Investigation of the Effect of Online Yoga Based Exercise Program on Women With Primary Dysmenorrhea
Condition: Primary Dysmenorrhea
MeSH terms: Dysmenorrhea
Study type: Interventional

Summary: 
      Dysmenorrhea; It is defined as painful menstrual bleeding and is included in the 10th
      Revision of International Disease Statistics and Related Health Problems published by the
      World Health Organization in 1992. In women with dysmenorrhea, pain usually begins within 1-2
      years after menarche, is intermittent, cramp-like, predominantly in the suprapubic region,
      and may sometimes be accompanied by various symptoms such as diarrhea, nausea, and vomiting.
      The incidence of dysmenorrhea can often differ because most women suffering from this problem
      do not seek any health care services. Symptoms of the menstrual period may negatively affect
      women in all areas of life by causing various somatic and psychological problems. The state
      of being absent at least once at school or work due to symptoms of primary dysmenorrhea has
      been reported by 13-51% of women suffering from this condition. In the treatment of
      dysmenorrhea, the application of exercise to reduce the level of pain and alleviate the
      severity of symptoms was started by Mosler in 1914. Mosler demonstrated that exercise pumps
      blood to the uterus, thereby reducing menstrual pain. In later recent studies, it was found
      that exercise increases beta-endorphin hormone secretion, which has a natural pain reliever
      effect in the body; suggested that it reduces stress, pain, and prostaglandin levels.
      Therefore, the use of exercise as a therapy is thought to improve not only pain and mental
      health symptoms, but also the quality of life. As of March 11, 2020, since the World Health
      Organization defined Coronavirus Disease 2019 (COVID-19) as a pandemic. In the current
      epidemic process, the concept of "social distance" has been emphasized as the most important
      and basic way of reducing the risk of transmission from close contact, and the importance of
      choosing telerehabilitation has been emphasized once again. Online application of exercise
      programs can be defined as telerehabilitation, as the transmission of rehabilitation services
      over long distances by using electronic information and communication technology. In recent
      years, it has become one of the popular areas with the development of technology. Due to the
      limited number of studies on this subject in the literature, our study aimed to investigate
      the effect of the online yoga-based exercise program on women with primary dysmenorrhea.
    

Detailed description: 
      This study will be conducted online between March 2021 and May 2021 in their own settings for
      women with regular menstrual cycles to investigate the impact of online yoga-based exercise
      programs on women with primary dysmenorrhea. All participants will be given detailed
      information about the study and a written informed consent form will be signed that they
      agree to work voluntarily. The GPower program was used to determine the number of people to
      be included in the study and control groups. When the results of two studies similar to our
      study were evaluated in the literature review, it was seen that the Effect size d value for
      the VAS score was distributed between 0.17 and 2.06 and clustered around 1. When the effect
      size was d = 1, α = 0.05, Power (1-β) = 0.90 (90%) was taken in the GPower package program,
      and the minimum sample size was determined to be 50, 25 in the study and control groups. They
      will be randomly divided into two groups of 25 people each, according to the order of
      application. While an online yoga-based exercise program and an informative training program
      was applied to the experimental group from two randomly separated groups, only an informative
      training program will be given to the control group.
    

Intervention name(s): Exercise Program; Education Program
Intervention type(s): Other; Other
Intervention description(s): An online yoga-based exercise program will be applied for 16 sessions in individuals' own environments. The exercise program will consist of stretching, mobilization, stabilization, strengthening and relaxation exercises.; There will be video training on the subject for both groups.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Fifty women with primary dysmenorrhea will be divided into two groups as study and control. The working group will be subjected to informative training and an online exercise program of 16 sessions. The control group will only receive information training.
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Yoga; Telerehabilitation; Exercise; Online