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IRCT138901253706N1 IRCT 2010-09-21 Tabriz University of Medical Sciences The comparison of the effectiveness of acupressure and Iboprofen on primary dysmenorrheal The comparison of the effectiveness of acupressure at the sanyinjiao point (sp6) and Iboprofen on primary dysmenorrhea (spasmodic, congestive) 2010-09-23 anticipated 72 Complete https://irct.ir/trial/3795 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: To prevent contamination (teaching the technique by subjects in the accupressure groups to the other subjcts), cluster random allocation will be used. If the number of the eligible persons in any group is more than 18, simple randomization will be used to select the subjects. N/A Primary dysmenorrhea. Intervention 1: Intervention group: An expert in acupressure will instruct method of pressure to the participants and will ask them to use this method during dysmenorrhea. Every paricipant should press sp6 point by her thumb for 5 minutes (periods of 6 seconds pressure and 2 seconds rest), until the participant will feel heaviness and numbness around sp6 point. After every 5 minutes the leg will be changed and this procedure will be done on the other leg for 20 minutes (every leg will be pressed two periods of 5 minutes). Intervention 2: Control group: Ibuprofen Tabs (400 mg) every 6 hours if needed. http://www.ncbi.nlm.nih.gov/pubmed/23450186 The effect of acupressure at the Sanyinjiao point (SP6) on primary dysmenorrhea in students resident in dormitories of Tabriz<br /> Sakineh Mohammad Alizadeh Charandabi*, Maryam Shabani Nashtaei**,<br /> Sedigheh Kamali***, Ramin Majlesi****<br /> Abstract<br /> BACKGROUND: There are two types of primary dysmenorrhea (spasmodic and congestive) which differ from each other in terms of the occurrence time in menstrual cycle, pain quality and other symptoms. The present study aimed to determine the effect of acupressure at the Sanyinjiao point (SP-6) on severity of menstrual symptoms (primary outcome) and the duration of resting time as well as the number of ibuprofen consumption (secondary outcome) in the two types of primary<br /> dysmenorrhea.<br /> METHODS: This was a clustered randomized controlled trial on 72 eligible students residing in dormitories of public universities of Tabriz. Determining the type of primary dysmenorrhea using a Menstrual Symptoms Questionnaire (MSQ), 36 participants which suffered from each type of dysmenorrhea were enrolled from the four dormitories. The dormitories were randomly divided into intervention and control groups. No intervention was carried out at the first cycle. During the two next cycles, Sanyinjiao point of the subjects in the intervention group was pressed for twenty minutes at the time of pain. The subjects in both groups were allowed to consume ibuprofen, if needed. During these three cycles, the participants recorded and reported menstrual symptoms severity, duration of resting time and the number of the used ibuprofen.<br /> RESULTS: The severity of menstrual symptoms and duration of resting time in the 2nd and 3rd cycles were significantly reduced more than control groups for both spasmodic and congestive types of primary dysmenorrhea. In addition, the average numbers of ibuprofen pills taken by both intervention groups was significantly less than the control groups. There was no significant difference between the two intervention groups in terms of any of the outcomes.<br /> CONCLUSIONS: Acupressure is effective on lowering the symptoms of dysmenorrhea and duration of resting time almost equally in both spasmodic and congestive types. Therefore, using this method either alone or along with other methods is recommended to treat dysmenorrhea.<br /> KEY WORDS: Dysmenorrhea, acupressure, complementary medicine, controlled randomized trial.
public Maryam Shabani Nashtaei
Next to Tourism Hotel, Jolfa
Jolfa Iran (Islamic Republic of) +98 49 2302 2778 mshabaninashtaei@yahoo.com , maryam.shabani.n@gmail.com Tabriz University of Medical Sciences, Aras Unit scientific Sakineh Mohammad-Alizadeh
Nursing & Midwifery Faculty, South Shariati
Tabriz Iran (Islamic Republic of) +98 41 1477 2699 alizades@tbzmed.ac.ir , smoalch@yahoo.com Tabriz University of Medical Sciences, Nursing & Midwifery Faculty Iran (Islamic Republic of) Inclusion Criteria: Single, age 18-22, Having regular menstrual cycle (mensturation length 3-8 days and length of menstrual cycle 21-35 days) and suffering from dysmenorrhea in previous two years, pain score more than 5 according to visual analogue scale (medium to severe dysmenorrhea), lack of known pelvic disease and known physical and mental diseases, Non consumption of oral contraceptive pills, Lack of pain throughout menstrual cycle or throughout menstrual bleeding, Lack of allergy to NSAIDs, lack of ulcer and inflammatory or skin disease around sp6 point. Exclusion Criteria: Occurrence of Pelvic disease, pelvic and abdomen operations, high emotional stress (parents' divorce, relative death, etc). 18 years 22 years Female N94.4 Primary dysmenorrhoea Other Treatment - Drugs Intervention group: An expert in acupressure will instruct method of pressure to the participants and will ask them to use this method during dysmenorrhea. Every paricipant should press sp6 point by her thumb for 5 minutes (periods of 6 seconds pressure and 2 seconds rest), until the participant will feel heaviness and numbness around sp6 point. After every 5 minutes the leg will be changed and this procedure will be done on the other leg for 20 minutes (every leg will be pressed two periods of 5 minutes). Control group: Ibuprofen Tabs (400 mg) every 6 hours if needed. Symptom severity. Timepoint: for three months; first tow days of menstrual cycle in spasmodic dysmenorrhea, two days before menstrual bleeding in congestive dysmenorrhea. Method of measurement: Symptom Severity Scale (SSS). Rest lenght. Timepoint: for three months; first tow days of menstural cycle in spasmodic dysmenorrhea, two days before menstural bleeding in congestivedysmenorrhea. Method of measurement: reported rest lenght (hour) by participant. Tabriz University of Medical Sciences Approved 2010-08-10 Tabriz University of Medical Sciences - Research deputy Golgasht street Tabriz Iran (Islamic Republic of)