The rationale of this study is despite the widespread belief that exercise can reduce dysmenorrhea, evidence-based studies are limited. Studies are therefore required to evaluate the association between quality of life and the primary dysmenorrheal females, the functional impact on the quality of life and primary dysmenorrhea females also it's a crucial time for females to focus on their studies and dysmenorrhea can add to the fatigue levels and cause distress in this age group thus the purpose of this study is to determine whether myokinetic active release of trigger points in the rectus abdominis, gluteus medius and quadratus lumborum is a more effective way to reduce dysmenorrhea than kegel exercises
Age 17-25 years
Diagnosed cases of dysmenorrhea
Subject having trigger point in rectus abdominins, quadratus lumborum and gluteus medius
With regular cycles 21-35 days lasting 3-7 days
Oral contraceptives used for menstrual irregularity
Other gynecological disease like fibroids, endometriosis
Who take analgesia
Endometrial polyp, having pelvic infection using IUD, having venous congestion in internal genital organs.
Single group
Kegel exercises
Other interventionIt consists of 25 patients who will receive Kegel exercises with Myokinetic active release of trigger points in quadratus lumborum, rectus abdominis and gluteus medius. Patient will be in lying position with empty bladder. Ask patient to tight pelvic floor muscle group and hold tight from 3-5 seconds Then relax muscle group from 3-5 seconds with Myokinetic therapy targeted at releasing muscle of quadratus lumborum, rectus abdominis and gluteus medius release was applied passively by sustained pressure for 8-10 seconds. This protocol consisted of three sets with 2 minutes of rest..Participants will be asked to perform exercise 30 times each session following hold and relax of muscle group for 3-5 seconds
pain is assessed by numerical pain rating scale
11 point numeric pain rating scale
FSS scale is used to access fatigue severity
9 items scale
SF-36 is used to access quality of life
8 domains with further items
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