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Primary dysmenorrhea is often driven by autonomic nervous system (ANS) dysfunction, intricately linked to the spine. This randomized controlled trial examined the impact of sacroiliac joint manipulation on ANS and lower abdominal discomfort.
In women with primary dysmenorrhea, sacroiliac joint manipulation supports ANS function, reduces lower abdominal pain and menstrual discomfort, and offers sustained benefits.
Primary dysmenorrhea is often driven by autonomic nervous system (ANS) dysfunction, intricately linked to the spine. This randomized controlled trial examined the impact of sacroiliac joint manipulation on ANS and lower abdominal discomfort.
Initially, 40 participants (aged 20–29 years) were enrolled. However, only 35 completed the study due to dropouts. The recruited subjects were divided into 2 groups: sacroiliac joint manipulation group (18 women) and superficial heat therapy group (17 women). At baseline and following 4 weeks, Moos Menstrual Distress Questionnaire (MMDQ), heart rate variability, visual analogue scale (VAS) scores for lower abdominal distress, and pressure pain threshold of the sacroiliac joint were assessed. For determining the long-term effects of the treatment, the VAS and MMDQ scores were reassessed after 8 weeks.
When compared to the superficial heat therapy group, the sacroiliac joint manipulation group exhibited remarkable improvements in ANS balance, as indicated by changes in heart rate variability. Both groups experienced a substantial improvement in lower abdominal pain following the intervention, with lasting benefits observed over time. Additionally, MMDQ scores markedly dropped after sacroiliac joint manipulation, with greater improvements when compared to superficial heat therapy.
Sacroiliac joint manipulation successfully boosts ANS balance and eases lower abdominal distress and menstruation-linked symptoms, with long-term benefits. Hence, it can serve as a viable alternative treatment for primary dysmenorrhea.
Medicina (Kaunas)
Effects of Sacroiliac Joint Manipulation on Autonomic Nervous System and Lower Abdominal Pain in Women with Primary Dysmenorrhoea: A Randomized Controlled Trial
Sungeon Park et al.
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