Comparison of the pain pressure threshold on the pelvic floor in women with and without primary dysmenorrhea

Victória dos Santos Guarda Lima; Guilherme Tavares de Arruda; Cyntia Scher Strelow; Michele Adriane Froelich; Michele Forgiarini Saccol; Melissa Medeiros Braz

doi:10.5935/2595-0118.20190019

Original Article

Comparison of the pain pressure threshold on the pelvic floor in women with and without primary dysmenorrhea

Comparação do limiar pressórico de dor no assoalho pélvico em mulheres com e sem dismenorreia primária

Victória dos Santos Guarda Lima; Guilherme Tavares de Arruda; Cyntia Scher Strelow; Michele Adriane Froelich; Michele Forgiarini Saccol; Melissa Medeiros Braz

http://dx.doi.org/10.5935/2595-0118.20190019 BrJP, vol.2, n2, p.101-104, 2019

PDF

SciELO

Downloads: 0

Abstract

BACKGROUND AND OBJECTIVES: Primary dysmenorrhea is characterized as menstruation with painful conditions in women with no associated pathologies, whose pain sites are classically investigated in the abdomen. However, it is known that the pelvic floor can also be compromised by primary dysmenorrhea and can be a source of hyperactivity of this musculature. The objective of this study was to compare the pain pressure threshold in the pelvic floor of women with and without primary dysmenorrhea.

METHODS: An observational, quantitative and cross-sectional study was conducted with young women. The sample consisted of 20 women divided into two groups: with primary dysmenorrhea (n=10) and without primary dysmenorrhea (n=10). The Adapted Assessment Questionnaire was applied for the data collection on the characteristics of the menstrual cycle followed by an evaluation of the pressure threshold of the pelvic floor of the participants using the Microfet 2 HHD manual dynamometer.

RESULTS: There was no significant difference in pressure pain threshold between the groups on the left side (p=0.156) and right side (p=0.198) of the pelvic floor.

CONCLUSION: In this women sample, the occurrence or non-occurrence of primary dysmenorrhea was not associated with an increase in the pain pressure threshold of the pelvic floor.

Keywords

Dysmenorrhea, Pelvic floor, Women

Resumo

JUSTIFICATIVA E OBJETIVOS: A dismenorreia primária é caracterizada como uma menstruação com quadros álgicos em mulheres sem doenças associadas, cujos pontos de dor são investigados classicamente no abdômen. Entretanto, sabe-se que o assoalho pélvico também pode ser comprometido pela dismenorreia primária e pode ser fonte de hiperatividade dessa musculatura. O objetivo deste estudo foi comparar o limiar pressórico de dor no assoalho pélvico de mulheres com e sem dismenorreia primária.

MÉTODOS: Foi realizado um estudo observacional, com abordagem quantitativa e de caráter transversal com mulheres jovens. A amostra constituiu de 20 mulheres divididas em dois grupos: com dismenorreia primária (n=10) e sem dismenorreia primária (n=10). O Questionário Adaptado de Avaliação foi aplicado para a coleta dos dados sobre as características do ciclo menstrual, seguido de uma avaliação do limiar pressórico do assoalho pélvico das participantes com o dinamômetro manual Microfet 2 HHD.

RESULTADOS: Não houve diferença significativa no limiar de dor à pressão entre os grupos no lado esquerdo (p=0,156) e lado direito (p=0,198) do assoalho pélvico.

CONCLUSÃO: Nesta amostra de mulheres, a ocorrência ou não de dismenorreia primária não foi associada ao aumento do limiar pressórico de dor do assoalho pélvico.

Palavras-chave

Diafragma pélvico, Dismenorreia, Mulheres

References

Tozun M, Unsal A, Ayranci U, Arslan G. Prevalence of disordered eating and its impact on quality of life among a group of college students in a province of west Turkey. Salud Publica Mex. 2010;52(3):190-8.

Araujo LM, Bastos WT, Silva JMN, Ventura PL. Diminuição da dor em mulheres com dismenorreia primária, tratadas pelo método Pilates. Rev Dor. 2012;13(2):119-23.

Kannan P, Claydon LS. Some physiotherapy treatments may relieve menstrual pain in women with primary dysmenorrhea: a systematic review. J Physiother. 2014;60(1):13-21.

Yu YP, Ma LX, Ma YX, Ma YX, Liu YQ, Xie JP. Immediate effect of acupuncture at Sanyinjiao (SP6) and Xuanzhong (GB39) on uterine arterial blood flow in primary dysmenorrhea. J Altern Complement Med. 2010;16(10):1073-8.

Iacovides S, Avidon I, Baker FC. What we know about primary dysmenorrhea today: a critical review. Hum Reprod Update. 2015;21(6):762-78.

Terzi R, Terzi H, Kale A. Evaluating the relation of premenstrual syndrome and primary dysmenorrhea in women diagnosed with fibromyalgia. Rev Bras Reumatol. 2015;55(4):334-9.

Hoffman D. Central and peripheral pain generators in women with chronic pelvic pain: patient centered assessment and treatment. Curr Rheumatol Rev. 2015;11(2):146-66.

Lefebvre G, Pinsonneault O, Antao V, Black A, Burnett M, Feldman K. Primary dysmenorrhea consensus guideline. J Obstet Gynaecol Can. 2005;27(12):1117-46.

Molins-Cubero S, Rodríguez-Blanco C, Oliva-Pascual-Vaca A, Heredia-Rizo AM, Boscá-Gandía JJ, Ricard F. Changes in pain perception after pelvis manipulation in women with primary dysmenorrhea: a randomized controlled trial. Pain Med. 2014;15(9):1455-63.

Travell JG, Simons DG. Dor e Disfunção Miofascial - Manual dos pontos-gatilho. 2006.

Vincent K, Warnaby C, Stagg CJ, Moore J, Kennedy S, Tracey I. Dysmenorrhoea is associated with central changes in otherwise healthy women. Pain. 2011;152(9):1966-75.

Alfieri FM, Bernardo KM, Pinto YS, Silva NC, Portes LA. Pain tolerance and cardiorespiratory fitness in women with dysmenorrhea. Rev Dor. 2017;18(4):311-5.

Lopes KN. Avaliação dos limiares sensitivo e doloroso em mulheres com dismenorreia primária moderada ou grave. 2016.

Dao TT, Knight K, Ton-That V. Modulation of myofascial pain by the reproductive hormones: a preliminary report. J Prosthet Dent. 1998;79(6):663-70.

Lobato VL, Bauru O. Influência do ciclo menstrual nas alterações de limiar de dor a pressão. 2007.

Stallbaum JH, Silva FS, Saccol MF, Braz MM. Controle postural de mulheres com dismenorreia primária em dois momentos do ciclo menstrual. Fisioter Pesqui. 2018;25(1):74-81.

Sherman JJ, LeResche L, Mancl LA, Huggins K, Sage JC, Dworkin SF. Cyclic effects on experimental pain response in women with temporomandibular disorders. J Orofac Pain. 2005;19(2):133-43.

Giamberardino MA, Berkley KJ, Iezzi S, de Bigontina P, Vecchiet L. Pain threshold variations in somatic wall tissues as a function of menstrual cycle, segmental site and tissue depth in non-dysmenorrheic women, dysmenorrheic women and men. Pain. 1997;71(2):187-97.

Yanez N, Bautista-Roa SJ, Ruiz-Sternberg JE, Ruiz-Sternberg AM. Prevalencia y factores asociados a dismenorrea en estudiantes de ciencias de la salud. Rev Cienc Salud. 2010;8(3):37-48.

Submitted date:
11/11/2019

Accepted date:
02/19/2019

Comparison of the pain pressure threshold on the pelvic floor in women with and without primary dysmenorrhea

Comparação do limiar pressórico de dor no assoalho pélvico em mulheres com e sem dismenorreia primária

Victória dos Santos Guarda Lima; Guilherme Tavares de Arruda; Cyntia Scher Strelow; Michele Adriane Froelich; Michele Forgiarini Saccol; Melissa Medeiros Braz

Abstract

Keywords

Resumo

Palavras-chave

References

Links

Share

BrJP