Comparison of the Effects of Different Massage Techniques in Women With Primary Dysmenorrhea

Study Overview
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Brief Summary
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The aim of this study was to compare the effects of different massage techniques on pain, primary dysmenorrhea (PD)-related symptoms and functional and emotional influence in women with PD.

Detailed Description
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Primary dysmenorrhea is defined as painful menstrual cramps without an underlying pelvic pathology or organic problem. Massage, which is one of the physiotherapy methods that reduces pain by acting on the autonomic nervous system and circulation, has an important place in the management of PD among non-pharmacological treatment approaches. In the literature, there are studies on the use of classical massage and connective tissue massage in women with PD for reducing menstrual pain and PD-related symptoms. However, to the best of our knowledge, no study has been found comparing classical massage and connective tissue massage in PD management.

Official Title
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Comparison of the Effects of Different Massage Techniques in Women With Primary Dysmenorrhea

Conditions
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Primary Dysmenorrhea

Intervention / Treatment
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* Other: Classic massage group
* Other: Connective tissue masage


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Over 18 years of age Women with a complaint of primary dysmenorrhea, Volunteer women who have a regular menstrual cycle (28 ± 7 days) Women who have menstrual pain intensity greater than 40 mm according to the Visual Analogue Scale considering the last 6 months Exclusion Criteria: Having gastrointestinal, urogynecological, autoimmune, psychiatric diseases and/or other chronic pain syndromes, Those who have given birth, Those who have a pregnancy status, Those who use intrauterine devices, Those who have had pelvic surgery, Those who use chronic medications, including oral contraceptives or antidepressants, for at least 6 months before the study, Those with a pathological history and radiological findings showing secondary dysmenorrhea

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Participants will be randomly divided into two groups
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Classic massage group<br>Classical massage will be applied to the lumbal and abdominal region 5 days a week, from the estimated date of ovulation until the next menstrual bleeding begins. The application will take approximately 15 minutes. During the massage, the physiotherapist will apply stroking and kneading movements by using baby oil. During the treatment of the lumbal region, the patient will be in the prone position; during the treatment of the abdominal region, the patient will be in the supine position. | Other: Classic massage group<br>* Classic massage application will be given to the Classic massage group<br>|
| Active Comparator: Connective tissue massage group<br>Connective tissue massage will be applied to the lumbosacral, lower thoracic, abdominal and anterior pelvic regions 5 days a week, from the estimated date of ovulation until the onset of the next menstrual bleeding. The application will take approximately 15 minutes. During the massage, the physiotherapist will bring the tip of the middle finger of the hand into contact with the patient's skin and apply traction to the skin. During the treatment of the lumbar region, the patient will be in the sitting position, during the treatment of the abdominal and anterior pelvic region, the patient will be in the supine position. | Other: Connective tissue masage<br>* Connective tissue masage application will be given to the Connective tissue masage group<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain intensity | Menstrual pain intensity will be evaluated with Visual Analogue Scale. | change from baseline at an average of 2 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pressure pain threshold | Pressure pain threshold will be evaluated with algometer | change from baseline at an average of 2 weeks | 
| Primary dysmenorrhea (PD)-related symptoms | Severity of PD-related symptoms will be evaluated Visual Analogue Scale. | change from baseline at an average of 2 weeks | 
| Functional and emotional effects | Functional and emotional effects will be evaluated with Functional and Emotional Dysmenorrhea Scale. | change from baseline at an average of 2 weeks |