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Włodzimierz Piasecki
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1 89/4/15 : 88/7/13 : 1389 /109 / :. 54 ± 8/22 : 20/47 ± 1/54 : ) 34 : (n = 14) (n = 20) ( 20/72 ± 2/76 :(BMI) 161 ± 5/34 : Mann Whitney U. (Visual Analogue Scale) V.A.S. t t Wilcoxon ( ) : (3/79 ± 2/39 6/37 ± 2/69 ) (8/75 ± 6/0 15/90 ± 5/93 ) (5/35 ± 3/0 14/20 ± 7/42 )..(P < 0/001) 6. 6 :. :.(1-2) (2).(1)..... : fsaadatabadi@gmail.com /109 /

2 ( )....(8-9). Labriola Izzo. Salmon Choi.(10) 3 ) (.(11).(12)...(3) ) (....(4)..(3).(5) (6)....(7) (5).(4) /109 / 402

3 3 4.. ) ) ( ) ( ( ) (. T MDQ (Visual Analogue Scale) V.A.S 10. ) ( ) 10 (. Mann Whitney U SPSS t t Wilcoxon. (SPSS Inc., Chicago, IL) 6 6..(P < 0/001).(5).(13) ± 5/34 20/47 ± 1/54 54/01 ± 8/24 20/72 ± 2/76 (BMI) /109 /

4 13/57 14/20.(1 ) 6 (V.A.S) 5/35 6/37 6/30 6.(P < 0/001) 6. 3/79.(2 ) (P < 0/001).(P < 0/001) 6.1 ± ± 36/53 ± 7/27 38/35 ± 5/ 60 35/17 ± 7/56 * 47/10 ± 5/ 20 (cm) 16/ 97 ± 1/15 17/60 ± 0/ 68 17/32 ± 1/15 18/28 ± 0/ 96 (cm) 21/15 ± 1/08 20/77 ± 1/ 19 (cm) 21/07 ±1/06 * 22/19 ± 0/ /71 ± 5/83 120/15 ± 8/ /35 ± 5/74 * 129 ± 6/ 46 () P < 0/001 * 6.2 ± * 0/000 * 0/000 * 0/000 6/37 ± 2/69-4/32 3/79 ± 2/ 39 6/30 ± 2/60 6/79 ± 2/31 14/20 ± 7/42 5/35 ± 3/00-3/89 13/57 ± 8/ 87 12/92 ± 7/73 15/90 ± 5/93 8/75 ± 6/09-3/50 16/07 ± 9/ 21 16/14 ± 9/36 P < 0/001 * 1389 /109 / 404

5 6 Boyle Aganoff.(9).. ( 20 ) ) (.(15).(1).(16) ) ( ). (...(5) (Relaxation) Ronkainen. Prior.(14) /109 /

6 ... References 1. Abbaspour Z, Rostami M, Najjar SH. The effect of exercise on primary dysmenorrhea. J Res Health Sci 2006; 6(1): Tangchai K, Titapant V, Boriboonhirunsarn D. Dysmenorrhea in Thai adolescents: prevalence.impact and knowledge of treatment. J Med Assoc Thai 2004; 87(3): Wright J, Wyatt S. The Washington manual obstetrics and gynecology survival guide. Philadelphia: Lippincott Williams & Wilkins; Hacker NF, Moore JG, Gambone JC. Essentials of obstetrics and gynecology. 4 th ed. Philadelphia: WB. Saunders; Lock RJ, Warren MD. What is the effect of exercise on primary dysmenorrhea? West J Med 1999; 171(4): Lefebvre G, Pinsonneault O, Antao V, Black A, Burnett M, Feldman K, et al. Primary dysmenorrhea consensus guideline. J Obstet Gynaecol Can 2005; 27(12): Golomb LM, Solidum AA, Warren MP. Primary dysmenorrhea and physical activity. Med Sci Sports Exerc 1998; 30(6): Stoddard JL, Dent CW, Shames L, Bernstein L. Exercise training effects on premenstrual distress and ovarian steroid hormones. Eur J Appl Physiol 2007; 99(1): Prior JC, Vigna Y, Alojada N. Conditioning exercise decreases premenstrual symptoms. A prospective controlled three month trial. Eur J Appl Physiol Occup Physiol 1986; 55(4): Izzo A, Labriola D. Dysmenorrhoea and sports activities in adolescents. Clin Exp Obstet Gynecol 1991; 18(2): Choi PY, Salmon P. Symptom changes across the menstrual cycle in competitive sportswomen, exercisers and sedentary women. Br J Clin Psychol 1995; 34(Pt 3): Fremont J, Craighead LW. Aerobic exercise and cognitive therapy in the treatment of dysphoric moods. Cognitive Ther Res 1987; 11(2): American council on exercise. Flexibility benefits [Online]. 2001; Available from: URL: 30.pdf. 14. Ronkainen H, Pakarinen A, Kirkinen P, Kauppila A. Physical exercise-induced changes and season-associated differences in the pituitaryovarian function of runners and joggers. J Clin Endocrinol Metab 1985; 60(3): Aganoff JA, Boyle GJ. Aerobic exercise, mood states and menstrual cycle symptoms. J Psychosom Res 1994; 38(3): Mosallanejad Z, Gaeini AA, Mosallanejad L. The effect of continuous aerobic exercise on premenstrual syndrome: a randomized clinical trial. Tehran University Medical Journal 2007; 65(Supplement 1): /109 / 406

7 Journal of Isfahan Medical School Original Article Vol 28, No 109, September 2010 Received: Accepted: Abstract Effect of Six Weeks Flexibility Training on Dysmenorrhea Fatemeh Saadat Saadatabadi MSc 1, Effat Bambaichi MD 2, Fahimeh Esfarjani MD 2 Background: Exercise is commonly reported as a factor for decreasing dysmenorrhea symptoms. The aim of the present study was to investigate the effect of six weeks flexibility training on symptoms of dysmenorrhea. Methods: Thirty-four students of The University of Isfahan suffering from primary dysmenorrhea (Age: ± 1.54 years, Weight: 54 ± 8.22 Kg, Height: 161 ± 5.34 cm, Body Mass Index: ± 2.76) were divided in two exercise (n = 20) and control (n = 14) groups. Exercise group engaged in a 6 weeks flexibility training program include abdomen, back, hamstring and hip adductors stretches. They performed 10 movements, each 3 times, lasting 10 seconds, 4 days per week. One second was added to those movement times each week. Prior and after 6 weeks of flexibility training, all subjects completed menstrual distress questionnaire. Severity of pain evaluate with Visual Analogue Scale. The descriptive and inferential statistic tests like Man-Withney U, Wilcoxon, and independent and paired sample t-test were used for analyzing the statistical information. Findings: After 6 weeks flexibility training, experimental group indicated significant increase in flexibility measurements (back, hamstring, hip adductors) and significant decreases in their mood symptoms (from ± 7.42 to 5.35 ± 3.00), physical symptoms (from ± 5.93 to 8.75 ± 6.09) and severity of pain (from 6.37 ± 2.69 to 3.79 ± 2.39) (P < 0.001). There were no significant changes in flexibility measurements and dysmenorrhea symptoms in control group. Conclusion: Our findings indicated that selected flexibility training in 6 weeks would decrease dysmenorrhea symptoms. Keywords: Dysmenorrhea, Flexibility training, Pain. 1 Department of Physiology, School of Physical Education, The University of Isfahan, Isfahan, Iran. 2 Assistant Professor, Department of Physiology, School of Physical Education, The University of Isfahan, Isfahan, Iran. Corresponding Author: Fatemeh Saadat Saadatabadi MSc, fsaadatabadi@gmail.com /109 /

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