Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Primer Dismenore Şikâyeti Olan Kadınlarda Ağrı Şiddeti ile Pelvik Tilt ve Fonksiyonel Kapasite Arasındaki İlişkinin İncelenmesi: Tanımlayıcı Bir Çalışma
Investigation of the Relationship Between Pain Intensity and Pelvic Tilt and Functional Capacity in Women with Primary Dysmenorrhea: A Descriptive Study
Gülçin ÖZÇELİKELa , Şeyda TOPRAK ÇELENAYb
aYozgat Bozok Üniversitesi Çekerek Fuat Oktay Sağlık Hizmetleri Meslek Yüksekokulu, Sağlık Bakım Hizmetleri Bölümü, Yozgat, Türkiye
bAnkara Yıldırım Beyazıt Üniversitesi Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, Ankara, Türkiye
Turkiye Klinikleri J Health Sci. 2024;9(2):320-7
doi: 10.5336/healthsci.2023-99694
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmanın amacı, primer dismenore (PD) şikâyeti olan kadınlarda ağrı şiddeti ile pelvik tilt ve fonksiyonel kapasite arasındaki ilişkinin incelenmesiydi. Gereç ve Yöntemler: Çalışmaya 55 PD şikâyeti olan kadın (yaş: 21,51±3,38 yıl, vücut kitle indeksi: 23,54±3,95 kg/m2 ) dâhil edildi. Menstrüel agr̆ı siddeti 10 cm'lik görsel ̧ analog skalası ile pelvik tilt PostureScreen Mobile uygulaması ile fonksiyonel kapasite 2 kilometre yürüme testi ile değerlendirildi. PD'li kadınların menstrual ağrı şiddeti ile pelvik tilt, VO2max ve uygunluk skorları arasındaki ilişki Pearson korelasyon katsayısı ile analiz edildi. Bulgular: PD'li kadınların menstrüel ağrı şiddeti 6,78±1,30 cm idi. Kadınların anterior pelvik tilt açıları 18.39±4.42 derece, VO2max değerleri 29,41±9,58 ml/kg/dk, uygunluk skoru 56,07±27,27 şeklindeydi. Menstrüel ağrı şiddeti ile anterior pelvik tilt açısı arasında çok yüksek düzeyde, pozitif yönlü anlamlı bir ilişki bulundu (r=0,911, p<0,001). Menstrüel ağrı şiddeti ile VO2max (r=-0,033; p=0,809) ve uygunluk skorları (r=-0,033; p=0,812) arasında anlamlı bir ilişki tespit edilmedi. Sonuç: Sonuç olarak, PD'li kadınlarda ağrı şiddetiyle anterior pelvik tilt arasında anlamlı bir ilişki görülmektedir. Ağrı şiddeti arttıkça anterior pelvik tilt açı değerleri artmaktadır. Bu sebeple PD'li kadınlara yönelik egzersiz önerilerinin postüre yönelik egzersizleri de içermesinin faydalı olacağı görüşündeyiz. PD'deki ağrı şiddeti ile fonksiyonel kapasite arasında ilişki olmadığı bulundu. Bu sonuçlara göre kliniklerde PD'li kadınlarda degerlendirme ve tedavi yaklas ̆ ı̧mlarında anterior pelvik tilt değişiminin dikkate alınması önemli olabilir.

Anahtar Kelimeler: Dismenore; ağrı; postür; kardiyorespiratuar uygunluk
ABSTRACT
 Objective: The aim of this study was to investigate the relationship between pain intensity, pelvic tilt and functional capacity in women with primary dysmenorrhea (PD). Material and Methods: Fifty-five women with PD (age: 21.51±3.38 years, body mass index: 23.54±3.95 kg/m2 ) were included in the study. Menstrual pain intensity was evaluated with the 10 cm visual analog scale, pelvic tilt with the PostureScreen Mobile application, and functional capacity with the 2 kilometer walking test. Pearson correlation test was used for analysis. Results: The menstrual pain intensity of women with PD was 6.78±1.30 cm. A very high, positive significant relationship was found between menstrual pain severity and anterior pelvic tilt angle (r=0.911, p<0.001). No significant relationship was detected between menstrual pain severity and VO2max (r=-0.033; p=0.809) and fitness scores (r=-0.033; p=0.812). Conclusion: In our study, it was observed that anterior pelvic tilt angle increased as menstrual pain intensity increased in women with PD. However, no significant relationship was found between menstrual pain severity and functional capacity. According to the results, it may be important to consider anterior pelvic tilt changes in the evaluation and treatment approaches of women with PD in clinics.

Keywords: Dysmenorrhoea; pain; posture; cardiorespiratory fitness
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