Clinical trial NCT06777940: Effects of Kegel Exercises and Myokinetic Release of Trigger Points in Primary Dysmenorrhea
Official title: Effects of Kegel Exercises With and Without Myokinetic Active Release of Trigger Points on Pain, Fatigue and Quality of Life in Primary Dysmenorrhea
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Primary Dysmenorrhea
Keywords: trigger points
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2025-01-16
Enrollment: 50
Sex: FEMALE
Minimum age (years): 17
Maximum age (years): 25
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: The rationale of this study is despite the widespread belief that exercise can reduce dysmenorrhea, evidence-based studies are limited. Studies are therefore required to evaluate the association between quality of life and the primary dysmenorrheal females, the functional impact on the quality of life and primary dysmenorrhea females also it's a crucial time for females to focus on their studies and dysmenorrhea can add to the fatigue levels and cause distress in this age group thus the purpose of this study is to determine whether myokinetic active release of trigger points in the rectus abdominis, gluteus medius and quadratus lumborum is a more effective way to reduce dysmenorrhea than kegel exercises

Detailed description: Existing research may concentrate on specific interventions or populations, leaving a void in our knowledge of the possible synergistic effects of various exercises when done both alone and in combination, Studies have provided that dysmenorrhea is treated with pelvic floor strengthening however, there is little evidence that myokinetic involvement can lead to progressive outcomes. Given the interdependence of physiology, anatomy and dysfunction. Myokinetic trigger point release may be helpful in promoting the recovery of primary dysmenorrhea.

Eligibility criteria: Inclusion Criteria:

* Age 17-25 years
* Diagnosed cases of dysmenorrhea
* Subject having trigger point in rectus abdominins, quadratus lumborum and gluteus medius
* With regular cycles 21-35 days lasting 3-7 days

Exclusion Criteria:

* Oral contraceptives used for menstrual irregularity
* Other gynecological disease like fibroids, endometriosis
* Who take analgesia
* Endometrial polyp, having pelvic infection using IUD, having venous congestion in internal genital organs.

Primary outcomes:
measure: pain is assessed by numerical pain rating scale
timeFrame: at baseline pre intervention, at the end of 8 week post intervention
measure: FSS scale is used to access fatigue severity
timeFrame: at baseline pre intervention, at the end of 8 week post intervention
measure: SF-36 is used to access quality of life
timeFrame: at baseline pre intervention, at the end of 8 week post intervention
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Major balqees maternity home
state: Punjab
city: Lahore
country: Pakistan
facility: Major Balqees Maternity Home Clinic
state: Punjab
Study officials:
affiliation: riphah international univrsity
name: Iqra abdul ghafoor, PPDPT
role: PRINCIPAL_INVESTIGATOR
References:
citation: 1. Gupta S, Arora M, Yadav PJRJoMS. Comparative Evaluation of Effectiveness of Pelvic Floor Strengthening and Myokinetic Active Release of Trigger Points in Reducing Dysmenorrhea. 2023;13(3) 2. Rani M, Kaushal K, Kaur S. Prevalence of Musculoskeletal Pain and Awareness of Physiotherapy in Primary Dysmenorrhea among Female Students of Adesh University, Bathinda