动）（103.26），两组在测试后的分数均有显著下降（p≤0.001）。
总之，本研究强调了运动疗法的重要性，特别是普拉提运动，作为一种全面解决原发性痛经、改善身体健康和提高生活质量的方法。
