Effects of Sacral Release Technique and Lumbar Mobilization in Primary Dysmenorrhea.

Comparative Effects of Sacral Release Technique and Lumbar Mobilization in Pain, Symptoms Severity and Quality of Life in Primary Dysmenorrhea.

The aim of this study is to determine the comparative effects of sacral release technique and lumbar mobilization in pain, symptoms severity and quality of life in primary dysmenorrhea.

This will be a randomized clinical trial, the study will be conducted at First Care Medical Complex, over 10 month duration, involving a 46 adolescent females aged 13-19 years diagnosed with primary dysmenorrhea selected through a non-probability convenience sampling technique. Participants will be randomly assigned to two intervention groups. Group A (n=23) will receive the Sacral Release Technique and Group B (n=23) will undergo Lumbar Mobilization. Interventions will provide for 6 weeks, 3 sessions per cycle for two consecutive menstrual cycles. Pain intensity will be measured by using the Numerical Pain Rating Scale (NPRS) and menstrual symptom severity will be evaluated using a structured symptom rating tool, and quality of life will be measured using EuroQOL. Data will be analyzed using SPSS version 25, and with p-value of <0.05 will be considered statistically significant.

Inclusion Criteria:

• Unmarried female
• Diagnosed with primary dysmenorrhea through WaLIDD Score
• Regular menstrual cycles (21-35 days)
• Pain score of > 4 on the Numerical Pain Rating Scale (NPRS) during menstruation

Exclusion Criteria:

• Any pelvic inflammatory disease
• Obesity
• PCOS
• Spinal deformity
• Lumber radiculopathy
• Heavy menstrual bleeding (menorrhagia)
• Irregular menstrual cycles
• Spine trauma and coccyx pain
• History of pelvic or spinal surgery currently on hormonal therapy or other ongoing physiotherapy for dysmenorrhea