Comparison of motor imagery focused pelvic floor exercises and relaxation exercises for treating dysmenorrhea: A randomized controlled study

Abstract

Objective

This study aimed to evaluate the impact of integrating motor imagery-focused pelvic floor exercises (MOPEXE) and relaxation exercise (RE) on pain and menstrual symptoms in the management of dysmenorrhea.

Materials and methods

60 participants with dysmenorrhea were randomly allocated to MOPEXE, RE, and a combination group that included both exercises. Participants were instructed to perform the relevant exercise program 3-d per week for eight weeks. The Menstruation Attitude Questionnaire (MAQ), Functional and Emotional Dysmenorrhea Scale (FEDS), and Short-Form McGill Pain Questionnaire (SF-MPQ) were used to assess pre- and post-treatment participant-reported outcomes.

Results

Combination therapy revealed a significant decrease in VAS and FEDS (emotional) and an increase in MAQ (deliberating event, natural event, anticipation, and denial parameters) compared to MOPEXE. MOPEXE group demonstrated a significant increase in menstruation as a bothersome event and a decrease in FEDS (functional). In comparison with the RE group, MAQ scores were significantly higher in the combination group. A significant reduction in VAS and an increase in the denial parameter of MAQ were observed in the RE group.

Conclusion

Physical therapy with pelvic floor and relaxation exercises centered on motor imagery is an effective measure to reduce painful symptoms and to relieve dysmenorrhea both in terms of functional and emotional aspects.