Resistive Exercise and Stretching in Women With Dysmenorrhea

NCT06500520 | Completed

• 1 other identifier: women Health
• Study Type: interventional
• Target: 54
• Locations: 1 country
• Sites: 1

Brief Summary

This study highlights the importance of exercise for young women with primary dysmenorrhea. Exercise can help relieve the symptoms of dysmenorrhea by increasing blood flow and promoting the release of endorphins. Additionally, exercise can improve the overall quality of life by reducing stress and anxiety. A comprehensive comparison of the effects of especially resistant exercises and stretching exercises on menstrual pain is based on limited findings in the literature. Therefore, this study aims to make a significant contribution to clinical practice by evaluating the effectiveness and feasibility of these exercise types.

Conditions

Dysmenorrhea Primary

Outcome Measures

Primary Outcomes (5)

• Visual Analog Scale

  Lower abdomen, leg and low back pain were evaluated with the Visual Analog Scale

  At baseline, on the most painful 1 day of Cycle 1 (each cycle is 28 days), and on the most painful 1 day of Cycle 2 (each cycle is 28 days).

• Menstrual symptoms questionnaire

  menstrual symptoms were evaluated with the Menstrual Symptoms Questionnaire

  At baseline, on the most painful 1 day of Cycle 1 (each cycle is 28 days), and on the most painful 1 day of Cycle 2 (each cycle is 28 days).

• Pittsburgh Sleep Quality Index

  sleep quality was evaluated with the Pittsburgh Sleep Quality Index

  At baseline, on the most painful 1 day of Cycle 1 (each cycle is 28 days), and on the most painful 1 day of Cycle 2 (each cycle is 28 days).

• Health-Related Quality of Life Assessment (SF 36 Short Form)

  Quality of life was evaluated with the Health-Related Quality of Life Assessment (SF 36 Short Form)

  At baseline, on the most painful 1 day of Cycle 1 (each cycle is 28 days), and on the most painful 1 day of Cycle 2 (each cycle is 28 days).

• Functional and Emotional Dysmenorrhea Questionnaire

  functional and emotional status was evaluated with the Functional and Emotional Dysmenorrhea Questionnaire

  At baseline, on the most painful 1 day of Cycle 1 (each cycle is 28 days), and on the most painful 1 day of Cycle 2 (each cycle is 28 days).

Study Arms (3)

Resisted Exercise group

ACTIVE COMPARATOR

Participants underwent resistance training for 8 weeks, focusing on trunk, upper, and lower body segments with 10-12 reps per exercise at 30-65% intensity. Sessions lasted 50-60 minutes, 3 times weekly

Other: Resisted Exercise group

Stretching Exercise group

ACTIVE COMPARATOR

The participants were made to perform stretching exercises, selected by reviewing the literature, under supervision 3 days a week for 8 weeks, and they were asked not to do any other exercises during this intervention period.

Other: Stretching Exercise group

control group

NO INTERVENTION

No treatment was applied to the control group; they were allowed to use painkillers and continued their normal daily lives.

Interventions

Resisted Exercise group OTHER

The resisted exercise training program targeted trunk, upper, and lower body segments with 10-12 repetitions at 30-65% intensity, lasting 50-60 minutes per session, 3 times weekly for 8 weeks. Participants determined their maximal repetition through trial training. Maximal power was assessed using concentric 1-maximal repetition (MT). Following a 2-3 minute rest and a 5-minute warm-up (walking), participants performed the 1-MT test to establish their heaviest lift with the correct technique, adjusting resistance levels accordingly. The circuit-style training spanned 9 stations with 2-3 sets per station, each circuit lasting 2-3 minutes with 90-second rests between sets. A 5-minute warm-up and cool-down (walking) preceded and followed each session. Exercises included bilateral elbow flexion, chest press, bilateral shoulder abduction, bilateral knee extension, back extension, sit-ups, knee flexion, hip abduction, and hip adduction.

Resisted Exercise group

Stretching Exercise group OTHER

The participants were made to perform stretching exercises, selected by reviewing the literature, under supervision 3 days a week for 8 weeks, and they were asked not to do any other exercises during this intervention period. They were asked to do exercises such as trunk flexion, pelvic elevation, squatting, trunk lateral flexion, lumbar extensor stretching, lower abdominal stretching, hip adduct stretching, piriformis stretching, and trunk flexor stretching (cobra pose). The holding time was 5 seconds, the rest time was 1 second, and the exercises were applied in 10 repetitions.

Stretching Exercise group

Eligibility Criteria

• Age: 18 Years - 25 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Having a score of 60 points or above on the menstrual symptoms scale
• Having a regular menstrual cycle (24-35 days)
• Not doing any exercise regularly
• Being between the ages of 18 and 25
• Nulliparity
• Being cooperative and oriented
• Volunteering to participate in the study

You may not qualify if:

• Having a medical history of chronic disease (cardiopulmonary, neurological, thyroid gland diseases)
• Having a history of regular exercise
• Engaging in regular sexual activity
• Having undergone gynecological surgical procedures
• Using hormonal contraceptive drugs or intrauterine devices
• Using a drug that causes dysmenorrhea
• Pelvic pathology, pelvic inflammatory diseases, endometriosis, etc. Having a disease that causes secondary dysmenorrhea
• Using antidepressant medication
• Having acute musculoskeletal system problems

Sponsors & Collaborators

• Karabuk University: lead

Study Sites (1)

Karabük University

Karabük, 78000, Turkey (Türkiye)

Location

Related Publications (4)

• Moradpour, R., "Resistance training improves primary dysmenorrhea symptoms in young girls: A randomized controlled trial", Journal of Physical Activity and Hormones, 3(3): 35-48 (2019).

  BACKGROUND

• Brown J, Brown S. Exercise for dysmenorrhoea. Cochrane Database Syst Rev. 2010 Feb 17;(2):CD004142. doi: 10.1002/14651858.CD004142.pub2.

  PMID: 20166071 BACKGROUND

• Carroquino-Garcia P, Jimenez-Rejano JJ, Medrano-Sanchez E, de la Casa-Almeida M, Diaz-Mohedo E, Suarez-Serrano C. Therapeutic Exercise in the Treatment of Primary Dysmenorrhea: A Systematic Review and Meta-Analysis. Phys Ther. 2019 Oct 28;99(10):1371-1380. doi: 10.1093/ptj/pzz101.

  PMID: 31665789 BACKGROUND

• Motahari-Tabari N, Shirvani MA, Alipour A. Comparison of the Effect of Stretching Exercises and Mefenamic Acid on the Reduction of Pain and Menstruation Characteristics in Primary Dysmenorrhea: A Randomized Clinical Trial. Oman Med J. 2017 Jan;32(1):47-53. doi: 10.5001/omj.2017.09.

  PMID: 28042403 BACKGROUND

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Director

Study Record Dates

• First Submitted: June 27, 2024
• First Posted: July 15, 2024
• Study Start: December 1, 2023
• Primary Completion: February 10, 2024
• Study Completion: February 10, 2024
• Last Updated: July 15, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)