Menstrüel ağrı şiddetinin vücut farkındalığı, fiziksel aktivite düzeyi ve duyu organizasyonu üzerine etkisi

Amaç: Bu çalışmanın amacı kadınlarda menstrüel ağrı şiddetinin vücut farkındalığı, fiziksel aktivite düzeyi ve duyu organizasyonu üzerine etkisini incelemekti. Yöntem: Çalışmaya 18-30 yaş arası menstrüel ağrısı olan kadınlar dahil edildi. Katılımcılar görsel analog skalasına göre hafif (n=47), orta (n=28) ve şiddetli (n=18) menstrüel ağrı grubu olmak üzere toplam üç gruba ayrıldı. Katılımcılara Vücut Farkındalığı Anketi (VFA) ve Uluslararası Fiziksel Aktivite Anketi–kısa form (UFAA) uygulandı. Katılımcıların somatosensoriyel, görsel ve vestibüler duyu organizasyonları bilgisayarlı dinamik postürografi ile incelendi. Tüm değerlendirmeler menstrüasyon sırasında uygulandı. Bulgular: VFA ve UFAA açısından; şiddetli ağrı grubu hafif ve orta şiddetli ağrı gruplarından ve orta şiddetli ağrı grubu ise hafif ağrı grubundan daha düşük puana sahipti (p<0.05). Şiddetli ağrı grubu hafif ve orta şiddetli ağrı grubundan ve orta şiddetli ağrı grubu hafif ağrı grubundan daha düşük antero-posterior somatosensoriyel test değerlerine sahipti (p<0.05). Şiddetli ağrı grubu hafif şiddetli ağrı grubundan daha düşük antero-posterior vestibüler test değerlerine sahipti (p<0.05). Şiddetli ağrı grubu hafif ve orta şiddetli ağrı grubundan daha düşük medio-lateral somatosensoriyel test değerlerine sahipti (p<0.05). Şiddetli ağrı grubu hafif ağrı grubundan ve orta şiddetli ağrı grubu hafif ağrı grubundan daha düşük medio-lateral vestibüler test değerlerine sahipti (p<0.05). Sonuç: Ağrı şiddeti arttıkça, VFA, UFAA ve somatosensoriyel ve vestibüler duyu organizasyonu test sonuçlarının düştüğü görüldü. Menstrüel ağrı ile baş etmek için vücut farkındalığını artıran fiziksel aktivite yöntemlerinin tercih edilmesi, menstruel ağrıyı azaltmak ve duyu organizasyonunu iyileştirmek için daha etkili sonuçlar ortaya koyabilir.

Anahtar Kelimeler:

menstrüel ağrı, dismenore, postür, vücut farkındalığı, fiziksel aktivite, duyu organizasyonu

The effect of menstrual pain severity on body awareness, physical activity level, and sensory organization

Aim: The aim of this study was to examine the effect of menstrual pain severity on body awareness, physical activity level, and sensory organization in women. Method: Women aged 18-30 years with menstrual pain were included in the study. Participants were divided into three groups as mild (n=47), moderate (n=28) and severe (n=18) menstrual pain-groups according to visual analog scale. The Body Awareness Questionnaire (BAQ) and the International Physical Activity Questionnaire–short form (IPAQ) were administered to the participants. Somatosensory, visual and vestibular sensory organizations of the participants were analyzed using computerized dynamic posturography. All assessments were administered during menstruation. Results: In terms of BAQ and IPAQ; severe pain-group had lower scores than mild and moderate pain-groups, and moderate pain-group had lower scores than mild pain-group (p<0.05). Severe pain-group had lower antero-posterior somatosensory test values than mild and moderate pain-groups, and moderate pain-group had lower antero-posterior somatosensory test values than mild pain-group (p<0.05). Severe pain-group had lower antero-posterior vestibular test values than mild pain-group (p<0.05). Severe pain-group had lower medio-lateral somatosensory test values than mild and moderate pain-groups (p<0.05). The severe pain-group had lower medio-lateral vestibular test values than the mild pain-group, and the moderate pain-group had lower medio-lateral vestibular test values than the mild pain-group (p<0.05). Conclusion: As the severity of pain increased, BAQ, IPAQ, and somatosensory and vestibular sensory organization results decreased. Preferring physical activity methods that increase body awareness to cope with menstrual pain may provide more effective results in reducing menstrual pain and improving sensory organization.

Keywords:

menstrual pain, dysmenorrhea, posture, body awareness, physical activity, sensory organization,

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