Evaluation of the Effect of Liv3 Acupressure on Severity and Duration of Primary Dysmenorrhea
DOI:
https://doi.org/10.22100/jkh.v5i1.148Keywords:
Acupressure, Primary dysmenorrhea, Liv3 pointAbstract
Introduction: Primary dysmenorrhea is one of the most prevalent disorders in women which decreases efficacy. In Chinese theory, dysmenorrhea treatment requires harmonization of energy and blood. The aim of this study is the evaluation of effect acupressure on severity and duration of primary dysmenorrhea.
Methods: In this clinical trial, 194 eligible student teachers from Nasibe Teacher Education College were selected. In the first cycle, severity and duration of pain were determined. Then, the participants were randomly assigned to either experimental or control group. In the second, third and fourth cycles, 3-7 days before menstruation, acupressure was applied at liv3 and placebo points for 20 minutes per day. With the onset of menstruation, the severity and duration of dysmenorrhea was determined for the three cycles. Instruments include wrong-Baker faces pain scale, Beck -21 questionnaire, a clock, Acuhealth tens pro 900 set and force gauge. Data were analyzed through chi-square test , Mann-Whitney test, Friedman test and independent t test.
Results: There was no significant difference in severity of pain between two groups in the first cycle (P=0.40) but there was a significant difference in severity of pain between two groups in the second (P<0.05), third (P<0.01) and fourth cycles (P<0.01). In the fourth cycle, the median severity of dysmenorrhea was 6 in the two groups. In the fourth cycle, it was 4 in intervention group and, 6 in the control group. There was no significant difference in duration of pain between two groups in the first (P=0.81) and the second cycle (P=0.09), but there was a significant difference in severity of pain between the two groups in the third (P<0.05) and the fourth cycles (P<0.001). Duration of pain decreased significantly in intervention group, compared to control group.
Conclusion: Applying acupressure at liv3 point was an effective method to decrease severity and duration of primary dysmenorrhea; therefore, acupressure is suggested as useful, effective, cheap, and available treatment for primary dysmenorrhea.
References
Berek JS. Berek & novak gynecology. Translate to Persian by: Ghazijahani B, Zonuzi A, Bahrami N. Tehran: Golban pub; 2007.p.471-501.[Persian].
Milsom L, Hender N, Mannheimer C. A comparative study of the effect of high-intensity transcutaneous nerve stimulation and oral naproxen on intrauterine pressure and menstrual pain in patient with primary dysmenorrheal. Am J Obstet Gynecol 1994;170:123-129.
Pallavi L, Manish L, Lale S, Metin G, Khalid K. WHO systematic review of prevalence of chronic pelvic pain: a neglected reproductive health morbidity .BMC Public Health 2006;6:177.
Taylor D, Miaskowski C, Kohn J. A randomized clinical trial of the effectiveness of an acupressure device (relif brief) for managing symptoms of dysmenorrheal. J Altern Complement Med 2002; 8(3):357-370.
Hacker J, Moore G, Gambone J. Essential of obstetrics & gynecology. Translate to Persian by: Niromanesh SH, Eftekhar Z, Rezaee Z, Yarandi F. 3th ed.Tehran:Simia pub;1999.[Persian].
Chen HM, Chen CH. Effects of acupressure at the sanyinjiao point on primary dysmenorrhoea. J Adv Nurs 2004;48(4):380-387.
Habek D, Cerkez Habek J, Bobic–Vukovic M, Vujic B. Efficacy of acupuncture for the treatment of primary dysmenorrhea. Gynakol Geburtshilfliche Rundsch 2003;43(4):250-253.
Han SH, Ro YJ, Hur MH. Effects of aromatherapy on menstrual cramps & dysmenorrheal in college student women: a blind randomized clinical trial. J Korean Acad Nurs 2000;13(3):420-429.
Hong SO. Effects of hand acupuncture on dysmenorrhea. J Korean Acad Child Health Nurs 2005;11(1):109-116.
Kim SO, Cho SH. Effect of hand acupuncture therapy and moxibusion heat therapy on dysmenorrheal. Korean J Women Health Nurs 2001;7(4):610-630.
Eun –Mi, Soonbok C, Duck-Hee K, Sue K. Effects of acupressure on dysmenorrheal and skin temperature changes in college students: a non-randomized controlled trial. Int J Nurs Stud 2007;44:973-981
Navidi AA. Basic and clinical essential of acupuncture. Tehran: Tabib pub;2002.[Persian].
Persian. Practical application of acupressure. Translated to Persian by: Zaman S. 3th ed. Tehran:Ghoghnos pub;1996.p.11-12.[Persian].
Beal MW. Acupuncture and related treatment modalities: part i: theoretical background. Journal of Nurse –Midwifery 1992;37(4):254-259.
Rostami U, Heshmat R. Acupuncture & moxibusion in family fertility health & infertility treatment. Tehran:Teimourzadeh pub;2008.[Persian].
Liangyue D, Yijun G, Shuhuri H, Yang L, Rufen W, Wenjing W, et al. Chinese acupuncture and moxibustion: foreign language press, beijing;1987.P.28-452.
Aghamiri Z, Vijeh M, Latif Nejad R, Nabavi S .The evaluation of the effect of acupressure on pain severity of primary dysmenorrheal .Hayat: Nursing and Midwifery Journal of Tehran University 2005;11(4):19-28.[Persian].
Sohrabi Z. A comparative study of the effect acupressure at saninjiao point versus Ibuprofen on primary dysmenorrheal [dissertantion]: Ahvaz medical sciences Univ;2005.[Persian].
Eun- Mi J, Soonbok C, Duck-Hee K, Sue K. Effects of acupressure on dysmenorrhea and skin temperature changes in college students: a randomized controlled trial. Int J Nurs Stud 2007;44:973-981.
Holisaz MT, Navidi AA, Ghanjal A. Electroacupuncture in treatment of chronic intractable sciatic pain: comparison with physical therapy & sham operation. Kowsar Medical Journal 1998;3(4):259-266. [Persian].
Hockenberry MJ, Wilson D. Wong’s essentials of pediatric nursing. 6nd ed. Mosby Elsevier: St. Louis;2001.p.1301.
Gondring WH, Trepman E, Shields B. Tarsal tunnel syndrome: assessment of treatment outcome with an anatomic pain intensity scale. Foot Ankle Surg 2009;15(3):133-138.
Dabson KS, Mohammadkhani P. Psychometric characteristics of beck depression inventory –II in patients with major depressive disorders. Journal of Rehabilitation 2007;1(29).80-86.[Persian].
Bergman S, Hamilton GR, Langenberg P, Berman B. Evaluation of acupuncture for pain control after oral surgery: a placebo-controlled trial. Arch Otolaryngolog Head neck surg 1999;125(5):567-572.
Harmon D, Ryan M, Kelly A, Bowen M. Acupuncture and prevention of nausea and vomiting during and after spinal anesthesia for caesarean section. Br J Anaesth 2000;84(4):463-7.
Karst M, Rollnik JD, Fink M, Reinhard M, Piepenbrock S. Pressure pain threshold and needle acupuncture in chronic tension-type headache-a double-blind placebo-controlled study. pain 2000;88(2):199-203.
Pfaffenrath V, Lundberg PO, Sjaastad O. Updating in headache. Berlin Heidelberg: Springer-verlag pub;1985.p.208-215.
Mendelson G, Selwood TS, Kranz H, Loh TS, Kidson MA, Scott DS. Acupuncture treatment of chronic back pain. A double -blind placebo-controlled trial. AM J 1983;74(1):49-55.
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