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| Effect of different squatting exercises on menstrual aspects, pelvic mechanics and uterine circulation in primary dysmenorrhoea: a randomised controlled trial [with consumer summary] |
| Yosri MM, Hamada HA, Abd El-Rahman Mohamed M, Yousef AM |
| Journal of Obstetrics and Gynaecology 2023 Nov;42(8):3658-3665 |
| clinical trial |
| 7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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This was a randomised trial aimed to determine squatting exercises' effects on menstruation, pelvic mechanics, and uterine circulation in primary dysmenorrhoea. A total of 120 females with primary dysmenorrhoea were assigned into group (A), receiving yoga protocol, or groups (B, C and D), receiving yoga protocol added to modified wall squat, sumo squat, or deep squat, respectively. Menstrual pain and distress, pelvic inclination, and uterine circulation were measured before and after interventions using a pain scale, a questionnaire, palpation metre, and Doppler ultrasonography, respectively. There was a significant reduction in pain intensity in groups B and C (effect size = 3.97 and 5.89, respectively), compared to group A (effect size = 3.68), and in group C (effect size = 5.89) compared to group D (effect size = 3.94), pain subscale in the groups B, C and D (effect size = 1.69, 3.3 and 3.41, respectively), compared to group A (effect size = 2.47), water retention subscale in group D effect size 0.90 compared to group A (effect size = 0.41) and in the questionnaire total scores in the groups C and D (effect size = 2.3 and 2.46, respectively) when compared to group A (effect size = 1.94). Adding squatting exercises to yoga is more effective than yoga alone in reducing menstrual pain and distress.
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