A COMPARATIVE STUDY OF YOGA AND STRUCTURED EXERCISES ON PAIN, MUSCLE PERFORMANCE, STRESS AND QUALITY OF LIFE IN PRIMARY DYSMENORRHEA
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Introduction: With a prevalence of 25 to 90% in India, primary dysmenorrhea is a frequent ailment among women of reproductive age. Management of primary dysmenorrhea is selected from multidisciplinary options, which mainly consist of pharmacological intervention, but other alternative methods like yoga and exercise are also available. However, none of the researchers have compared the effects of yoga and exercise in primary dysmenorrhea. Aim: To compare the efficacy of yoga and structured exercises on pain, stress, quality of life and muscle performance in primary dysmenorrhea. Methods: Forty participants were randomly divided into two groups: one for yoga and the other for structured exercises. A total of twelve sessions were conducted over a period of three weeks. The baseline assessment was conducted on the 3rd day of the menstrual cycle, while the post-test was conducted on the 3rd day of the next consecutive cycle. After data acquisition, the results were analyzed using repeated measures ANOVA. Result: Following the intervention, both groups demonstrated significant improvement (p < 0.05). But changes were not statistically significant between the two groups. Conclusion: Both yoga and exercise were effective in reducing pain and stress, as well as improving quality of life and muscle performance in primary dysmenorrhea.
Barnard, K., Frayne, S.M., Skinner, K.M. and Sullivan, L.M., 2003. Health status among women with menstrual symptoms. Journal of Women's Health, 12(9), pp.911–919. https://doi.org/10.1089/154099903770948140
Bijur, P.E., Silver, W. and Gallagher, E.J., 2001. Reliability of the visual analog scale for measurement of acute pain. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 8(12), pp.1153–1157. https://doi.org/10.1111/j.1553-2712.2001.tb01132.x
Brazier, J.E., Harper, R., Jones, N.M.B., O'Cathain, A., Thomas, K.J., Usherwood, T. and Westlake, L., 1992. Validating the SF-36 health survey questionnaire: New outcome measure for primary care. British Medical Journal, 305(6846), pp.160–164. https://doi.org/10.1136/bmj.305.6846.160
Collins, C., 1998. Yoga: intuition, preventive medicine, and treatment. Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG, 27(5), pp.563–568. https://doi.org/10.1111/j.1552-6909.1998.tb02623.x
Hamer, M.C. and Denniston, H.D., 1933. Dysmenorrhea and its relation to abdominal strength as tested by the wisconsin method. Research Quarterly of the American Physical Education Association, 4(1), pp.229–237. https://doi.org/10.1080/23267402.1933.10761572
Iacovides, S., Avidon, I. and Baker, F.C., 2015. What we know about primary dysmenorrhea today: A critical review. Human Reproduction Update, 21(6), pp.762–778. https://doi.org/10.1093/humupd/dmv039
Iyengar, B.K.S., 2005. Iyengar BKS The Illustrated Light On Yoga.pdf.
Kannan, P., Chapple, C.M., Miller, D., Claydon, L.S. and Baxter, G.D., 2015. Menstrual pain and quality of life in women with primary dysmenorrhea: Rationale, design, and interventions of a randomized controlled trial of effects of a treadmill-based exercise
intervention. Contemporary Clinical Trials, 42, pp.81–89. https://doi.org/10.1016/j.cct.2015.03.010
Kulkarni, A. and Deb, S., 2019. Dysmenorrhoea. Obstetrics, Gynaecology and Reproductive Medicine, 29(10), pp.286–291. https://doi.org/10.1016/j.ogrm.2019.06.002
Lins, L. and Carvalho, F.M., 2016. SF-36 total score as a single measure of health-related quality of life : Scoping review. https://doi.org/10.1177/2050312116671725
Locke, R.J. and Warren, M.P., 1999. What is the effect of exercise on primary dysmenorrhea? Western Journal of Medicine, 171(4), pp.264–265.
Mahvash, N., Eidy, A., Mehdi, K., Zahra, M.T., Mani, M. and Shahla, H., 2012. The effect of physical activity on primary dysmenorrhea of female university students. World Applied Sciences Journal, 17(10), pp.1246–1252.
Maroufizadeh, S., Foroudifard, F., Navid, B., Ezabadi, Z., Sobati, B. and Omani-Samani, R., 2018. The Perceived Stress Scale (PSS-10) in women experiencing infertility: A reliability and validity study. Middle East Fertility Society Journal, 23(4), pp.456–459. https://doi.org/10.1016/j.mefs.2018.02.003
McGovern, C.E. and Cheung, C., 2018. Yoga and Quality of Life in Women with Primary Dysmenorrhea: A Systematic Review. Journal of Midwifery and Women's Health, 63(4), pp.470–482. https://doi.org/10.1111/jmwh.12729
Nag, U. and Kodali, M., 2013. Meditation and Yoga As Alternative Therapy for Primary Dysmenorrhea Meditation and Yoga As Alternative Therapy for. Int J Med Pharm Sci, 03(March), pp.39–44.
Nayak, N.N. and Shankar, K., 2004. Yoga: A therapeutic approach. Physical Medicine and Rehabilitation Clinics of North America, 15(4), pp.783–798. https://doi.org/10.1016/j.pmr.2004.04.004
Omidvar, S., Bakouei, F., Amiri, F.N. and Begum, K., 2015. Primary Dysmenorrhea and Menstrual Symptoms in Indian Female Students: Prevalence, Impact and Management. Global Journal of Health Science, 8(8), p.135. https://doi.org/10.5539/gjhs.v8n8p135
Onur, O., Gumus, I., Derbent, A., Kaygusuz, I., Simavli, S., Urun, E., Yildirim, M., Gok, K. and Cakirbay, H., 2012. Impact of home-based exercise on quality of life of women with primary dysmenorrhoea. South African Journal of Obstetrics and Gynaecology, 18(1), pp.15–18.
Padubidri, V.G. and Daftary, S.N. eds., n.d. Shaw's Textbook of Gynecology - 16th Edition. 14th ed. Elsevier.
Proctor, M. and Farquhar, C., 2006. Diagnosis and management of dysmenorrhoea. British Medical Journal, 332(7550), pp.1134–1138. https://doi.org/10.1136/bmj.332.7550.1134
Rakhshaee, Z., 2011. Effect of Three Yoga Poses (Cobra, Cat and Fish Poses) in Women with Primary Dysmenorrhea: A Randomized Clinical Trial. Journal of Pediatric and Adolescent Gynecology, 24(4), pp.192–196. https://doi.org/10.1016/j.jpag.2011.01.059
S, K.V., Padmanabhan, K., Sudhakar, S., Aravind, S., Praveen Kumar, C. and Monika, S., 2018. Efficacy of Yoga Asana and Gym Ball Exercises in the management of primary dysmenorrhea: A single-blind, two group, pretest-posttest, randomized controlled trial. CHRISMED Journal of Health and Research, 5(2), p.118. https://doi.org/10.4103/cjhr.cjhr_93_17
Saleh, H.S., Mowafy, H.E. and Hameid, A.A. abd E., 2016. Stretching or Core Strengthening Exercises for Managing Primary Dysmenorrhea. Journal of Womens Health Care, 05(01), pp.1–6. https://doi.org/10.4172/2167-0420.1000295
Sandhiya, M. and Kokhila, K.B., 2018. An experimental study on stretching exercise versus yoga posture on young female adults with primary dysmenorrhea. International journal of Pharmacy and biological sciences, 8(2), pp.287–294.
Shahr-jerdy, S., Hosseini, R.S. and Gh, M.E., 2013. Effects of stretching exercises on primary dysmenorrhea in adolescent girls. Biomedical Human Kinetics, 4, pp.127–132. https://doi.org/10.2478/v10101-012-0024-y
Sharma, U. and Gurprasad, P., 2019. Immediate effects of Physiotherapy v/s Yoga therapy on Symptoms of Dysmenorrhea. International Journal of Scientific Research in Science and Technology, 6(4), pp.298–308. https://doi.org/10.32628/IJSRST196440
Shelke, V.S.A. and Patil, Y.R., 2019. Study The Effect Of Asanas With Life Style Changes In The Management Of Primary Dysmenorrhea. World Journal Of Pharmaceutical Research, [online] 8(2), pp.749-760.
Vallath, N., 2010. Perspectives on Yoga inputs in the management of chronic pain. Indian Journal of Palliative Care, 16(1), pp.1–7. https://doi.org/10.4103/0973-1075.63127
Vaziri, F., Hoseini, A., Kamali, F., Abdali, K., Hadianfard, M. and Sayadi, M., 2015. Comparing the Effects of Aerobic and Stretching Exercises on the Intensity of Primary Dysmenorrhea in the Students of Universities of Bushehr. Journal of Family & Reproductive
Health, 9(1), p.23.
Yonglitthipagon, P., Muansiangsai, S., Wongkhumngern, W., Donpunha, W., Chanavirut, R., Siritaratiwat, W., Mato, L., Eungpinichpong, W. and Janyacharoen, T., 2017. Effect of yoga on the menstrual pain, physical fitness, and quality of life of young women with primary
dysmenorrhea. Journal of Bodywork and Movement Therapies, 21(4), pp.840–846. https://doi.org/10.1016/j.jbmt.2017.01.014
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