Osteopathic uterus manipulation and cranial stimulation influence on anterior uterocervical angle in primary dysmenorrhea: A randomized controlled trial protocol

Abstract

Background and purpose: Prevalence rate of primary dysmenorrhea exceeds 90 per cent and is common cause of absenteeism among teenagers and young females. The aim of this study is to assess biological and psychological effects of Osteopathic uterus manipulation and cranial stimulation in primary dysmenorrhea cases.

Methods: Single blinded two group pre-test post-test randomized controlled trial will be conducted on 46 females between the age group of 18-35 years. Participants will be randomly divided into interventional group A and control group B. Group A will receive osteopathic uterus manipulation and cranial stimulation along with conventional physiotherapy while group B will be on conventional physiotherapy alone. One week of treatment will start 2 days before previous periodic date and will continue for 4 consecutive menstrual cycles. International physical activity questionnaire will assess physical activity of each participant. Pre and post diagnostic ultrasonography will calculate any change in the longitudinal axis and vertical axis of the uterine cervix and measure anterior uterocervical angle. Pain, anxiety and depression levels will be measured by Visual Analogue Scale and Depression, Anxiety and Stress Scale-21 items respectively.

Discussion: The study assesses the role of Osteopathic Uterus Manipulation and Cranial Stimulation in management of primary dysmenorrhea patients.