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The aim of this study is to investigate the effectiveness of Pilates exercises in the treatment of dysmenorrhea and to contribute to the literature and information on this subject.
The study was planned as a randomized controlled study. The study will be conducted at the Fizyorapt physiotherapy and exercise consultancy center. It will be divided into 2 main groups as those between the ages of 18-50, those with a menstrual period of 3-9 days, those with menstrual pain complaints, and those who cooperate in completing the assessment scales. Participants will be asked to continue the given exercises for 6 weeks, 2 days a week and 45 minutes. People with psychological and physical disabilities will not be included in regular exercise. A personal information form will be prepared by the researcher in order to collect data on the sociodemographic characteristics of the participants. Visual analog scale (VAS) will be used to measure pain intensity and pain relief, Beck depression scale to determine depression symptoms, and menstruation symptom scale to evaluate menstrual pain and symptoms. These surveys will be repeated before and at the end of the study. The data to be obtained will be evaluated using the SPSS24 package program.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| control group | Active Comparator | those who did not receive any intervention |
|
| reformer exercise group | Experimental | They will practice reformer pilates exercises |
|
| mat exercise group | Experimental | They will practice mat pilates exercises |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| control | Other | There is no intervention |
| |
| reformer |
| Measure | Description | Time Frame |
|---|---|---|
| Visual Analogue Scale | Participants were included in the "healthy" category when they marked the 0-1 range of the scale, and were included in the "Menstruation pain" category when they marked the 1.1-10 range. They were divided into 3 groups according to pain severity. 1.1-3: Mild pain, 3.1-7: Moderate pain, 7.1-10: Severe pain. | 14 weeks |
| Menstruation Symptom Scale | It is a 5-point Likert-type scale and consists of three sub-parameters: 'negative effects/somatic effects', 'menstrual pain' and 'coping methods', and 22 items. The person is asked to give a score between '1' never and '5' always for the symptoms they experience related to menstruation. The Menstruation Symptom Scale (MSS) score is calculated by taking the total score average. An increase in the mean score indicates an increase in the severity of menstrual symptoms. | 14 weeks |
| Fatigue Severity Scale | It consists of 9 questions. Each question is scored between 1 and 7. Statements Regarding Scoring 1. I strongly disagree 3. I tend to disagree 5. I tend to agree 2. I disagree 4. I am undecided 6. I agree 7. I strongly agree. ) the score of the answers given to the question is added and divided by 9. If the result is less than 2.8, it is evaluated as "no fatigue". If the result is greater than 6.1, it is considered as "chronic fatigue syndrome | 14 weeks |
| Pittsburgh Sleep Quality Index | It was developed by Buysse et al. (1989) (34). The scale is a safe and consistent questionnaire that evaluates the amount of sleep, sleep quality, presence and severity of sleep disorders in individuals in the last month. It was adapted into Turkish by Ağargün et al. (1996) (35). There are seven components in Pittsburg Sleep Quality Index. These components are subjective sleep quality (component 1), sleep latency (component 2), sleep duration (component 3), habitual sleep efficiency (component 4), sleep disturbance (component 5), sleep medication use (component 6) and daytime dysfunction. (component 7). The evaluation score of each item is between 0-3. The total score obtained varies between 0-21. The higher the score, the worse the sleep quality. |
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Inclusion Criteria:
Exclusion Criteria:
Having a history of abdominal surgery
Having an active infection
Having knee pain
-. Using medication
Participants with any pathology that prevents exercise will not be included in the study
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| Name | Affiliation | Role |
|---|---|---|
| Sümeyye Postacı | Uskudar University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fizyorapt | Istanbul | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39593541 | Background | Ozeren A, Ulug N, Sahan N, Can Karahan Z. Does reformer pilates exercise improve cognitive functions in sedentary women? A randomized controlled study. J Bodyw Mov Ther. 2024 Oct;40:1899-1905. doi: 10.1016/j.jbmt.2024.10.031. Epub 2024 Oct 18. | |
| 39469819 | Background | Aykut S, Sevgin O. Effect of video-based exercise on premenstrual symptoms: a randomized controlled trial. Ginekol Pol. 2025;96(2):102-108. doi: 10.5603/gpl.98199. Epub 2024 Oct 29. |
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| ID | Term |
|---|---|
| D004412 | Dysmenorrhea |
| ID | Term |
|---|---|
| D008599 | Menstruation Disturbances |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D017699 | Pelvic Pain |
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| ID | Term |
|---|---|
| D008716 | Methionine Adenosyltransferase |
| ID | Term |
|---|---|
| D019883 | Alkyl and Aryl Transferases |
| D014166 | Transferases |
| D004798 | Enzymes |
| D045762 | Enzymes and Coenzymes |
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| Other |
Reformer exercises: Foodwork Swan Short Spin Long Stretch Keen Stretch Hug Tree Bridge Pulling Straps Short Box Abdominal Hundred Twist Star |
|
| mat | Other | Mat exercises: Neck exercises Trunk stabilization exercises Shoulder exercises Posture exercises |
|
| 14 weeks |
| 33561085 | Background | Peinado AB, Alfaro-Magallanes VM, Romero-Parra N, Barba-Moreno L, Rael B, Maestre-Cascales C, Rojo-Tirado MA, Castro EA, Benito PJ, Ortega-Santos CP, Santiago E, Butragueno J, Garcia-de-Alcaraz A, Rojo JJ, Calderon FJ, Garcia-Bataller A, Cupeiro R. Methodological Approach of the Iron and Muscular Damage: Female Metabolism and Menstrual Cycle during Exercise Project (IronFEMME Study). Int J Environ Res Public Health. 2021 Jan 16;18(2):735. doi: 10.3390/ijerph18020735. |
| 42135456 | Derived | Sevgin O, Postaci S, Dikmen Hosbas B. Comparison of two different Pilates exercise methods in women with dysmenorrhea: a randomized controlled trial. Sci Rep. 2026 May 14. doi: 10.1038/s41598-026-52762-7. Online ahead of print. |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |