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Effect of Knee Chest Position in Primary Dysmenorrhea- A Randomized Controlled Trial


Affiliations
1 OBG Physiotherapy, Institute of Physiotherapy, KLE University, Belgaum, India
2 Institute of Physiotherapy, KLE University, Belgaum, India
3 OBG Department, J.N. Medical College, KLE University, Belgaum, India
     

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Background and objectives: Dysmenorrhea is a painful symptom that accompanies the menstrual cycles. Although exercise is generally thought to alleviate the symptoms of menstrual pain the scientific literature displays mixed evidence. The main objective of this research was to determine the effect of knee chest position on primary dysmenorrhea.

Materials and method: 30 female participants were recruited from KLE's Institute of Physiotherapy, Belgaum and randomly allocated to control and experimental group after obtaining an informed consent and clearance from the institutional ethical committee. Visual analogue scale (VAS) and Moos menstrual distress questionnaire (MMDQ) were used as primary and secondary outcome measures. Control group received hot moist pack for 10 mins and the experimental group received hot moist pack (HMP) for 10 mins and knee chest position for 10 repetitions with 20 seconds hold. The intervention was carried out for 2 days beginning from the first day of menses. Outcome measures were documented using VAS on both the days pre intervention and post intervention and MMDQ on 1st day pre intervention and 2nd day post intervention respectively.

Results: The results showed statistically significant reduction in VAS and MMDQ scores in the experimental group when compared to the control group with p

Conclusion: Intervention with Knee chest position can be used in conjunction with HMP for reducing pain and menstrual distress in primary dysmenorrhea.


Keywords

Primary Dysmenorrhea, Visual Analogue Scale, Moos Menstrual Distress Questionnaire, Knee Chest Position
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  • D.C. Dutta Textbook oo Gynecology 4th Edition, ISBN-7381-174

  • Proctor M, Murphy PA. Herbal and dietary therapies for primary and secondary dysmenorrhoea. Cochrane Database of Systematic Reviews 2001, Issue 2. Art. No.: CD002124. DOI: 10.1002/14651858.CD002124

  • Sabaranam Arulkumaran, V Sivanesaratnam, Alokendu Chatterjee, Pratap Kumar. Essentilas of Gynecology.1st Edition New Delhi: Jaypee Brothers Medical Publishers 2005 p55-58

  • Parsons. Primary Dysmenorrhea. Text book of Gynaecology 2nd ed, 325-29.

  • Novak. Pelvic Pain and Dysmenorrhea. Berek J (Eds) General Gynaecology 6th ed, Williams and Willians; 408-14.

  • Kistner. The Menstrula Cycle. Kistner ’s Gynaecology 6th ed, USA; Harcourt Brace and Co., 1995;44-46.

  • Shaw R. Disorders of Menstruation. Shaw’s textbook of Gynaecology 12th ed. New Delhi; Churchill Livingstone, 1999;227-29.

  • Dawood YM. Dysmenorrhea. Clinical Obstet and Gynecol 1983;26(3): 719-27.

  • Lumsden MA. Dysmenorrhea. Progress in Obstetrics and Gynaecology 5:276-89.

  • McLure Browne. Dysmenorrhea. Post graduate Obstetrics and Gynaecology, 3rd ed 89-99.

  • Balbi C, Musone R, Menditto A, Di Prisco L, Cassese E, D’Ajello M, Ambrosio D, Cardonel A. Influence of menstrual factors and dietary habits on menstrual pain in adolescence age. Eur J Obstet Gynecol Reprod Biol 2000;91:143-48.

  • Abbaspour Z. MSc, Rostami M. MSc, Najjar Sh. MSc. The Effect of Exercise on Primary Dysmenorrhea; J Res Health Science, Vol 6, No 1, pp.26-31,2006.

  • Bonen A, Keizer H. Athletic menstrual cycle irregularity endocrine response to exercise and training. Physician Sports Med. 1984;12:78-93

  • Ganon. L. The potential of exercise in the alleviation of menstrual disorders and menopausal symptom. Women Health. 1986; 142(2):105-7.A.

  • Linacre J.M. Rasch. Visual Analog Scales. Measurement Transactions; 1998; 12(2):639.

  • Rosemary A. Markum, MS Assessment of reliability of and the effect of neutral instructions on the symptom ratings on the Moos Menstrual Distress Questionnaire, Psychosomatic Medicine Vol. 38, No.3 (May-June 1976)

  • Akin, Mark D, Weingand, Kurt W, Hengehold, David A, Goodale, Mary Beth, Hinkle, Robert T, Smith, Roger. Continuous low-level topical heat in the treatment of dyamenorrhea. Obstetrics and Gynecology Vol. 97-Issue 3 p 343-349 March 2001.

  • Scott F.N , Roger J.The Physiologic Basis And Clinical Applications of Cryotherapy and Thermotherapy for the pain practitioner. Pain Physician 2004; 395-399, ISSN 1533-3159

  • Billig HE Jr. Dysmenorrhoea, the result of a postural defect. Archives of Surgery 1943;46:611.

  • R Baranitharan, V Mahalakshmi, V Kokila. Physiotherapy Care For Women’s Health. 2010 1st ed. Jaypee Brothers Medical Publishers Ltd. pp.37-41

  • Golub Lm, Solidum. A, Warren M. Primary dysmenorrheal and physical activity. Sport Exc Med. 1998;30: 906-9


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  • Effect of Knee Chest Position in Primary Dysmenorrhea- A Randomized Controlled Trial

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Authors

Arati Mahishale
OBG Physiotherapy, Institute of Physiotherapy, KLE University, Belgaum, India
Dinika Mascarenhas
Institute of Physiotherapy, KLE University, Belgaum, India
Shobhana Patted
OBG Department, J.N. Medical College, KLE University, Belgaum, India

Abstract


Background and objectives: Dysmenorrhea is a painful symptom that accompanies the menstrual cycles. Although exercise is generally thought to alleviate the symptoms of menstrual pain the scientific literature displays mixed evidence. The main objective of this research was to determine the effect of knee chest position on primary dysmenorrhea.

Materials and method: 30 female participants were recruited from KLE's Institute of Physiotherapy, Belgaum and randomly allocated to control and experimental group after obtaining an informed consent and clearance from the institutional ethical committee. Visual analogue scale (VAS) and Moos menstrual distress questionnaire (MMDQ) were used as primary and secondary outcome measures. Control group received hot moist pack for 10 mins and the experimental group received hot moist pack (HMP) for 10 mins and knee chest position for 10 repetitions with 20 seconds hold. The intervention was carried out for 2 days beginning from the first day of menses. Outcome measures were documented using VAS on both the days pre intervention and post intervention and MMDQ on 1st day pre intervention and 2nd day post intervention respectively.

Results: The results showed statistically significant reduction in VAS and MMDQ scores in the experimental group when compared to the control group with p

Conclusion: Intervention with Knee chest position can be used in conjunction with HMP for reducing pain and menstrual distress in primary dysmenorrhea.


Keywords


Primary Dysmenorrhea, Visual Analogue Scale, Moos Menstrual Distress Questionnaire, Knee Chest Position

References