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This study is investigating the effects of myofascial release technique & kinesiotape in managing dysmenorrhea
Dysmenorrhea is a common gynecological disorder characterized by painful menstruation manifested by severe cramps in the lower abdomen. Recent epidemiological studies indicate a global prevalence of 50-90% among women (10-20% with severe symptoms); in Türkiye, studies show a prevalence of 75-85%.Dysmenorrhea is divided into two types: primary dysmenorrhea (PD) and secondary dysmenorrhea. PD is painful menstruation without any underlying pathological condition. The main goal of dysmenorrhea treatment is to significantly improve the patient's well-being and quality of life (QoL) by effectively relieving pain and relieving symptoms by targeting physiological mechanisms. There are various physiotherapy methods that can be used to reduce this pain, such as transcutaneous electrical nerve stimulation (TENS), cryotherapy, myofascial release therapy (MRT), and kinesiology taping (KT).
This single-blind randomized controlled trial will investigate the acute therapeutic effects of Myofascial Release Technique (MRT) versus Kinesio Taping (KT) in 46 females aged 18-30 years with PD. Participants will be randomised into Group 1 (MRT; n = 23) or Group 2 (KT; n = 23), receiving a single intervention session during their most painful menstrual day
All participants will be asked to fill out 3 forms, namely a sociodemographic questionnaire covering age, height, BMI, age at menarche and duration of menstruation, a Visual Analog Scale (VAS) to assess pain level and a Patient Reported Outcomes Measurement System (PROMIS-29 Profile v2.0) to measure quality of life (QoL) at 3 time points (pre-intervention, 8 hours after intervention ,and 3-5 weeks post intervention (at the first menstrual cycle after intervention).
Statistical analyses will be conducted by using SPSS 27.0 (IBM Corp.), with a priori power analysis confirming 95% power (α = 0.05; G*Power v3.1.9.7). Data normality will be verified via the Shapiro-Wilk test. Independent Samples t-tests will compare interventional effects between groups, while one-way ANOVA (with LSD post-hoc tests) will analyze multi-point QoL changes. Paired Samples t-tests will evaluate within-group temporal changes (pre vs. post-intervention).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Kinesiotape (KT) Group | Experimental | Participants in this arm will receive Kinesio Taping applied to the lower abdomen and lumbar region using a 3-Tape Sensory Modulation Technique to modulate pain and fascial tension. |
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| Myofascial Release Therapy (MRT) Group | Experimental | Participants in this arm will receive a single session of myofascial release technique (MRT) which is a type of massage that will target anterolateral abdominal wall, including Camper and Scarpa fascia, as well as the deeper layers, including transversals fascia and the thoracolumbar fascia to release the fascial restrictions. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Myofascial Release Therapy (MRT) Group | Other | Myofascial Release Therapy (MRT) involves hands-on palpation to detect fascial restrictions, followed by 60-90 seconds of sustained pressure to release tension. In the supine position, the target areas include the superficial fascia, transversalis fascia, and extraperitoneal fascia, while in the prone position, the focus shifts to the thoracolumbar fascia and the erector spinae complex. This technique aims to restore mobility and reduce restrictions within the fascial system. Frequency: Each patient will recieve a single session at their most painful day from this intervention. |
| Measure | Description | Time Frame |
|---|---|---|
| Visual Analogue Scale (VAS) | It is a pain assessment tool featuring a 10-cm line marked "No pain" (0 cm) and "Worst pain imaginable" (10 cm). Patients indicate their pain level by marking the line, with scores measured in cm (0-10) and categorised as mild (0-3), moderate (4-6), or severe (7-10) | Before the interventions, after 8 hours from the interventions, & 3-5 weeks post-intervention (first menstrual cycle after interventions) |
| Measure | Description | Time Frame |
|---|---|---|
| Patient-Reported Outcomes Measurement Information System (PROMIS-29 Profile v2.0) | It is a quality of life scale that questions physical function, anxiety, depression, fatigue, sleep disturbance, social roles and activities, pain interference and severity under its subheadings | Before the interventions, after 8 hours from the interventions, & 3-5 weeks post-intervention (first menstrual cycle after interventions) |
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Inclusion Criteria:
Exclusion Criteria:
As dysmenorrhea is a condition that affects only females so this study will include only females
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Salma Abdelzaher | Contact | +90 5411086862 | salma.abdelzaher@std.medipol.edu.tr |
| Name | Affiliation | Role |
|---|---|---|
| Gizem Ergezen Åžahin, PhD | Medipol University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| İstanbul Medipol University | Recruiting | Istanbul | Beykoz | 34810 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D000089803 | Myofascial Release Therapy |
| D044382 | Population Groups |
| D055052 | Athletic Tape |
| ID | Term |
|---|---|
| D008405 | Massage |
| D064746 | Therapy, Soft Tissue |
| D026201 | Musculoskeletal Manipulations |
| D000529 | Complementary Therapies |
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| Kinesiotape (KT) Group | Other | Kinesio Taping (KT) Intervention Description: Participants will receive a standardized 3-tape sensory modulation technique using Kinesiotape, applied to the abdomen and sacrum to target fascial tension and visceral pain in primary dysmenorrhea. Procedure: Abdominal Application (Two Tapes, 0% Stretch): Horizontal Tape: Placed between the iliac crests (lower abdomen) to reduce fascial tension. Vertical Tape: Applied from the navel to the pubic symphysis to modulate visceral pain signaling. Sacral Application (One Tape, 15-25% Stretch): Horizontal Tape: Anchored across the S2-S4 vertebrae (at PSIS level) to activate the pain-gating mechanism via cutaneous-visceral reflexes. Frequency/Duration: Each participant will receive a single session at their most painful day from this intervention |
|
| D013812 |
| Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
| D003710 | Demography |
| D011154 | Population Characteristics |
| D001458 | Bandages |
| D004864 | Equipment and Supplies |
| D009989 | Orthotic Devices |
| D009983 | Orthopedic Equipment |
| D013523 | Surgical Equipment |