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http://dx.doi.org/10.15268/ksim.2020.8.2.075

Effects of Pilates Stabilization Exercise on Abdominal Muscles Contraction, Lumbopelvic Alignment, Dysmenorrhea  

Kim, Moonjeoung (Dept. of Physical Therapy, Modern Pilates)
Moon, Hyunju (Dept. of Physical Therapy, Vagus Nerve Research Center)
Publication Information
Journal of The Korean Society of Integrative Medicine / v.8, no.2, 2020 , pp. 75-88 More about this Journal
Abstract
Purpose : Dysmenorrhea can be caused by misalignment of the pelvis. Since pilates stabilization exercise is a methods that affects pelvic alignment by inducing contraction of abdominal muscles, the purpose of this study is to determine whether dysmenorrhea is reduced when pilates stabilization exercise is applied. Methods : 47 dysmenorrhea patients were randomly divided into experimental (n=23) and control (n=24) groups. The experimental group performed pilates stabilization exercise three times a week for 12 weeks, and the control group did not perform any intervention. Abdominal muscle thickness, lumbar pelvic alignment, and dysmenorrhea were measured before intervention, 6 weeks, and 12 weeks after intervention to determine the mean change over time and the effect of group and factor interactions (repeated measured ANOVA and contrast test for each period). Results : In the experimental group, the thickness of the transverse abdominis, internal oblique, and external oblique muscles were increased significantly by group and period (p<.05). The pelvic torsion, lordosis and dysmenorrhea were also significantly decreased by group and period. But the control group did not change significantly in any of the variables. Conclusion : Applying pilates stabilization exercise to women with dysmenorrhea may be an effective intervention that contributes to relieving dysmenorrhea by correcting the stability and alignment of the lumbar pelvis.
Keywords
abdominal muscles; dysmenorrhea; lumbopelvic alignment; pilates stabilization exercise;
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1 Alves MC, de Souza Neto RJ, Barbosa RI, et al(2019). Effects of a pilates protocol in individuals with non-specific low back pain compared with healthy individuals: clinical and electromyographic analysis. Clin Biomech, 72, 172-178. http://doi.org/10.1016/j.clinbiomech.2019.12.009.   DOI
2 Amelia M(2016). The effect of pilates exercise to hamper primary dysmenorrhea in 18-21 years old adolescents. International Conference on Health and Well-Being, 413-417.
3 Boesler D, Warner M, Alpers A, et al(1993). Efficacy of high-velocity low-amplitude manipulative technique in subjects with low-back pain during menstrual cramping. J Am Osteopath Assoc, 93(2), 203-208.   DOI
4 Bygdeman M, Bremme K, Gillespie A, et al(1979). Effects of the prostaglandins on the uterus. Prostaglandins and uterine contractility. Acta Obstet Gynecol Scand Suppl, 87, 33-38.
5 Dawood MY(1990). Dysmenorrhea. Clin Obstet Gynecol, 33(1), 168-178.   DOI
6 da Fonseca JMA, Radmann CS, da Carvalho FT, et al(2016). The influence of the Pilates method on muscular flexibility, symptoms, and quality of life in women with primary dysmenorrhea. Scientia Medica, 26(2), Printed Online. https://doi.org/10.15448/1980-6108.2016.2.23052.
7 Teyhen DS, Miltenberger CE, Deiters HM, et al(2005). The use of ultrasound imaging of the abdominal drawing-in maneuver in subjects with low back pain. J Orthop Sports Phys Ther, 35(6), 346-355. https://doi.org/10.2519/jospt.2005.35.6.346.   DOI
8 Torelli L, de Jarmy Di Bella ZI, Rodrigues CA, et al(2016). Effectiveness of adding voluntary pelvic floor muscle contraction to a pilates exercise program: an assessor-masked randomized controlled trial. Int Urogynecol J, 27(11), 1743-1752. https://doi.org/10.1007/s00192-016-3037-1.   DOI
9 Zahradnik HP, Hanjalic-Beck A, Groth K(2010). Nonsteroidal anti-inflammatory drugs and hormonal contraceptives for pain relief from dysmenorrhea: a review. Contraception, 81(3), 185-196. https://doi.org/10.1016/j.contraception.2009.09.014.   DOI
10 Fernandez-Martinez M, Onieva-Zafra MD, Parra-Fernandez ML(2019). The impact of dysmenorrhea on quality of life among spanish female university students. Int J Environ Res Public Health, 16(5). Printed Online. https://doi.org/10.3390/ijerph16050713.
11 Giles LG, Taylor JR(1984). The effect of postural scoliosis on lumbar apophyseal joints. Scand J Rheumatol, 13(3), 209-220.   DOI
12 Giacomini MB, da Silva AM, Weber LM, et al(2016). The pilates method increases respiratory muscle strength and performance as well as abdominal muscle thickness. J Bodyw Mov Ther, 20(2), 258-264. https://doi.org/10.1016/j.jbmt.2015.11.003.   DOI
13 Kim MJ, Baek IH, Goo BO(2016a). The relationship between pelvic alignment and dysmenorrhea. J Phys Ther Sci, 28(3), 757-760. https://doi.org/10.1589/jpts.28.757.   DOI
14 Hackenberg L, Hierholzer E, Potzl W, et al(2003). Rasterstereographic back shape analysis in idiopathic scoliosis after posterior correction and fusion. Clin Biomech, 18(10), 883-889. https://doi.org/10.1016/s0268-0033(03)00169-4.   DOI
15 Jull G, Richardson C, Toppenberg R, et al(1993). Towards a measurement of active muscle control for lumbar stabilisation. Aust J Physiother, 39(3), 187-193.   DOI
16 Kim T(2005). Pathogenesis and management guideline of dysmenorrhea. Korean J Obstet Gynecol, 48(7), 1613-1620.
17 Kim MJ, Baek IH, Goo BO(2016b). The effect of lumbar-pelvic alignment and abdominal muscle thickness on primary dysmenorrhea. J Phys Ther Sci, 28(10), 2988-2990. https://doi.org/10.1589/jpts.28.2988.   DOI
18 Kofotolis N, Kellis E, Vlachopoulos SP, et al(2016). Effects of pilates and trunk strengthening exercises on health-related quality of life in women with chronic low back pain. J Back Musculoskelet Rehabil, 29(4), 649-659. https://doi.org/ 10.3233/BMR-160665.   DOI
19 Kwon HY, Moon HJ, Kim MJ(2016). The effects of pilates based breathing on changes in the thicknesses of the abdominal muscles. J Korean Soc Phys Med, 11(3), 59-63.   DOI
20 Lin HT, Hung WC, Hung JL, et al(2016). Effects of pilates on patients with chronic non-specific low back pain: a systematic review. J Phys Ther Sci, 28(10), 2961-2969. https://doi.org/10.1589/jpts.28.2961.   DOI
21 Moos RH(1968). The development of a menstrual distress questionnaire. Psychosom Med, 30(6), 853-867.   DOI
22 Latey P(2001). The pilates method: history and philosophy. J Bodyw Mov Ther, 5(4), 275-282.   DOI
23 Liebl NA, Butler LM(1990). A chiropractic approach to the treatment of dysmenorrhoea. J Manipulative Physiol Ther, 13(2), 101-106.
24 Memmedova K(2015). Impact of pilates on anxiety attention, motivation, cognitive function and achievement of students: structural modeling. Procedia-Social and Behavioral Sciences, 186, 544-548. https://doi.org/10.1016/j.sbspro.2015.04.009.   DOI
25 Paithankar SM, Hande D(2016). Effectiveness of pilates over conventional physiotherapeutic treatment in females with primary dysmenorrhea. IOSR J Dental Med Sci, 15(4), 156-163. https://doi.org/10.9790/0853-150405156163.   DOI
26 Penelope L(2002). Updating the principles of the pilates method-part 2. J Bodyw Mov Ther, 6(2), 94-101. https://doi.org/10.1054/jbmt.2002.0289.   DOI
27 Pool-Goudzwaard A, van Dijke GH, van Gurp M, et al(2004). Contribution of pelvic floor muscles to stiffness of the pelvic ring. Clin Biomech, 19(6), 564-571. https://doi.org/10.1016/j.clinbiomech.2004.02.008.   DOI
28 Smith MD, Russell A, Hodges PW(2008). Is there a relationship between parity, pregnancy, back pain and incontinence?. Int Urogynecol J Pelvic Floor Dysfunct, 19(2), 205-211.   DOI
29 Snyder BJ, Sanders GE(1996). Evaluation of the toftness system of chiropractic adjusting for subjects with chronic back pain, chronic tension headaches, or primary dysmenorrhea. Chiropractic Techniques, 8, 3-9.