Efektivitas Program Latihan Aerobik pada Penurunan Nyeri Dismenore Primer: Meta-analysis
Arif Fadli(1*), Marti Rustanti(2), Yoga Handita Windiastoni(3)
(1) Fisioterapi, Politeknik Kesehatan Surakarta
(2) Fisioterapi, Politeknik Kesehatan Surakarta
(3) Fisioterapi, Politeknik Kesehatan Surakarta
(*) Corresponding Author
Abstract
Latar Belakang: Wanita dengan Dismenore Primer (DP) dapat merasakan nyeri hebat akibat hiperkontraktilitas saat menstruasi, hipoksia, dan iskemia otot rahim. Wanita dengan DP akan mengalami hambatan aktivitas belajar dan keseharian. Obat analgetik efektif menurunkan nyeri dismenore primer dengan efek samping mual dan muntah. Program latihan aerobik bisa menjadi solusi pengobatan nyeri DP tanpa efek samping.
Tujuan: Penelitian ini bertujuan untuk mengevaluasi efektivitas program latihan aerobik untuk pengurangan nyeri akibat dismenore primer.
Metode: Systematic review dan meta-analisis artikel publikasi tahun 2013 s/d 2023 pada desain Randomized Control Trial di databased PubMed, Google Scholar, OVID, ResearchGate, ScienceDirect. Program Revman 5.3 digunakan dalam analisis data dengan ukuran efek terapi pada penurunan nyeri DP.
Hasil: Lima artikel dengan 312 wanita DP dimasukan sintesis meta-analisis. Hasilnya menunjukan bahwa latihan aerobik efektif menurunkaan nyeri akibat dismenore primer dibandingkan dengan kelompok kontrol tanpa intervensi dengan ukuran efek terapi adalah besar (d= -2,03; CI= -3,37 – 0,69; P <0,00001).
Kesimpulan: Program latihan aerobik efektif menurunkan nyeri akibat dismenore primer. Latihan aerobik dapat menurunkan nyeri melalui peningkatan sirkulasi darah sistemik yang disertai penurunan sensitifitas gerak akibat dismenore primer.
Keywords
Full Text:
PDFReferences
Akbaş, E., Erdem, E.U. (2019). Effectiveness of group aerobic training on menstrual cycle symptoms in primary dysmenorrhea. Medical Journal of Bakirkoy. 15(3): 209–216. Available at: https://doi.org/10.4274/BTDMJB.galenos.2018.20180621103019.
Armour, M., Ee, C.C., Naidoo, D., Ayati, Z., Chalmers, K.J., Steel, K.A., de Manincor, M.J., Delshad, E. (2019). Exercise for dysmenorrhoea. Cochrane Database of Systematic Reviews, 2019. (September): 1-60. Available at: https://doi.org/10.1002/14651858.cd004142.pub4.
Arora, A., Yardi, S., Gopal, S. (2014). Effect of 12-Weeks of Aerobic Exercise on Primary Dysmenorrhea. Indian Journal of Physiotherapy and Occupational Therapy - An International Journal. 8(3): 214. Available at: https://doi.org/10.5958/0973-5674.2014.00384.0.
Brito dos Santos, L., Ferreira, C.W.S., Gonçalves, C.G., de Oliveira Xavier, M.A., Dantas, J.H., Barbosa, I.R., da Câmara, S.M.A., and Dantas, D. (2021). Association among dysmenorrhea and activity limitation and participation restrictions in adult women: a cross-sectional study, Brazil-2017. Archives of Public Health. 79(1): 1–7. Available at: https://doi.org/10.1186/s13690-021-00721-1.
Carroquino-Garcia, P., Jiménez-Rejano, J.J., Medrano-Sanchez, E., De La Casa-Almeida, M., Diaz-Mohedo, E., Suarez-Serrano, C. (2019). Therapeutic Exercise in the Treatment of Primary Dysmenorrhea: A Systematic Review and Meta-Analysis, Physical Therapy, 99(10): 1371–1380. Available at: https://doi.org/10.1093/ptj/pzz101.
Dehnavi, Z.M., Jafarnejad, F., Kamali, Z. (2018). The Effect of aerobic exercise on primary dysmenorrhea: A clinical trial study, Journal of Education and Health Promotion, (January), pp. 1–6. Available at: https://doi.org/10.4103/jehp.jehp.
Gutman, G., Nunez, A.T. and Fisher, M. (2022). Dysmenorrhea in adolescents. Current Problems in Pediatric and Adolescent Health Care. 52(5): 1-11. Available at: https://doi.org/https://doi.org/10.1016/j.cppeds.2022.101186.
Heidarimoghadam, R., Abdolmaleki, E., Kazemi, F., Masoumi, S.Z., Khodakarami, B. and Mohammadi, Y. (2019). The effect of exercise plan based on FITT protocol on primary dysmenorrhea in medical students: A clinical trial study. Journal of Research in Health Sciences. 19(3): e00456. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7183554/.
Jaleel, Ghufran, Shaphe, M.A., Khan, A.R., Malhotra, D., Khan, H., Parveen, S., Qasheesh, M., Beg, R.A, Chahal, A., Ahmad, F. and Ahmad, M.F. (2022). Effect of Exercises on Central and Endocrine System for Pain Modulation in Primary Dysmenorrhea. Journal of Lifestyle Medicine. 12(1): 15–25. Available at: https://doi.org/10.15280/jlm.2022.12.1.15.
Ju, H., Jones, M. and Mishra, G. (2014). The prevalence and risk factors of dysmenorrhea. Epidemiologic Reviews. 36(1): 104–113. Available at: https://doi.org/10.1093/epirev/mxt009.
Kannan, P., Chapple, C.M., Miller, D., Claydon-Mueller, L. and Baxter, G.D. (2019). Effectiveness of a treadmill-based aerobic exercise intervention on pain, daily functioning, and quality of life in women with primary dysmenorrhea: A randomized controlled trial. Contemporary Clinical Trials, 81(January): 80–86. Available at: https://doi.org/10.1016/j.cct.2019.05.004.
Kannan, P., Cheung, K. K., Chan, S. C., Lam, K. Y., Law, Y. X., Ng, S. K., Siu, H. Y., and Wong, S. C. C. (2020). Effect of Aerobic Exercise on Plasma Biomarkers of Pain in Women with Primary Dysmenorrhea: A Controlled Non-Randomized Pilot Trial. Biomarkers Journal. 6(67): 1–9. Available at: https://doi.org/10.36648/2.
Kannan, P., Cheung, K.K., Lau, B.W.M., Li, L., Chen, H. and Sun, F. (2021). A mixed-methods study to evaluate the effectiveness and cost-effectiveness of aerobic exercise for primary dysmenorrhea: A study protocol. PLoS ONE. 16 (August): 1–13. Available at: https://doi.org/10.1371/journal.pone.0256263.
Kawuki, J., Gatasi, G. and Sserwanja, Q. (2022). Women empowerment and health insurance utilisation in Rwanda: a nationwide cross-sectional survey. BMC Women’s Health. 22(1): 1–12. Available at: https://doi.org/10.1186/s12905-022-01976-8.
Kirmizigil, B. and Demiralp, C. (2020). Effectiveness of functional exercises on pain and sleep quality in patients with primary dysmenorrhea: a randomized clinical trial. Archives of Gynecology and Obstetrics. 302(1): 153–163. Available at: https://doi.org/10.1007/s00404-020-05579-2.
Lee, S.W. and Shin, W.S. (2021). Comparison of the Effects of Pilates and Aerobic Exercise on Pain, Menstruation Symptoms, and Balance in Women with Dysmenorrhea. The Journal of Korean Physical Therapy. 33(5): 238–244. Available at: https://doi.org/10.18857/jkpt.2021.33.5.238.
Lin, L. and Chu, H. (2018). Quantifying publication bias in meta-analysis. Biometrics. 74(3): 785-794. Available at: https://doi.org/10.1111/biom.12817.
Murti, B. (2018). Prinsip dan metodologi riset epidemiologi. Edisi ke 5. Surakarta: Program Studi Ilmu Kesehatan Masyarakat, Program Pascasarjana, Universitas Sebelas Maret.
Pedersen, M.T., Vorup, J., Nistrup, A., Wikman, J.M., Alstrøm, J.M., Melcher, P.S., Pfister, G.U and Bangsbo, J. (2017). Effect of team sports and resistance training on physical function, quality of life, and motivation in older adults. Scandinavian Journal of Medicine and Science in Sports. 27(8): 852–864. Available at: https://doi.org/10.1111/sms.12823.
Pinzon, R. (2015) Assesmen Nyeri. Edisi 1 Ce. Yogyakarta: Betha Grafika. Yogyakarta.
Rogers, S.K., Galoway, A., Hirsh, A.T., Zapolski, T., Chen, C.X and Rand, K.L. (2023). Efficacy of psychological interventions for dysmenorrhea: a meta-analysis. Pain Medicine. 24(9): 1086–1099. Available at: https://doi.org/https://doi.org/10.1093/pm/pnad058.
Saleh, H. S., Mowafy, H.E., El Hameid, A.A. (2016). Stretching or Core Strengthening Exercises for Managing Primary Dysmenorrhea. Journal of Womens Health Care. 5(1): 1-6. Available at: https://www.longdom.org/open-access/stretching-or-core-strengthening-exercises-for-managing-primary-dysmenorrhea-2167-0420-1000295.pdf
Samy, A., Zaki, S.S., Metwaly, A.A., Mahmoud, D.S.E., Elzahaby, I.M., Amin, A.H., Eissa, A.I, Abbas, A.M., Hussein, A.H, Talaat, B and Ali, A.S. (2019). The Effect of Zumba Exercise on Reducing Menstrual Pain in Young Women with Primary Dysmenorrhea: A Randomized Controlled Trial. Journal of Pediatric and Adolescent Gynecology. 32(5): 541–545. Available at: https://doi.org/10.1016/j.jpag.2019.06.001.
Sedgwick, P. (2013). Meta-analyses : how to read a funnel plot. BMJ. 1342(March): 1–2. Available at: https://doi.org/10.1136/bmj.f1342.
Singh, P., Sharma, C., Krishna, S., Mishra, V., Yadav, G., Patwa, P., Gothwal, M and Jhirwal, M. (2022). Lifestyle and Prevalence of Menstrual Disorders among Undergraduate Medical and Nursing Students: Can We Bring a Change?. Journal of Obstetrics and Gynecology of India. 72(s1): 326–333. Available at: https://doi.org/10.1007/s13224-021-01606-7.
Streetman, A.E., Lister, M.M., Brown, A., Brin, H.N and Heinrich, K.M. (2023). A Mixed-Methods Study of Women’s Empowerment through Physical Activities: Relationships with Self-Efficacy and Physical Activity Levels. Journal of Functional Morphology and Kinesiology. 8(3): 118. Available at: https://doi.org/10.3390/jfmk8030118.
Tamher, L.D., Fitri, M and Pitriani, P. (2019). Aerobic Exercise Has Positive Effects on Menstrual Cycle. Jurnal Pendidikan Jasmani dan Olahraga. 4(1): 103–110. Available at: https://doi.org/https://doi.org/10.17509/jpjo.v6i1.24736.
Tarumi, T. and Zhang, R. (2019). Cerebral Blood Flow in Normal Aging Adults: Cardiovascular Determinants, Clinical Implications, and Aerobic Fitness. Journal of Neurochemistry Neurochemistry. 46(2): 248–256. Available at: https://doi.org/10.1111/jnc.14234.
Zhou, Y.S., Meng, F.C., Cui, Y., Xiong, Y., Li, X., Meng, F., Niu, Z., Zheng, J., Quan, Y., Wu, S., Han, Y and Xu, H. (2022). Regular Aerobic Exercise Attenuates Pain and Anxiety in Mice by Restoring Serotonin-Modulated Synaptic Plasticity in the Anterior Cingulate Cortex. Medicine and Science in Sports and Exercise. 54(4): 566–581. Available at: https://doi.org/10.1249/MSS.0000000000002841.
DOI: https://doi.org/10.22146/jkesvo.92667
Article Metrics
Abstract views : 1677 | views : 2468Refbacks
- There are currently no refbacks.
Copyright (c) 2024 Jurnal Kesehatan Vokasional
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Jurnal Kesehatan Vokasional with registered number ISSN 2541-0644 (print), ISSN 2599-3275 (online) published by the Departement of Health Information Management and Services, Vocational College, Universitas Gadjah Mada