Effects of Kinesio Taping and Core Strengthening on Pain, Menstrual Symptoms, and Physical Activity among Nulligravida Women with Primary Dysmenorrhea

Aiman  Waris; Mehwish Khalid; Adeela Khan; Hassan Bin Akram

doi:10.55735/p7gw2j66

Authors

Aiman Waris Faculty of Rehabilitation Sciences, Lahore University of Biological and Applied Sciences, Lahore, Pakistan
Mehwish Khalid Faculty of Rehabilitation Sciences, Lahore University of Biological and Applied Sciences, Lahore, Pakistan
Adeela Khan Faculty of Rehabilitation Sciences, Lahore University of Biological and Applied Sciences, Lahore, Pakistan
Hassan Bin Akram Ghurki Trust and Teaching Hospital, Lahore, Pakistan

DOI:

https://doi.org/10.55735/p7gw2j66

Keywords:

Core strengthening, Dysmenorrhea, Kinesio taping, Nulligravida, Physical activity

Abstract

Background: Dysmenorrhea is a prevalent gynaecological issue among nulligravidae. Objective: To determine the effects of Kinesio taping and core strengthening on pain, menstrual symptoms, and physical activity among nulligravida women with primary dysmenorrhea. Methodology: A single-blinded controlled trial was conducted from June to December 2024 at the Department of Physical Therapy, Ghurki Trust Teaching Hospital. The Lahore College of Physical Therapy (LCPT, LMDC) issued an ethical approval letter. Written informed consent was obtained before the initiation of treatment. A total of 50 nulligravida women aged 16–24 years with regular menstrual cycles were enrolled via non-probability consecutive sampling. The inclusion criteria consisted of nulligravida females aged 16–24 years with regular menstrual cycles. Exclusion criteria included females with pelvic pain of musculoskeletal origin, multigravida females, and those with any other gynaecological conditions. The experimental group received Kinesio taping and core strengthening; the control group received core strengthening only. The Menstrual Distress Questionnaire, the International Physical Activity Questionnaire, and the Numeric Pain Rating Scale were used to measure the menstrual symptoms, physical activity, and pain, respectively. Normality was assessed using the Kolmogorov–Smirnov test. Wilcoxon, t-tests, and Mann–Whitney U tests were used for between and within-group differences. Results: The Wilcoxon signed-rank test demonstrated a significant reduction in pain and increased physical activity in both groups (p<0.001). The Mann-Whitney U test revealed significantly better outcomes in pain and physical activity in the experimental group post-intervention. The independent t-test showed significant improvements in menstrual symptoms, distress scores, and menstrual symptom distress in the experimental group (p≤0.01), but no significant difference in the Menstrual Symptom Index between groups. Conclusion: Combined Kinesio taping and core strengthening are more effective than core strengthening alone in improving pain, menstrual symptoms, and physical activity in nulligravida women with primary dysmenorrhea.

Downloads

Download data is not yet available.

Author Biographies

Aiman Waris, Faculty of Rehabilitation Sciences, Lahore University of Biological and Applied Sciences, Lahore, Pakistan

Department of Phyical Therapy, Physiotherapist
Adeela Khan, Faculty of Rehabilitation Sciences, Lahore University of Biological and Applied Sciences, Lahore, Pakistan

Department of Physical Therapy, Physiotherapist
Hassan Bin Akram, Ghurki Trust and Teaching Hospital, Lahore, Pakistan

Department of Physical Therapy, Clinical Manager

References

1. Harel Z. Dysmenorrhea in adolescents and young adults: etiology and management. Journal of Pediatric and Adolescent Gynecology 2006; 19(6): 363–71. DOI: https://doi.org/10.1016/j.jpag.2006.09.001

DOI: 10.1016/j.jpag.2006.09.001 DOI: https://doi.org/10.1016/j.jpag.2006.09.001

2. Boguszewski D, Borowska J, Szymańska A, Adamczyk JG, Lewandowska M, Białoszewski D. Effectiveness of kinesiotaping for the treatment of menstrual pain. Physiotherapy Quarterly 2020; 28(4): 20–4. DOI: https://doi.org/10.5114/pq.2020.96230

DOI:10.5114/pq.2020.96230 DOI: https://doi.org/10.5114/pq.2020.96230

3. Guimarães I, Póvoa AM. Primary dysmenorrhea: assessment and treatment. Revista Brasileira de Ginecologia e Obstetrícia 2020; 42: 501–7. DOI: https://doi.org/10.1055/s-0040-1712131

DOI: 10.1055/s-0040-1712131 DOI: https://doi.org/10.1055/s-0040-1712131

4. Elverişli GB, Armağan N, Atilgan E. Comparison of the efficacy of pharmacological and nonpharmacological treatments in women with primary dysmenorrhea: randomised controlled parallel-group study. Ginekologia Polska 2023; 94(9): 687–97.

DOI: 10.5603/GP.a2022.0009 5. Zapała B, Ząber A, Gacoń E, et al. The non-pharmacological treatment of primary dysmenorrhea-efficiency and safety. Journal of Education, Health and Sport 2023; 30(1): 79–86. DOI:10.12775/JEHS.2023.30.01.007 DOI: https://doi.org/10.12775/JEHS.2023.30.01.007

6. Karout S, Soubra L, Rahme D, Karout L, Khojah HM, Itani R. Prevalence, risk factors, and management practices of primary dysmenorrhea among young females. BMC Women's Health 2021; 21: 1–14. DOI: https://doi.org/10.1186/s12905-021-01532-w

DOI: 10.1186/s12905-021-01532-w DOI: https://doi.org/10.1186/s12905-021-01532-w

7. Agustin Y, Afrina R, Rukiah N. Giving warm compresses with progressive muscle relaxation techniques can reduce pain intensity in dysmenorrhea. Journal of Complementary Nursing 2022; 1(3): 99–105. DOI:10.53801/jcn.v1i3.51 DOI: https://doi.org/10.53801/jcn.v1i3.51

8. Gürşen C, İnanoğlu D, Kaya S, Akbayrak T, Baltacı G. Effects of exercise and Kinesio taping on abdominal recovery in women with cesarean section: a pilot randomised controlled trial. Archives of Gynecology and Obstetrics 2016; 293: 557–65. DOI: https://doi.org/10.1007/s00404-015-3862-3

DOI: 10.1007/s00404-015-3862-3 DOI: https://doi.org/10.1007/s00404-015-3862-3

9. Zainab S, Nithyashree P, Jumanah R, Kamalakannan M, Prathap S, Kumaresan A. A study to compare the effectiveness of core strengthening exercises for phase I and phase II of menstrual cycle in primary dysmenorrhea subjects. Biomedicine 2021; 41(2): 315–7. DOI: https://doi.org/10.51248/.v41i2.804

DOI: 10.51248/.v41i2.804 DOI: https://doi.org/10.51248/.v41i2.804

10. Adil R, Zaigham U. Prevalence of primary dysmenorrhoea and its effect on instrumental activities of daily living among females from Pakistan. Physiotherapy Quarterly 2021; 29(4): 65–9. DOI: https://doi.org/10.5114/pq.2021.105754

DOI:10.5114/pq.2021.105754 DOI: https://doi.org/10.5114/pq.2021.105754

11. Patel F, Dhupkar A. Effect of Kinesiotaping and Pelvic Tilts on Menstrual Symptom Questionnaire and Visual Analogue Scale in Primary Dysmenorrhoea in Females Aged 18-30 Years. International Journal of Medical Research & Health Sciences 2020; 10(11):168-176.

DOI: 10.15621/ijmrhs/2020/v10i11.2721

12. Doğan H, Eroğlu S, Akbayrak T. The effect of kinesio taping and lifestyle changes on pain, body awareness and quality of life in primary dysmenorrhea. Complementary Therapies in Clinical Practice 2020; 39: 101120. DOI: https://doi.org/10.1016/j.ctcp.2020.101120

DOI: 10.1016/j.ctcp.2020.101120 DOI: https://doi.org/10.1016/j.ctcp.2020.101120

13. Kumar S, Kanti V, Potturi G, Kumar P. Effect of Kinesio tape application on quality of life and functional independence among Nulligravida women with Primary dysmenorrhea: A randomised control trial. Journal of Disability Studies 2023; 9(1): 13–6.