IJPR.2017.123

Type of Article:  Original Research

Volume 5; Issue 2 (April 2017)

Page No.: 1987-1992

DOI: https://dx.doi.org/10.16965/ijpr.2017.123

EFFICACY OF ONE TIME TRANSCUTANEOUS ELECTRICAL NEUROMUSCULAR STIMULATION (TENS) IN NEXT TWO MENSTRUAL CYCLES IN PRIMARY DYSMENORRHEA

Renuka Jakhar *1, Devendra Singh Rana 2, Anil Shukla 3.

*1 Post Graduate Student, NIMS College of Physiotherapy, India.

2 M.Sc.(Musculoskeletal), PGDHHM, Vice-Principal, NIMS College of Physiotherapy, India.

3 M.P.T. (Neuropsychosomatic disorder), PGDHHM, Assistant Professor, NIMS College of Physiotherapy, India.

Address for correspondence: Renuka Jakhar, NIMS College of Physiotherapy, Shobha Nagar, Jaipur, India. E-Mail: drrenudagar@gmail.com

ABSTRACT

Background: Dysmenorrhea refers to the occurrence of painful menstrual cramps of uterine origin. TENS may be an alternative treatment option for women with dysmenorrhea who wish to stop using non-steroidal anti-inflammatory drugs (NSAIDs), oral contraceptives, or other analgesics because the existing medication is ineffective, has unacceptable adverse effects, or due to personal choice. An effective non-pharmacological method of treating dysmenorrhea would be of great potential value in treating dysmenorrhea.

Materials and Methods: 50 females with age group of 20-30 years having moderate or severe degree of disability due to dysmenorrhea with VAS score ≥ 7 without athletic background were taken into the study. Conventional TENS was applied on 1st and 2nd day of menses over the abdomen in criss-cross pattern and effect of TENS was evaluated in present and next two menstrual cycles. Assessment tools were Visual analogue scale (VAS), Short-form McGill Pain Questionnaire(SF-MPQ) and Short-form Moos Menstrual Distress Questionnaire (SF-MMDQ) and Outcome measures were Pain ( assessed by VAS and SF-MPQ), Quality of life (assessed by SF-MMDQ) and Number of analgesics used.

Results: The present study demonstrates that there is decrease in pain and improvement in quality of life after application of TENS in present cycle as well as  in next two menstrual cycles in  primary dysmenorrhea as evident by decrease in VAS (mean) score, SF-MPQ (mean) score and SF-MMDQ (mean) score(p=0.05).

Conclusion: Conventional TENS is effective in relieving pain and improving quality of life in moderate degree of disability due to primary dysmenorrhea. Majority of subjects have shown relief of pain and improvement in quality of life in next 2 menstrual cycles and didn’t need any analgesic after one time TENS treatment.

Key words: Dysmenorrhea, TENS, SF-MMDQ, Non-Steroidal Anti-Inflammatory Drugs.

REFERENCES

  1. Hillard Paula J. Adams.Consultation with the specialist: Pediatrics in Review; Feb 2006; 27(2):64-71.
  2. Gumanga S K and Kwame-Aryee R . Prevalence and severity of dysmenorrhoea among some adolescent girls in a secondary school in accra. Ghana Sep. 2012; 1(1).
  3. Unsal Alaettin et al. Prevalence of dysmenorrhea and its effect on quality of life among a group of female university students. Upsala journal of Medical Sciences 2010; 115: 138–145.
  4. Titapant Vitaya et al. Dysmenorrhea in Thai Adolescents: Prevalence,Impact and Knowledge of Treatment. J Med Assoc Thai 2004; 87(Suppl 3): S69-73.
  5. Juang Chi-Mou et al. Natural Progression of Menstrual Pain in Nulliparous Women at Reproductive Age: An Observational Study. J Chin Med Assoc 2006;69(10):484–488.
  6. Agarwal Anil K and Agarwal A Study of Dysmenorrhea During Menstruation in Adolescent Girls. Indian J Community Med. Jan 2010; 35(1): 159–164
  7. Chaudhuri Aditi et al.A randomised controlled trial of exercise and hot water bottle in the management of dysmenorrhea in school girls of chandigarh, india. Indian J Physiol Pharmacol 2013; 57(2): 114–122.
  8. Al-Kindi Rahma and Al-Bulushi Anbarin. Prevalence and impact of dysmenorrhea among omani high school students. SQU Med J Nov. 2011;11(4): 485-491.
  9. Lefebvre Guylaine, Pinsonneault Primary Dysmenorrhea Consensus Guideline, J Obstet Gynaecol Can 2005; 27(12):1117–1130.
  10. Adeyemi A and Adekanle D. Management Of Dysmenorrrhoea Among Medical Students, The Internet Journal of Gynecology and Obstetrics 2006; 7(1).
  11. Padubidri V. G., Daftary Shirith N. . Shaw’s textbook of Gynaecology; 12th Edition; Chapter 17;227-229.
  12. Agarwal Anil K and Agarwal Anju .  A Study of Dysmenorrhea During  Menstruation in Adolescent Girls, Indian J Community Med. Jan 2010; 35(1): 159–164.
  13. Bodat S., Ghate Mrunalini M et al. School Absenteeism during Menstruation among Rural Adolescent Girls in Pune. Natl J Community Med 2013; 4(2): 212-216.
  14. Ju Hong et al. The Prevalence and Risk Factors of Dysmenorrhea. Epidemiol Rev 2014;36:104–113.
  15. Michelle Proctor et al; Diagnosis and Management of Dysmenorrhea, BMJ May 2006; 332 (13):1134-1138
  16. Proctor M, Farquhar C et al. Transcutaneous electrical nerve stimulation for primary dysmenorrhoea (Review), The Cochrane Library 2002; Issue 1.
  17. Manhennheimer Jeffery S and Whalen Eileen C. The Efficacy Of Transcutaneous Electrical Neuromuscular Stimulation In Dysmenorrhea, Clinical Journal Of Pain, 1985;1:75-83.
  18. Vance Carol GT , Dailey Dana L et al. Using TENS for pain control: the state of the evidence. Pain Management 2014; 4(3): 197–209
  19. Jones I. and Johnson Mark I. Transcutaneous electrical nerve stimulation. Continuing Education in Anaesthesia, Critical Care & Pain 2009;9(4):130-134.

Cite this article: Renuka Jakhar, Devendra Singh Rana, Anil Shukla. ROLE OF EFFICACY OF ONE TIME TRANSCUTANEOUS ELECTRICAL NEUROMUSCULAR STIMULATION (TENS) IN NEXT TWO MENSTRUAL CYCLES IN PRIMARY DYSMENORRHEA. Int J Physiother Res 2017;5(2):1987-1992. DOI: 10.16965/ijpr.2017.123