Comparison of Connective Tissue Massage and Classic Massage in Women With Primary Dysmenorrhea: A Randomized Clinical Trial

J Manipulative Physiol Ther. 2023 Jun-Dec;46(5-9):305-314. doi: 10.1016/j.jmpt.2024.09.005. Epub 2024 Oct 22.

Abstract

Objective: The purpose of this study was to compare the short-term effects of connective tissue massage (CTM) and classic massage (CM) on pain, functional and emotional status, and menstrual complaints in women with primary dysmenorrhea (PD).

Methods: Women with PD were randomly assigned to 2 groups: CTM (n = 19) and CM (n = 19). CTM or CM was applied 5 days a week from the estimated date of ovulation to the onset of the next menstruation. The pain intensity with the Visual Analog Scale and functional and emotional status with the Functional and Emotional Dysmenorrhea Scale (FEDS) were assessed before and after the applications. Pain duration and the presence of menstrual complaints were recorded.

Results: In the postintervention period, both groups had decreased menstrual pain intensity and duration, drug use, and FEDS scores (P < .001). Pain duration and FEDS-functional scores decreased more in the CTM group than in the CM group (P < .05). Moreover, in the postintervention period, fewer women were nervous in the CM group, whereas low back pain, constipation, and sleeplessness were less frequent in the CTM group, compared with their preintervention period (P < .05). A difference was observed between groups only in terms of the changes in sleeplessness between before and after intervention (P = .016).

Conclusion: CTM and CM improved menstrual pain and functional and emotional status, and decreased drug use. Moreover, CTM was superior in improving pain duration, functional status, and sleeplessness compared with CM in PD. CTM and CM might be useful treatment methods for PD.

Keywords: Dysmenorrhea; Massage; Pain; Physical Therapy Modalities; Women.

Publication types

  • Randomized Controlled Trial
  • Comparative Study

MeSH terms

  • Adult
  • Connective Tissue
  • Dysmenorrhea* / therapy
  • Female
  • Humans
  • Massage* / methods
  • Pain Measurement*
  • Treatment Outcome
  • Young Adult