Pathways of Change
Vol. 13 No. s1 (2025): Pathways of Change, Part I
https://doi.org/10.4081/hls.2025.13416
The effectiveness of abdominal stretching exercise versus breathing relaxation with nature sounds on the level of dysmenorrhea
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Received: 23 November 2024
Accepted: 5 March 2025
Published: 24 April 2025
Accepted: 5 March 2025
Published: 24 April 2025
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Menstruation usually comes accompanied by several complaints, such as dysmenorrhea. The intervention of abdominal stretching and breathing relaxation with Nature sounds can increase muscle relaxation so as to reduce menstrual pain. This study aimed to analyze the effectiveness of abdominal stretching exercise versus breathing relaxation with nature sounds on dysmenorrhea levels. This study was a quasi-experimental design with a two-group comparison using a pre-test and post-test approach. The experimental group received abdominal stretching, while the control group underwent breathing relaxation with nature sounds. The inclusion criteria were adolescents aged 11–20 years who experienced primary dysmenorrhea. The total sample consisted of 30 young women in the abdominal stretching intervention group and 30 young women in the breathing relaxation with nature sounds group. Data were collected using a pain assessment instrument, namely the Numerical Rating Scale (NRS). The data were analyzed using paired t-tests to measure differences in pre-test and post-test scores within the groups and independent sample t-tests to compare post-test scores between the two groups. The results of the paired T-test showed that abdominal stretching and breathing relaxation with nature had an effect on pain level during menstruation with p-value was 0.000 (p < 0.05). After the intervention, the menstrual pain was reduced in both groups. Abdominal stretching exercise and breathing relaxation with Nature sounds were able to reduce menstrual pain in adolescent girls, therefore these interventions were recommended for young women who experience primary dysmenorrhea.
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Fernandez H, Barea A, Chanavaz-Lacheray I. Prevalence, intensity, impact on quality of life and insights of dysmenorrhea among French women: A cross-sectional web survey. J Gynecol Obstet Hum Reprod 2020;49:101889.
Ameade EPK, Amalba A, Mohammed BS. Prevalence of dysmenorrhea among University students in Northern Ghana; its impact and management strategies. BMC Womens Health 2018;18:39.
Arafa AE, Senosy SA, Helmy HK, Mohamed AA. Prevalence and patterns of dysmenorrhea and premenstrual syndrome among Egyptian girls (12–25 years). Middle East Fertil Soc J 2018;23:486–90.
Al-Matouq S, Al-Mutairi H, Al-Mutairi O, Abdulaziz F, Al-Basri D, Al-Enzi M, et al. Dysmenorrhea among high-school students and its associated factors in Kuwait. BMC Pediatr 2019;19:80.
Lutfiandini CT, Kusumaningrum T, Armini NKA. Pain Self-management in Adolescent with Dysmenorrhea. Pediomaternal Nurs J 2020;6:66–73.
Suvitie P. Dysmenorrhea in teenagers. Duodecim 2017;133:285–91.
Al-Kindi R, Al-Bulushi A. Prevalence and Impact of Dysmenorrhoea among Omani High School Students. Sultan Qaboos Univ Med J 2011;11:485–91.
Tangchai K, Titapant V, Boriboonhirunsarn D. Dysmenorrhea in Thai adolescents: prevalence, impact and knowledge of treatment. J Med Assoc Thai 2004;87:S69-73.
Ismail IF, Kundre R, Lolong J. Hubungan Tingkat Stres Dengan Kejadian Dismenorea Pada Mahasiswi Semester VIII Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi Manado. E-journal Keperawatan (e-Kp) 2015;3:1–8.
Barcikowska Z, Rajkowska-Labon E, Grzybowska ME, et al. Inflammatory markers in dysmenorrhea and therapeutic options. Int J Environ Res Public Health 2020;17:1191.
Pakpour AH, Kazemi F, Alimoradi Z, Griffiths MD. Depression, anxiety, stress, and dysmenorrhea: a protocol for a systematic review. Syst Rev 2020;9:65.
Nursalam N, Oktaviani, Armini, Efendi F. Analysis of the stressor and coping strategies of adolescents with dysmenorrhoea. Indian J Public Heal Res Dev 2018;9:381–6.
Buckley S, Uvnäs-Moberg K, Pajalic Z, et al. Maternal and newborn plasma oxytocin levels in response to maternal synthetic oxytocin administration during labour, birth and postpartum - a systematic review with implications for the function of the oxytocinergic system. BMC Pregn Childbirth 2023;23:137.
Smith RP. The role of prostaglandins in dysmenorrhea and menorrhagia. In Dysmenorrhea and menorrhagia. A clinician's guide. Springer Nature: 2018; pp. 75–88.
Herviana C, Farapti F. The relationship between knowledge and patterns of herbal drink product consumption with dysmenorrhea of female adolescent. Amerta Nutr 2023;7:203–9.
Imandiri A, Faizah R, Rakhmawati. Acupuncture and papaya leaf powder (Carica papaya L) to treat dysmenorrhea. Malaysian J Med Heal Sci 2019;15:37–9.
Noor S, Norfitri R. The changes of premenstrual symptoms after aerobic exercise intervention. J Ners 2015;10:38–47.
Renuka K, Jeyagowri S. Stretching exercise therapy and primary dysmenorrhea – nursing perspectives. IOSR J Nurs Heal Sci Ver III 2015;4:1-4.
Carroquino-Garcia P, Jiménez-Rejano JJ, Medrano-Sanchez E, et al. Therapeutic exercise in the treatment of primary dysmenorrhea: a systematic review and meta-analysis. Phys Ther 2019;99:1371–80.
Shahrjerdi S, Sheikhhoseini R, Eyvazi M. Effects of stretching exercises on primary dysmenorrhea in adolescent girls. Biomed Hum Kinet 2012;4:127-32.
Kusumaningrum T, Nastiti AA, Dewi LC, Lutfiani A. The correlation between physical activity and primary dysmenorrhea in female adolescents. Indian J Public Heal Res Dev 2019;10:2559–63.
Cahya Rosyida DA, Suwandono A, Ariyanti I, et al. Comparison of effects of abdominal stretching exercise and cold compress therapy on menstrual pain intensity in teenage girls. Belitung Nurs J 2017;3:221–8.
Hurlock EB. Adolescent development. Adolescent development. New York, NY, US: McGraw-Hill; 1973.
Chumlea WC, Schubert CM, Roche AF, et al. Age at menarche and racial comparisons in US girls. Pediatrics 2003;111:110–3.
Handayani SG, Ayubi N, Komaini A, Lesmana HS, Kusnanik NW, Herawati L, et al. N-3 polyunsaturated fatty acids (PUFAs) and physical exercise have the potential to reduce pain intensity in women with primary dysmenorrhea: Systematic Review. Retos 2023;48:106–12.
Pitaloka SA, Triharini M, Nimah L. Relationship between Nutritional Status, Exercise Level and Recreational Level with Dysmenorrhea in Nursing Students at Airlangga University. Pediomaternal Nurs J 2022;8:26–37.
Gordon BR, McDowell CP, Lyons M, Herring MP. Acute and chronic effects of resistance exercise training among young adults with and without analogue Generalized Anxiety Disorder: A protocol for pilot randomized controlled trials. Mental Health Phys Act. 2020;18:100321.
Murtiningsih M, Solihah L, Yuniarti S. The effect of abdominal stretching exercise on dysmenorrhea in adolescent girls. J Matern Care Reprod Heal 2019;2. DOI: https://doi.org/10.36780/jmcrh.v2i3.104
Joyce Young J. Handbook for Brunner & Suddarth’s textbook of medical-surgical nursing.—12th ed. Wolters Kluwer Health/Lippincott Williams & Wilkins.; 2010.
Armour M, Ee CC, Naidoo D, et al. Exercise for dysmenorrhoea. Cochrane database Syst Rev 2019;9:CD004142.
Toussaint L, Nguyen QA, Roettger C, et al. Effectiveness of progressive muscle relaxation, deep breathing, and guided imagery in promoting psychological and physiological states of relaxation. Evid Based Complement Alternat Med 2021;2021:5924040.
Zuriati Z, Surya M, Zahlimar. Effectiveness Active Cycle of Breathing Technique (ACBT) with Pursed Lips Breathing Technique (PLBT) to tripod position in increase oxygen saturation in patients with COPD, West Sumatera. Enfermería Clínica 2020;30:164–7.
Chiang LC. The effects of music and nature sounds on cancer pain and anxiety in hospice cancer patients. [Case Western Reserve University School of Graduate Studies]: Case Western Reserve University School of Graduate Studies; 2011.
Horden P (Ed. ). Music as medicine: the history of music therapy since antiquity (1st ed.). In: 2000. Routledge;
Purnamasari KD, Rohita T, Zen DN, Ningrum WM. The effect of deep breathing exercise on menstrual pain perception in adolescents with primary dysmenorrhea. Pertanika J 2020;2:649–57.
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The effectiveness of abdominal stretching exercise versus breathing relaxation with nature sounds on the level of dysmenorrhea. (2025). Healthcare in Low-Resource Settings, 13(s1). https://doi.org/10.4081/hls.2025.13416
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