Volume : 5, Issue : 8, AUG 2019

TO STUDY THE EFFICACY OF AEROBIC EXERCISES AND YOGA ASANAS ON PAIN, MENSTURAL DISTRESS, PHYSICAL ACTIVITY IN SUBJECTS WITH PRIMARY DYSMENORRHEA

DR. S.SARADHA, DR. K.MADHAVI, DR. N.KAVITHA

Abstract

INTRODUCTION: Primary dysmenorrhea is defined as pain in lower abdomen that occurs just before or during menstruation without any pelvic pathology which is one of the most common complaints of women and it continues for 8 hours to 3 days. The incidence of dysmenorrhea is 75% in adolescent girls with systemic symptoms such as headache [60%], lower back pain, nausea, vomiting,[80%] diarrhea [50%],irritability[30%]. The prevalence of dysmenorrhea is between74% to 86.1%. Primary dysmenorrhea begins at the age of 15 to 17 yrs and persists to the maximum age of 20 to 24yrs. The medical treatment for primary dysmenorrhea is non-steroidal anti –inflammatory drugs [NSAIDA], antidepressants, hormonal treatment such as oral contraceptives. Apart from medical therapy adjacent therapies like physiotherapy, yoga, ayurveda, homeopathy also plays a role. Other physiotherapy interventions used in treating dysmenorrhea are TENS, relaxation techniques, stretching’s, massage and yoga asanas. Paucity of studies is found on effectiveness of exercise on dysmenorrhea as well as on physical activity. In primary dysmenorrhea, very few studies were done on pelvic floor exercises, lower limb exercises and yoga asanas which has its effect on pelvic floor muscles hence, the present study is to know the efficacy of aerobic exercises and yoga asanas on pain, menstrual distress and physical activity in subjects with primary dysmenorrhea. NEED OF THE STUDY: Many of studies have been done on effectiveness of exercises on symptoms of dysmenorrhea but very few studies were done on efficacy on pelvic floor exercises, lower limb exercises and yoga asanas on symptoms of dysmenorrhea Hence, the need of the present study is to know efficacy of aerobic exercises and yoga asanas on pain, menstrual distress, physical activity in subjects with primary dysmenorrhea. Primary dysmenorrhea is highly prevalence in females It affects the daily activity and quality of life during menstruation. There are hormonal effects on the lining on the uterus and increased level of circulator endorphins. Physical activity stimulate sympathetic activity thus exercises helps to decreased symptoms of primary dysmenorrhea. AIM OF THE STUDY: The aim of the present study is to find out the efficacy of aerobic exercises and yogasanas on pain, menstrual distress, physical activity, in subjects with primary dysmenorrhea. OBJECTIVES: -To find out the effect of aerobic exercises and yoga asanas on pain by using Mc Gill pain questionnaire in subjects with primary dysmenorrhea. -To find out the effect of aerobic exercises and yoga asanas on menstrual distress by using moon menstrual distress questionnaire in subjects with primary dysmenorrhea. -To find out the effect of aerobic exercise and yoga asanas on physical activity by using physical activity questionnaire in subjects with primary dysmenorrhea. METHODOLOGY: Study setup: Department of physiotherapy, in SVIMS University, Tirupati, AP Study design: experimental design Sampling method: randomized controlled trial. Study duration: 8 weeks Sample size: 64 subjects. Assuming that there will be a moderate change in the distress score or physical activity score. We have used Cohen’s d method to find out the sample size using d =0.5, power =80 percentage and alpha =0.05, we got the minimal size for pre, post comparison as N = 64 [minimally]. However we took 80 members for the study. STATISICAL ANALYSIS:
 The data on pain scores, distress questionnaire, and physical activity will be expected as mean and standard deviation in each group.
 Comparison between intervention groups is done by using T test or non parametric test.
 Categorical data is summarized as count and percentage.
 Results having p 0.05 is considered as significant.
 Pre-post comparison is made using paired T test.
INCLUSIVE CRITERIA:
 With primary dysmenorrheal
 Subjects with Age group 18-25 years
 With a normal BMI
EXCLUSIVE CRITERIA:
 Irregular or infrequent menstrual cycle
 PCOD.
 Intra uterine contraceptive devices.
 Individuals who use medications for pain.
OUTCOME MEASURES:
 Mc Gill pain questionnaire is used to measure pain in units.
 Physical activity scale is measured using IPAQ in units.
 Distress measured using menstrual distress questionnaire in units.
METHODOLOGY: In this study we have taken 64 subjects with primary dysmenorrhea .It is a experimental study. This study was conducted for 8 weeks in physiotherapy deportment, Svims University Tirupathi. Subjects included in the study who had primary dysmenorrhea, with age between 18 to 25 years, with normal BMI subjects who have irregular or infrequent menstrual cycle, PCOD, intra uterine contraceptive devices were excluded from the study. Baseline measurements are VAS scale, menstrual distress score, physical activity score, and anthropometric measurements. Subjects were randomly divided into two groups. Group I is given yoga asanas for 8 weeks as explained on the annexure-II .group II is given aerobic exercises for 8 weeks as explained on the annexure-III.VAS, menstrual distress, and physical activity scales, were measured before starting the intervention. After 8 weeks of intervention, the above outcome measures were recorded. CONCLUSION The findings of the present study showed that both types of aerobic exercise and yogasanas were effective in reducing the intensity of primary dysmenorrhea. But aerobic exercises are more effective when compared to the yogasanas. In reducing pain, enhancing physical activity, alleviating mood levels.

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