[KSCI] Korea Science Citation Index Service

http://dx.doi.org/10.14474/ptrs.2020.9.4.252

The effect of sacroiliac joint manual therapy on heart rate variability in women with primary dysmenorrhea

Park, Sun-Geon (Department of Physical Therapy, The Wells Clinic)
Song, Seong-Hyeok (Department of Physical Therapy, The Graduate School, Sahmyook University)
Jung, Ji-Hye (Department of Physical Therapy, The Graduate School, Sahmyook University)
Joo, Young-Lan (Department of Physical Therapy, The Graduate School, Sahmyook University)
Yang, You-Jin (Department of Physical Therapy, Gangwon-do Wonju Medical Center)
Lee, Seungwon (Department of Physical Therapy, College of Health Science and Social Welfare, Sahmyook University)

Publication Information

Physical Therapy Rehabilitation Science / v.9, no.4, 2020 , pp. 252-260 More about this Journal

Abstract

Objective: Disorder of the autonomic nervous system is considered to be the cause of primary dysmenorrhea. The spine has a close relationship with the autonomic nervous system, and the sacrum is mechanically and neurologically connected to the uterus through ligaments. Therefore, this study was conducted to check the effect on the autonomic nervous system through measurement of heart rate variability by applying manual therapy to the sacroiliac joints of subjects with primary dysmenorrhea and to suggest an effective treatment method for dysmenorrhea. Design: Randomized controlled trial. Methods: Thirty females with dysmenorrhea were assigned to either the manual therapy group and sham treatment group according to the random treatment method. The manual therapy was applied to the sacroiliac joints, and the sham treatment was only treated with the hands placed in the same position of the intervention. Heart rate variability and the Visual Analogue Scale (VAS) were measured on the day when menstruation began ±2. Interventions were performed between the groups, followed by a 5-minute break and then re-measurements were made. Results: There were significant differences in autonomic balance and VAS scores in the manual therapy group before and after the intervention between groups (p<0.05). In the sham treatment group, there were significant differences in low frequency, autonomic balance, and VAS scores (p<0.05). There were significant differences in autonomic balance between groups (p<0.05). Conclusions: In females with primary dysmenorrhea, manual therapy applied to the sacroiliac joint was found to be effective for a short time on autonomic activity.

Keywords

Dysmenorrhea; Heart rate variability; Musculoskeletal manipulations; Sacroiliac joint;

Citations & Related Records

Reference

1	Zecchillo D, Acquati A, Aquino A, Pisa V, Uberti S, Ratti S. Osteopathic manipulative treatment of primary dysmenorrhea and related factors: a randomized controlled trial. Int J Med Res Health Sci 2017;6:165-74.
2	Molins-Cubero S, Rodriguez-Blanco C, Oliva-Pascual-Vaca A, Heredia-Rizo AM, Bosca-Gandia JJ, Ricard F. Changes in pain perception after pelvis manipulation in women with primary dysmenorrhea: a randomized controlled trial. Pain Med 2014;15:1455-63.
3	Jones K. The effect of sacroiliac joint manipulation on lumbar extensor muscle endurance in asymptomatic individuals [Master thesis]. Durban: Durban University of Technology; 2014.
4	Flynn TW, Fritz JM, Wainner RS, Whitman JM. The audible pop is not necessary for successful spinal high-velocity thrust manipulation in individuals with low back pain. Arch Phys Med Rehabil 2003;84:1057-60.
5	Kaya H, Suner A, Koroglu S, Akcay A, Turkbeyler IH, Koleoglu M. Heart rate variability in familial Mediterranean fever patients. Eur J Rheumatol 2014;1:58-61.
6	Akselrod S, Gordon D, Ubel FA, Shannon DC, Berger AC, Cohen RJ. Power spectrum analysis of heart rate fluctuation: a quantitative probe of beat-to-beat cardiovascular control. Science 1981;213:220-2.
7	DonTigny RL. Anterior dysfunction of the sacroiliac joint as a major factor in the etiology of idiopathic low back pain syndrome. Phys Ther 1990;70:250-65; discussion 262-5.
8	Glover J, Talsma J, Pierce-Talsma S. An osteopathic approach to diagnosis and management of sacroiliac joint dysfunction. J Am Osteopath Assoc 2018;118:e92-3.
9	Hitchcock ME. The manipulative approach to the management of primary dysmenorrhea. J Am Osteopath Assoc 1976;75:909-18.
10	Budgell B. Spinovisceral reflexes evoked by noxious and innocuous stimulation of the lumbar spine. J Neuromusculoskelet Syst 1995;3:122-31.
11	Leicht AS, Hirning DA, Allen GD. Heart rate variability and endogenous sex hormones during the menstrual cycle in young women. Exp Physiol 2003;88:441-6.
12	Grayson JE, Barton T, Cabot PJ, Souvlis T. Spinal manual therapy produces rapid onset analgesia in a rodent model. Man Ther 2012;17:292-7.
13	Degenhardt BF, Darmani NA, Johnson JC, Towns LC, Rhodes DC, Trinh C, et al. Role of osteopathic manipulative treatment in altering pain biomarkers: a pilot study. J Am Osteopath Assoc 2007;107:387-400.
14	Skyba DA, Radhakrishnan R, Rohlwing JJ, Wright A, Sluka KA. Joint manipulation reduces hyperalgesia by activation of monoamine receptors but not opioid or GABA receptors in the spinal cord. Pain 2003;106:159-68.
15	Walsh MJ, Polus BI. A randomized, placebo-controlled clinical trial on the efficacy of chiropractic therapy on premenstrual syndrome. J Manipulative Physiol Ther 1999;22:582-5.
16	Heart rate variability: standards of measurement, physiological interpretation and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Circulation 1996;93:1043-65.
17	Kokjohn K, Schmid DM, Triano JJ, Brennan PC. The effect of spinal manipulation on pain and prostaglandin levels in women with primary dysmenorrhea. J Manipulative Physiol Ther 1992;15:279-85.
18	Eccles NK. A randomized, double-blinded, placebo-controlled pilot study to investigate the effectiveness of a static magnet to relieve dysmenorrhea. J Altern Complement Med 2005;11:681-7.
19	Proctor M, Farquhar C. Diagnosis and management of dysmenorrhoea. BMJ 2006;332:1134-8.
20	Polat A, Celik H, Gurates B, Kaya D, Nalbant M, Kavak E, et al. Prevalence of primary dysmenorrhea in young adult female university students. Arch Gynecol Obstet 2009;279:527-32.
21	Hagg O, Fritzell P, Nordwall A. The clinical importance of changes in outcome scores after treatment for chronic low back pain. Eur Spine J 2003;12:12-20.
22	Yu A. Complementary and alternative treatments for primary dysmenorrhea in adolescents. Nurse Pract 2014;39:1-12.
23	Lee JM, Lee CH, Cho JH, Jang JB, Lee KS, Lee JY. Analysis on the heart rate variability of dysmenorrhoea patients. J Orient Obstet Gynecol 2007;20:164-77.
24	Baker FC, Colrain IM, Trinder J. Reduced parasympathetic activity during sleep in the symptomatic phase of severe premenstrual syndrome. J Psychosom Res 2008;65:13-22.
25	Matsumoto T, Ushiroyama T, Kimura T, Hayashi T, Moritani T. Altered autonomic nervous system activity as a potential etio-logical factor of premenstrual syndrome and premenstrual dysphoric disorder. Biopsychosoc Med 2007;1:24.
26	Liebenson C. Rehabilitation of the spine: a practitioner's manual. 2nd ed. Philadelphia (PA): Lippincott Williams & Wilkins; 2007.
27	Proctor ML, Hing W, Johnson TC, Murphy PA. Spinal manipulation for primary and secondary dysmenorrhoea. Cochrane Database Syst Rev 2006;2006:CD002119.
28	Browning JE. Pelvic pain and organic dysfunction in a patient with low back pain: response to distractive manipulation: a case presentation. J Manipulative Physiol Ther 1987;10:116-21.
29	Dawood MY. Primary dysmenorrhea: advances in pathogenesis and management. Obstet Gynecol 2006;108:428-41.
30	Mauroy B, Demondion X, Bizet B, Claret A, Mestdagh P, Hurt C. The female inferior hypogastric (= pelvic) plexus: anatomical and radiological description of the plexus and its afferences--applications to pelvic surgery. Surg Radiol Anat 2007;29:55-66.
31	Tarvainen MP, Niskanen JP. Kubios HRV 2.1 user's guide. Kuopio: University of Eastern Finland; 2012.
32	Holtzman DA, Petrocco-Napuli KL, Burke JR. Prospective case series on the effects of lumbosacral manipulation on dysmenorrhea. J Manipulative Physiol Ther 2008;31:237-46.
33	Christensen MG, Kollasch MW, Ward R, Webb KR, Day AA, zumBrunnen J. Job analysis of chiropractic 2005: a project report, survey analysis, and summary of the practice of chiropractic within the United States. Greeley (CO): National Board of Chiropractic Examiners; 2005.
34	Park MK, Watanuki S. Specific physiological responses in women with severe primary dysmenorrhea during the menstrual cycle. J Physiol Anthropol Appl Human Sci 2005;24:601-9.
35	Matsumoto T, Ushiroyama T, Morimura M, Moritani T, Hayashi T, Suzuki T, et al. Autonomic nervous system activity in the late luteal phase of eumenorrheic women with premenstrual symptomatology. J Psychosom Obstet Gynaecol 2006;27:131-9.
36	Cho SH, Hwang EW. Acupuncture for primary dysmenorrhoea: a systematic review. BJOG 2010;117:509-21.
37	Lee S, Lee MS, Choi JY, Lee SW, Jeong SY, Ernst E. Acupuncture and heart rate variability: a systematic review. Auton Neurosci 2010;155:5-13.
38	Herzog W. Mechanical, physiologic, and neuromuscular considerations of chiropractic treatments. Adv Chiropr 1996;3:69-285.
39	Pumprla J, Howorka K, Groves D, Chester M, Nolan J. Functional assessment of heart rate variability: physiological basis and practical applications. Int J Cardiol 2002;84:1-14.
40	Vagedes J, Fazeli A, Boening A, Helmert E, Berger B, Martin D. Efficacy of rhythmical massage in comparison to heart rate variability biofeedback in patients with dysmenorrhea-a randomized, controlled trial. Complement Ther Med 2019;42:438-44.
41	Astin JA, Marie A, Pelletier KR, Hansen E, Haskell WL. A review of the incorporation of complementary and alternative medicine by mainstream physicians. Arch Intern Med 1998;158:2303-10.
42	Latthe PM, Proctor ML, Farquhar CM, Johnson N, Khan KS. Surgical interruption of pelvic nerve pathways in dysmenorrhea: a systematic review of effectiveness. Acta Obstet Gynecol Scand 2007;86:4-15.
43	Vleeming A, Stoeckart R. The role of the pelvic girdle in coupling the spine and the legs: a clinical-anatomical perspective on pelvic stability. In: Vleeming A, Mooney V, Stoeckart R, editors. Movement, stability & lumbopelvic pain: integration of research and therapy. 2nd ed. Edinburgh: Churchill Livingstone Elsevier; 2007. p. 113-37.
44	Boesler D, Warner M, Alpers A, Finnerty EP, Kilmore MA. Efficacy of high-velocity low-amplitude manipulative technique in subjects with low-back pain during menstrual cramping. J Am Osteopath Assoc 1993;93:203-8, 213-4.
45	Hondras MA, Long CR, Brennan PC. Spinal manipulative therapy versus a low force mimic maneuver for women with primary dysmenorrhea: a randomized, observer-blinded, clinical trial. Pain 1999;81:105-14.
46	Heinking KP, Kappler RE. Pelvis and sacrum. In: Chila AG, editor. Foundations of osteopathic medicine. 3rd ed. Philadelphia (PA): Lippincott Williams & Wilkins; 2011. p. 575-601.
47	Harlow SD, Park M. A longitudinal study of risk factors for the occurrence, duration and severity of menstrual cramps in a cohort of college women. Br J Obstet Gynaecol 1996;103:1134-42.
48	Shin S, Kim K, Ko H. Fatigue diagnostic measure research through the heart rate variability of chronic fatigue patients and healthy students in Korean medical hospital. J Physiol Pathol Korean Med 2015;29:409-15.
49	Budgell B, Sato A, Suzuki A, Uchida S. Responses of adrenal function to stimulation of lumbar and thoracic interspinous tissues in the rat. Neurosci Res 1997;28:33-40.
50	Fryer G, Pearce AJ. The effect of lumbosacral manipulation on corticospinal and spinal reflex excitability on asymptomatic participants. J Manipulative Physiol Ther 2012;35:86-93.
51	Bialosky JE, Bishop MD, Price DD, Robinson ME, George SZ. The mechanisms of manual therapy in the treatment of musculoskeletal pain: a comprehensive model. Man Ther 2009;14:531-8.
52	McKinley PS, King AR, Shapiro PA, Slavov I, Fang Y, Chen IS, et al. The impact of menstrual cycle phase on cardiac autonomic regulation. Psychophysiology 2009;46:904-11.
53	Proctor ML, Hing W, Johnson TC, Murphy PA. Spinal manipulation for primary and secondary dysmenorrhoea. Cochrane Database Syst Rev 2001;(4):CD002119.
54	Buller JL, Thompson JR, Cundiff GW, Krueger Sullivan L, Schon Ybarra MA, Bent AE. Uterosacral ligament: description of anatomic relationships to optimize surgical safety. Obstet Gynecol 2001;97:873-9.