ABSTRACT
Background: Primary dysmenorrhoea is health related problem within females with high prevalence affecting different aspects of their life and their productivity. The objective of the study was to compare the effectiveness of stretching exercises done during symptomatic and asymptomatic phase of menstrual cycle in primary dysmenorrhea
Methods: Randomized controlled trial [RCT] [double blinded] study was carried out at Royal group of colleges Gujranwala, Pakistan. Sixty six students with confirmed diagnosis of primary dysmenorrhoea were included through non-probability convenience sampling. The students were randomly assigned to two equal [n=33] groups: Asymptomatic [A] and Symptomatic [B]. Each student was assessed for pain and associated symptoms of dysmenorrhoea by using numeric pain rating scale and Daily record of severity of problems [DRSP]. Stretching exercises were performed thrice per week for group A which did exercises during asymptomatic phase and same exercises were done twice a day for group B only in symptomatic days. Both groups did exercises for three months. Data was taken at baseline and post menstrual phase of three successive menstrual cycles. The data was analyzed using SPSS 20. An independent samples t test was used to compare both groups and repeated measures ANOVA was used to find the intervention-based effects within each group
Results: Mean age of students was 21.29+/-2.60 [Year], mean weight was 52.70+/-4.81 [Kg], mean age at menarche was 13.18+/-1.11 [Year] and mean BMI was 16.87+/-0.81 [Kg/m2 ]. Both groups were comparable at baseline for age, weight, BMI and age at menarche as p>0.05. Significant changes for pain and associated symptoms were found within each group [p>0.05]
Conclusion: It is concluded that stretching exercises in symptomatic phase and asymptomatic phase are equally effective to relieve pain and associated symptoms of Primary Dysmenorrhoea
ABSTRACT
Objective: the objectives of this case study were to assess the effectiveness of manual therapy, stretching of Sciatic nerve to alleviate chronic pain in Para central disc prolapse and provide quality care to the patient through effective treatment of the Para central Disc prolapse
Design: case study
Methods: a protocol of 02 weekly-daily 20-minute manual therapy applied with stretching to the sciatic nerve and positional release therapy and application of transcutaneous electrical nerve stimulation [TENS] for 10 minutes once a week
Results: after the first treatment, the subject was free of any sciatic pain for five days. When pain returned, the patient was able to recognize what triggered the flare-up and shifted his patterns of movement to abate the discomfort. There was a recurrence of pain in the fourth and fifth weeks due to habitual patterns and work related stress that required manual physical therapy to remedy. From the fifth week on, disc prolapsed [sciatic pain] discomfort was rarely experienced
Conclusion: this case study demonstrates the effectiveness of manual Physical therapy with a positional release therapy to improve chronic sciatic pain due to disc prolapsed. Symptoms by rehabilitation are greatly improved with the addition of a daily stretching program of sciatic nerve and somatic education that improves the patient's awareness of habitual patterns