Benefits on pain intensity, quality of life, and disability of women with dysmenorrhea undergoing general exercises versus Pilates: a pilot study

Main Article Content

Bruna Cristina Taques Peruzzo
Lisley Sousa Ramalho
Marta Regina Figueiredo
Fábio Marcon Alfieri

Abstract

Introduction: Primary dysmenorrhea is a gynecological disorder characterized by pain associated with menstruation without a pathological cause. Objective: To assess and compare pain intensity, disability and quality of life of women with primary dysmenorrhea undergoing general exercise versus Pilate’s method. Methods: This study included 14 women randomly assigned to general exercise (19.14±1 years) group and Pilates group (20.57±1.8 years). Both groups performed two sessions per week for 50 minutes over two and a half months, totaling 20 sessions. The general exercise group performed stretching and strengthening of the abdominal and lower back muscles, and of pelvic floor. The Pilates group, on the other hand, practiced exercises for pelvis awareness with contractions of transverse and abdomen rectus muscles, buttocks, perineum and erectors of spine. All the participants responded to the questionnaires of the Oswestry disability index for low back pain; Visual Analogue Scale (VSA) to measure pain intensity; and SF-36 Quality of Life Questionnaire before and after the intervention. Data were considered statistically significant when p<0.05. Results: Significant improvements after the intervention in both groups were found in all evaluations. With regard to the differences between the groups, in the item of low back pain disability, the general exercise group had better outcomes (p<0.003) than the Pilates group, as well as in the domain of health status (0.03) of the SF-36 Questionnaire. Conclusion: Practice of general exercises as well as Pilates’s method by women with dysmenorrhea can reduce pain and disability and improve the quality of life.

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How to Cite
Peruzzo, B. C. T., Ramalho, L. S., Figueiredo, M. R., & Alfieri, F. M. (2015). Benefits on pain intensity, quality of life, and disability of women with dysmenorrhea undergoing general exercises versus Pilates: a pilot study. ABCS Health Sciences, 40(1). https://doi.org/10.7322/abcshs.v40i1.696
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Original Articles

References

1. Osayande AS, Mehulic S. Diagnosis and initial management of dysmenorrhea. Am Fam Physician. 2014;89(5):341-6.

2. Proctor ML, Farquhar CM. Dysmenorrhoea. BMJ Clin Evid. 2007;2007:0813.

3. Proctor M, Farquhar C. Diagnosis and management of dysmenorrhoea. BMJ. 2006;332(7550):1134-8. http://dx.doi.org/10.1136/bmj.332.7550.1134

4. Sahin S, Ozdemir K, Unsal A, Arslan R. Review of frequency of dysmenorrhea and some associated factors and evaluation of the relationship between dysmenorrhea and sleep quality in university students. Gynecol Obstet Invest. 2014;78(3):179-85. http://dx.doi.org/10.1159/000363743

5. Durain D. Primary dysmenorrhea: assessment and management update. J Midwifery Womens Health. 2004;49(6):520-8. http://dx.doi.org/10.1016/j.jmwh.2004.08.013

6. Diegoli MS, Diegoli CA. Dismenorréia. RBM. 2007;64(3):81-7.

7. Quintana LM, Heinz LN, Portes LA, Alfieri FM. Influência do nível de atividade física na dismenorréia. Rev Bras Ativ Fis Saúde. 2010;15(2):101-4.

8. Ikeda F, Salomão AJ, Ramos LO. Dismenorréia primária. RBM. 1999;56(12):215-25.

9. Souza JB. Poderia a atividade física induzir analgesia em pacientes com dor crônica? Rev Bras Med Esporte. 2009;15(2):145-50. http://dx.doi.org/10.1590/S1517-86922009000200013

10. Mcardle WD, Katch FI, Victor L. Fisiologia do exercício: energia, nutrição e desempenho humano. 6 ed. Rio de Janeiro: Guanabara Koogan; 2008. p. 695.

11. Wells C, Kolt GS, Bialocerkowski A. Defining Pilates exercise: a systematic review. Complement Ther Med. 2012;20(4):253-62. http://dx.doi.org/10.1016/j.ctim.2012.02.005

12. Ciconelli RM, Ferraz MB, Santos W. Tradução para a língua portuguesa e validação do questionário genérico de avaliação de qualidade de vida SF-36 (Brasil SF-36). Rev Bras Reumatol. 1999;39(3):143-50.

13. Vigatto R, Alexandre NM, Correa Filho HR. Development of a Brazilian Portuguese version of the Oswestry Disability Index: cross-cultural adaptation, reliability, and validity. Spine. 2007;32(4):481-6. http://dx.doi.org/10.1097/01.brs.0000255075.11496.47

14. Chapman CR, Syrjala KL. Assessment of pain. In: Bonica JJ, Chapman CR, Fordyce WE, Loeser JD, eds. The management of pain in clinical practice. 2 ed. Philadelphia: Lea & Febiger; 1990. p. 580-94.

15. Sultan C, Gaspari L, Paris F. Adolescent dysmenorrhea. Endocr Dev. 2012;22:171-80. http://dx.doi.org/10.1159/000331775

16. Billig Jr HE. Dysmenorrhoea: the result of a postural defect. Arch Surg. 1943;46(5):611-3. http://dx.doi.org/10.1001/archsurg.1943.01220110027007

17. Sebek V, Lewit K. [Indications for exercise and neuro-orthopedic therapy in cases of menstrual pain]. Cesk Gynekol. 1966;31(10):754-5.

18. House JM. Report on exercises for dysmenorrhoea. Occup Health (Lond). 1969;21(1):31-4.

19. Timonen S, Procopé BJ. Premenstrual syndrome and physical exercise. Acta Obstet Gynecol Scand. 1971;50(4):331-7.

20. Daley AJ. Exercise and primary dysmenorrhoea: a comprehensive and critical review of the literature. Sports Med. 2008;38(8):659-70.

21. Jahromi MK, Gaeini A, Rahimi Z. Influence of a physical fitness course on menstrual cycle characteristics. Gynecol Endocrinol. 2008;24(11):659-62. http://dx.doi.org/10.1080/09513590802342874

22. Brown J, Brown S. Exercise for dysmenorrhoea. Cochrane Database Syst Rev. 2010;7(2):CD004142. http://dx.doi.org/10.1002/14651858.CD004142.pub2

23. Israel R, Sutton M, O’Brien K. Effects of aerobic training on primary dysmenorrhoea symptomology in college females. J Am Coll Health. 1985;33(6):241-4.

24. Rakhshaee Z. Effect of three yoga poses (cobra, cat and fish poses) in women with primary dysmenorrhea: a randomized clinical trial. J Pediatr Adolesc Gynecol. 2011;24(4):192-6. http://dx.doi.org/10.1016/j.jpag.2011.01.059

25. Cornélio AM, Siqueira VP, Botelho SP, Branco M. Estudo comparativo entre a estimulação elétrica nervosa transcutânea e cinesioterapia na analgesia em pacientes com dismenorreia primária. Fisio Brasil. 2006;10(76):27-33.

26. Cruz-Ferreira A, Fernandes J, Laranjo L, Bernardo LM, Silva A. A systematic review of the effects of pilates method of exercise in healthy people. Arch Phys Med Rehabil. 2011;92(12):2071-81. http://dx.doi.org/10.1016/j.apmr.2011.06.018

27. Araújo LM, Silva JM, Bastos WT, Ventura PL. Diminuição da dor em mulheres com dismenorreia primária, tratadas pelo método Pilates. Rev Dor. 2012;13(2):119-23. http://dx.doi.org/10.1590/S1806-00132012000200004

28. Culligan PJ, Scherer J, Dyer K, Priestley JL, Guingon-White G, Delvecchio D, et al. A randomized clinical trial comparing pelvic floor muscle training to a Pilates exercise program for improving pelvic muscle strength. Int Urogynecol J. 2010;21(4):401-8. http://dx.doi.org/10.1007/s00192-009-1046-z

29. Sonenreich C, Kerr CF, Estevão G. Doenças afetivas. São Paulo: Manole; 1991.

30. Unsal A, Ayranci U, Tozun M, Arslan G, Calik E. Prevalence of dysmenorrhea and its effect on quality of life among a group of female university students. Ups J Med Sci. 2010;115(2):138-45. http://dx.doi.org/10.3109/03009730903457218

31. Barnard K, Frayne SM, Skinner KM, Sullivan LM. Health status among women with menstrual symptoms. J Womens Health (Larchmt). 2003;12(9):911-9. http://dx.doi.org/10.1089/154099903770948140