Effects of Connective Tissue Manipulation Versus Stretching Exercises in Primary Dysmenorrhea
Condition: Primary Dysmenorrhea
MeSH terms: Dysmenorrhea
Study type: Interventional

Summary: 
      The study will be a randomized clinical trial in which the effect of connective tissue
      manipulation will be compared with the effect of stretching exercises on pain and severity of
      symptoms in primary dysmenorrhea. Inclusion criteria will include nulliparous females in the
      age range of 18-25 years old. Exclusion criteria will be women with irregular menses (<21 and
      >35 days), systemic and gynecological diseases (gastrointestinal, autoimmune, psychiatric
      diseases, endometriosis, pelvic inflammatory diseases), pregnant women, previous pelvic
      surgery, traumatic injury. The participants will be allocated to two groups, group A and B.
      Group A will receive connective tissue manipulation on sacral, lumbar, lower thoracic and
      anterior pelvic regions with the patient in sitting and supine positions. Group B will
      receive active stretching exercise regime including forward, backward ad side trunk bending,
      heel raise, half squatting, knee to chest, hamstring stretching, calf stretching and
      abdominal contractions.
    

Detailed description: 
      The study will be a randomized clinical trial in which the effect of connective tissue
      manipulation will be compared with the effect of stretching exercises on pain and severity of
      symptoms in primary dysmenorrhea. Inclusion criteria will include nulliparous females in the
      age range of 18-25 years old. Exclusion criteria will be women with irregular menses (<21 and
      >35 days), systemic and gynecological diseases (gastrointestinal, autoimmune, psychiatric
      diseases, endometriosis, pelvic inflammatory diseases), pregnant women, previous pelvic
      surgery, traumatic injury. The participants will be allocated to two groups, group A and B.
      Group A will receive connective tissue manipulation on sacral, lumbar, lower thoracic and
      anterior pelvic regions with the patient in sitting and supine positions. Group B will
      receive active stretching exercise regime including forward, backward ad side trunk bending,
      heel raise, half squatting, knee to chest, hamstring stretching, calf stretching and
      abdominal contractions.

      All the participants will be informed about the manner of research and will be asked to sign
      the consent form after they are willing to participate in the study. WaLIDD score and
      dysmenorrhea severity scoring will be used to determine and assess the dysmenorrhea pain and
      severity. Treatment sessions will be conducted for 8 weeks, 3 times in a week and each
      session will be carried out for 20 minutes. At the end of two months, subjects will be
      assessed for their two menstrual cycles. SPSS 21 will be used for data analysis. After
      checking normality of data appropriate tests will be applied.
    

Intervention name(s): Connective tissue manipulation; stretching exercises
Intervention type(s): Other; Other
Intervention description(s): to remove muscle spasticity; to remove muscle spasticity
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: Primary dysmenorrhea; Connective tissue manipulation; Stretching