Physiotherapy In Adolescent Primary Dysmenorrhoea

Adolescence is a transition from childhood to adult. A young woman will experience regular menstrual cycles every month. Every teenage girl's menstrual cycle will usually be accompanied by pain in the lower abdominal area known as primary dysmenorrhoea. Lower abdominal pain that accompanies menstruation can sometimes make adolescents hampered while doing their activities, for example, it is difficult to concentrate while studying, or even to not be able to take lessons in school. This condition can reduce the productivity of adolescents. Physiotherapy Health services can reduce lower abdominal pain during menstruation by abdominal muscles stretching.

The purpose of stretching the abdominal muscles is to provide a relaxing effect that can reduce primary dysmenorrhoea. Stretching of the abdominal muscles produce endorphien hormones. Endorphien hormones as a natural sedative that produced by the brain and can reduce the pain during uterine muscle contractions and make comfortable. Abdominal muscles stretching can do in the morning or evening, 3 times a week for 15-30 minutes. For teens who have a normal menstrual cycle (28-30 days) can do abdominal muscle stretching 3 days before menstruation and for teens who have abnormal menstrual cycles, it can be done the 3rd week after the previous menstruation for 4-5 times a week. Abdominal Stretching excercixe as follows:

Abdominal and lower back muscle stretching : Starting position: hands and knees on the floor, hands under the shoulders, knees below the hips, feet relax, eyes staring at the floor.

a. Back bent and the stomach is pushed towards the floor slowly so far maybe as well as the chin and eyes staring at the floor. Hold this condition in count of 10, count with loud noises after that relax and breathe in.

b. Back pushed up and bring down head looked down at the floor Hold this condition in count of 10, count with loud noise, after that relax

c. Backward sitting position in over the heel, spread out arms forward away from body as far as possible to feel the pull Hold this condition in 2x10 count, then relax and take a deep breath through nose and remove it by mouth.

Next step is rotation of lower back. Initial position: Body position lying on your back, knees bent, feet on the floor and second arms stretched out keep away from the body.

a. The first condition is the knee bend slowly rotated to the right stick to the floor and keep both shoulders stay on the floor with hand that keep outward distance body Hold this condition in 2x10 count, count in a loud voice.

b. With the same position turn the knee to the left side until stick to the defense floor You keep your shoulders close on the floor Hold this condition in 2x10 count, count in a loud voice

c. Return to the starting position.

Pain during menstruation in each individual has a different, therefore the advice of the Physiotherapist, if menstrual pain is felt can not be tolerated or accompanied by heavy bleeding or other conditions such as vomiting and diarrhea that is please contact your doctor.