Is Effleurage Massage Effective to Reduce Menstrual Pain in Female Students?

Authors

  • Wanda Indriya Pramesti Universitas Muhammadiyah Surakarta
  • Wahyu Tri Sudaryanto Study Program of Physiotherapy, Faculty of Health Sciences, Universitas Muhammadiyah Surakarta

DOI:

https://doi.org/10.26911/theijmed.2024.09.01.11

Abstract

Background: Menstrual pain, or dysmenorrhoea, is common in young women worldwide under 25 years old. Elevated levels of prostaglandins in menstrual fluid induce contractions in the myometrium, leading to a decrease in uterine blood flow and resulting in uterine hypoxia. This hypoxia is the underlying cause of the painful cramping observed in primary dysmenorrhea. Massage is a non-pharmaceutical therapy that is hypothesized to be easily adoptable, with no side effects, and to have beneficial effects on pain. This study aimed to evaluate the effectiveness of effluerage massage in reducing menstrual pain in female students.

Subjects and Method: A randomized controlled trial was conducted at Junior High School 23 of Surakarta in July 2023. Total sample of 50 2nd grade female student was selected by purposive sampling and divided into two groups. Intervention  group received effluerage massage and control group received usual care. The dependent variable was menstrual pain. The independent variable was effleurage massage. Menstrual pain was measured using Numeric Ranting Scale (NRS). Pain difference between groups after intervention was examined using independent t test.

Results: At the 6th follow-up period, the mean of menstrual pain score in the effleurage massage group (Mean 3.52; SD= 1.01) was significantly lower compared to the control group (Mean= 4.40; SD= 0.76), with a p-value of 0.001.

Conclusion: Effleurage massage is effective to reduce menstrual pain in Junior High School female students.

Keywords: effleurage massage, primary dysmenorrhea, menstrual pain, female adolescents

References

Abdel-Salam DM, Alnuman RW, Alrwuaili RM, Alrwuaili GA, Alrwuaili EM (2018). Epidemiological aspects of dysmenorrhea among female students at Jouf University, Saudi Arabia. Middle East Fertil Soc J. 23(4):435–439. doi: 10.1016/j.mefs.2018.08.001.

Akiyama S, Tanaka E, Cristeau O, Onishi Y, Osuga Y (2017). Evaluation of the treatment patterns and economic burden of dysmenorrhea in Japanese women, using a claims database. Clinicoecon Outcomes Res. 9:295. doi: 10.2147/CEOR.S127760.

Azagew AA, Kassie DG, Walle TA (2020). Prevalence of primary dysmenorrhea, its intensity, impact and associated factors among female students’ at Gondar town preparatory school, Northwest Ethiopia. BMC Womens Health. 20: 5. https://doi.org/10.-1186%2Fs12905-019-0873-4.

Azima S, Bakhshayesh HR, Kaviani M, Abbasnia K, Sayadi M (2015). Com-parison of the effect of massage therapy and isometric exercises on primary dysmenorrhea: a randomized controlled clinical trial. J Pediatr Adolesc Gynecol. 28(6):486-91. https://doi.-org/10.1016/j.jpag.2015.02.003.

Crane JD, Ogborn DI, Cupido C, Melov S, Hubbard A, Bourgeois JM, Tarnopol-sky MA (2012). Massage Therapy Attenuates Inflammatory Signaling After Exercise-Induced Muscle Damage. Sci Transl Med. 4: 119ra13. doi: 10.1126/scitranslmed.3002882.

Fernández-Martínez E, Onieva-Zafra MD, Parra-Fernández ML (2019). The impact of dysmenorrhea on quality of life among spanish female university students. Int J Environ Res Public Health. 16:713. doi: 10.3390/ijerph1-6050713.

Gensic ME, Smith br, LaBarbera DM (2017). The effects of effleurage hand massage on anxiety and pain in patients undergoing chemotherapy. JAAPA. 30(2): 36-38. https://doi.org/10.1097/01.ja-a.0000510988.21909.2e.

Itani R, Soubra L, Karout S, Rahme D, Karout L, Khojah HMJ (2021). Pri-mary Dysmenorrhea: Pathophysio-logy, Diagnosis, and Treatment Up-dates. Korean J Fam Med. 43(2): 101–108. https://doi.org/10.4082%2Fkjf-m.21.0103.

Kannan P, Claydon LS (2014). Some physiotherapy treatments may relieve menstrual pain in women with primary dysmenorrhea: A systematic review. J Physiother. 60:13–21. doi: 10.1016/j.jphys.2013.12.003.

Kim js, Jo YJ, Sun-Kyung Hwang SK (2005). [The effects of abdominal meridian massage on menstrual cramps and dysmenorrhea in full-time employed women]. Taehan Kanho Hakhoe Chi. 35(7):1325-32. https://doi.org/10.40-40/jkan.2005.35.7.1325.

Kiran G, Gumusalan Y, Ekerbicer HC, Kiran H, Coskun A, Arikan DC (2013). A randomized pilot study of acupuncture treatment for primary dysmenorrhea. Eur J Obstet Gynecol Reprod Biol. 169(2): 292-5. https://doi.org/10.10-16/j.ejogrb.2013.02.016.

López-Liria R, Torres-Álamo L, Vega-Ramírez FA, García-Luengo AV, Aguilar-Parra JM, Trigueros-Ramos R, Rocamora-Pérez P (2021). Efficacy of Physiotherapy Treatment in Primary Dysmenorrhea: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 18(15): 7832. https://-doi.org/10.3390%2Fijerph18157832.

Nagy H, Carlson K, Khan MAB (2023). Dysmenorrhea. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. Available from: https://-www.ncbi.nlm.nih.gov/books/NBK560834/.

Rigi SN, Kermansaravi F, Navidian A, Safabakhsh L, Safarzadeh A, Khazaian S, Shafie S, Salehian T (2012). Comparing the analgesic effect of heat patch containing iron chip and ibuprofen for primary dysmenorrhea: a randomized controlled trial. BMC Womens Health. 12:25–25. doi: 10.1186/1472-6874-12-25.

Sejari N, Kamaruddin K, Ramasamy K, Lim SM, Neoh CF, Ming LC (2016). The immediate effect of traditional Malay massage on substance P, inflammatory mediators, pain scale and functional outcome among patients with low back pain: study protocol of a randomised controlled trial. BMC Complement Altern Med. 16: 16. https://doi.org/-10.1186/s12906-016-0988-1.

Sharghi M, Mansurkhani SM, Larky DA, Kooti W, Niksefat M, Firoozbakht M, Behzadifar M (2019). An update and systematic review on the treatment of primary dysmenorrhea. JBRA Assist Reprod. 23(1): 51–57. https://doi.org/10.5935%2F1518-0557.20180083.

Unnisa H, Annam P, Gubba NC, Begum A, Thatikonda K (2022). Assessment of quality of life and effect of non-phar-macological management in dysme-norrhea. Ann Med Surg (Lond). 81: 104407. https://doi.org/10.1016%2-Fj.amsu.2022.104407.

Waters-Banker C, Dupont-Versteegden EE, Kitzman PH, Butterfield TA (2014). Investigating the Mechanisms of Massage Efficacy: The Role of Mechanical Immunomodulation. J Athl Train. 49(2): 266–273. https://pub-med.ncbi.nlm.nih.gov/24641083.

White GE, West SL, Caterini JE, Battista APD, Rhind SG, Wells GD (2020). Massage Therapy Modulates Inflam-matory Mediators Following Sprint Exercise in Healthy Male Athletes. J Funct Morphol Kinesiol. 5(1): 9. https://doi.org/10.3390%2Fjfmk5010009.

Downloads

Published

2024-01-10

Issue

Section

Articles