Myofascial Release Technique in Women With Primary Dysmenorrhea
NCT Number: NCT06492148
Status: NOT_YET_RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Dysmenorrhea Primary|Central Sensitisation|Myofascial Trigger Point Pain|Menstrual Discomfort|Myofascial Release
Interventions: OTHER: Myofascial Release|OTHER: Sham-Myofascial Release
Sponsor: Gazi University
Sex: FEMALE
Age: ADULT
Enrollment: 36
Study Design: Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: DOUBLE (PARTICIPANT, OUTCOMES_ASSESSOR)|Primary Purpose: TREATMENT
Start Date: 2024-07-10
Completion Date: 2024-09-25
Locations: Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, 06530, Turkey

Summary:
It has been found that women with dysmenorrhea have active trigger points, particularly in the rectus abdominis, oblique abdominal muscles, quadratus lumborum, and paraspinal muscles. The myofascial release technique is a widely used manual therapy method characterized by the application of low-load, long-duration mechanical forces to manipulate the myofascial complex. This technique aims to restore optimal length, alleviate pain, and improve function. This study aims to examine the effect of the myofascial release technique on central sensitization, myofascial trigger points, and menstrual symptoms in women with primary dysmenorrhea.

Primary Outcome Measures: Pain Pressure Threshold, Trigger points in specific muscles (rectus abdominis, paraspinal muscles, quadratus lumborum, gluteus maximus) will be determined. Then, it will be applied to the trigger points with the Baseline brand algometer in accordance with standard procedures and the pressure will be increased by 30 kPa/s., Baseline (First menstruation cycle)|Pain Pressure Threshold, Trigger points in specific muscles (rectus abdominis, paraspinal muscles, quadratus lumborum, gluteus maximus) will be determined. Then, it will be applied to the trigger points with the Baseline brand algometer in accordance with standard procedures and the pressure will be increased by 30 kPa/s., through study completion, an average of 3 months|Central Sensitization, Pain threshold will be measured with an algometer at a certain point of the tibialis muscle., Baseline (First menstruation cycle)|Central Sensitization, Pain threshold will be measured with an algometer at a certain point of the tibialis muscle., through study completion, an average of 3 months|Menstrual pain intensity, Menstrual pain intensity will be determined by a 10 cm Visual Analog Scale ranging from zero (no pain at all) to 10 (worst pain I have ever felt). Higher scores mean worse conditions. Participants will be asked to mark the severity of pain they felt in the first 3 days of their last menstrual bleeding on 3 separate lines., Baseline (First menstruation cycle)|Menstrual pain intensity, Menstrual pain intensity will be determined by a 10 cm Visual Analog Scale ranging from zero (no pain at all) to 10 (worst pain I have ever felt). Higher scores mean worse conditions. Participants will be asked to mark the severity of pain they felt in the first 3 days of their last menstrual bleeding on 3 separate lines., through study completion, an average of 3 months
Secondary Outcome Measures: Menstrual Attitude, Menstrual Attitude Scale will be used to evaluate symptoms related to menstruation. High scores indicate a high awareness of menstruation., Baseline (First menstruation cycle)|Menstrual Attitude, Menstrual Attitude Scale will be used to evaluate symptoms related to menstruation. High scores indicate a high awareness of menstruation., through study completion, an average of 3 months|Health-related quality of life, Short Form (SF-36) will be used to evaluate individuals' general health-related quality of life. SF-36 is a 36-question survey that evaluates functionality and well-being and consists of 8 subscales. Each item is scored on a 0 to 100 range so that the lowest and highest possible scores are 0 and 100, respectively. Higher scores indicate a better quality of life., Baseline (First menstruation cycle)|Health-related quality of life, SF-36 will be used to evaluate individuals' general health-related quality of life. SF-36 is a 36-question survey that evaluates functionality and well-being and consists of 8 subscales. Each item is scored on a 0 to 100 range so that the lowest and highest possible scores are 0 and 100, respectively. Higher scores indicate a better quality of life., through study completion, an average of 3 months|Anxiety, State and Trait Anxiety Scale is a self-assessment inventory that evaluates anxiety and consists of 40 items., Baseline (First menstruation cycle)|Anxiety, State and Trait Anxiety Scale is a self-assessment inventory that evaluates anxiety and consists of 40 items., through study completion, an average of 3 months|The Body Awareness, The Body Awareness Questionnaire will be used to evaluate changes in individuals' body awareness. The questionnaire consists of 18 items and 4 subscales (predicting body reactions, sleep-wake cycle, predicting the onset of the disease, paying attention to changes in body processes)., Baseline (First menstruation cycle)|The Body Awareness, The Body Awareness Questionnaire will be used to evaluate changes in individuals' body awareness. The questionnaire consists of 18 items and 4 subscales (predicting body reactions, sleep-wake cycle, predicting the onset of the disease, paying attention to changes in body processes)., through study completion, an average of 3 months