THE EFFECTIVENESS OF ABDOMINAL STRETCHING EXERCISE ON THE DEGREE OF PRIMARY DYSMENORRHEA IN STUDENTS OF THE PHYSIOTHERAPY STUDY PROGRAM AT BALI INTERNATIONAL UNIVERSITY
DOI:
https://doi.org/10.35451/j9d8zd24Keywords:
Primary dysmenorrhea, abdominal stretching exercise, WaLIDDAbstract
Primary dysmenorrhea is a common condition experienced by female students of reproductive age and can interfere with quality of life and academic activities. Abdominal stretching exercise (ASE) is a non-pharmacological intervention considered safe and effective for reducing menstrual pain without side effects. This study aimed to determine the effectiveness of ASE in reducing the degree of primary dysmenorrhea among students of the Physiotherapy Study Program at Bali International University. This research employed a pre-experimental design using a one-group pre-test and post-test method involving 19 participants selected through purposive sampling. ASE was conducted twice a week for four weeks. The degree of dysmenorrhea was measured using the WaLIDD questionnaire before and after the intervention. Data analysis was performed using the Wilcoxon Signed Rank Test. The results show a significant reduction in dysmenorrhea levels after the ASE intervention (p < 0.05), with an average decrease of 28.56% in WaLIDD scores. These findings indicate that ASE contributes to abdominal muscle relaxation, improved blood circulation, and stimulation of endorphin release, all of which help reduce menstrual pain. This supports the gate control theory and the role of prostaglandins in menstrual pain mechanisms. In conclusion, abdominal stretching exercise is effective in reducing the severity of primary dysmenorrhea.
Downloads
References
[1]. Swandari, A., 2022. Buku Ajar Intervensi Fisioterapi Pada Kasus Dismenore. Surabaya : UM Publishing Surabaya. p.12-20
[2]. Itani R., Rahme D., Soubra L., Karout S., Karout L. & Khojah H. M. J., 2021. Primary Dysmenorrhea: Pathophysiology, Diagnosis, and Treatment Updates. Korean Journal of Family Medicine. 43, pp. 101-108. doi: https://doi.org/10.4082/kjfm.21.0103
[3]. Rachmawati, A. & Safriana, R.E., 2020. Efektivitas Endorphin Massage dan Senam Dismenore dalam Menurunkan Dismenore Primer. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 3(3), pp.192-196.
[4]. Goss, G. L., 2023. Dysmenorrhea in Adolescents. The Journal for Nurse Practitioners, 19(8), pp.1-5. Doi: https://doi.org/10.1016/j.nurpra.2023.104710
[5]. Sari T. M., Suprida, Amalia R. & Yunola S., 2023. Faktor-Faktor Yang Berhubungan Dengan Dismenore Pada Remaja Putri. Jurnal ‘Aisyiyah Medika. 8(2), pp. 219-231. doi: https://doi.org/10.36729/jam.v8i1
[6]. Dea, R. P., Evi P., Kharisma K. & Sukesi. 2022. Pengaruh Abdominal Stretching Exercise Terhadap Dismenore Pada Remaja Putri Di MAN Bangkalan. Gema Bidan Indonesia. 11(2). pp. 72-77. doi: https://doi.org/10.36568/gebindo.v11i2.66
[7]. Rodiah S.A. & Hidayanti D., 2022. Pengaruh Abdominal Stretching Exercise Terhadap Penurunan Nyeri Dismenorea. Jurnal Kesehatan Siliwangi. 2(3), pp.959-969. Doi: https://doi.org/10.34011/jks.v2i3.780
[8]. Salsabila, S., Aisyiah A. & Wowor, T. J. F., 2024. Pengaruh Latihan Abdominal Stretching Terhadap Perubahan Tingkat Dismenorea Pada Siswi Di Mts Salafiyah Depok. Syifa’ MEDIKA,14 (No. 2),119-125
[9]. Suganda, A.R. & Nuryuniarti, R., 2021. Efektifitas Abdominal Stretching Exercise Terhadap Penurunan Intensitas Nyeri Dismenore Pada Remaja Putri. Jurnal BIMTAS: Jurnal Kebidanan Umtas, 5(2), pp.62-71.
[10]. Roberta F., Maddalena P., Giulia M., Brigida S., Arianna M B., Susanna MR E., Maria E.S. 2023.Dysmenorrhea: Epidemiology, Causes and Current State of the Art for Treatment. Clin. Exp. Obstet. Gynecol. 50(12), 274. doi: https://doi.org/10.31083/j.ceog5012274
[11]. Ariviani, N., Sari, D. P., & Wijayanti, R. 2021. Hubungan Ketidakseimbangan Hormon dengan Kejadian Dismenore Primer pada Remaja Putri. Jurnal Kesehatan Masyarakat Indonesia, 16(3), 210-218. doi:10.12962/jki.v16i3.7890
[12]. Mittiku Y. M., Mekonen H., Wogie G., Tizazu M. A. & Wake G. E., 2022. Menstrual irregularity and its associated factors among college students in Ethiopia, 2021. Front. Glob Womens Health, 3:917643. pp.1-9 doi: 10.3389/fgwh.2022.917643
[13]. Azagew, A.W., Kassie, D.G. & Walle, T.A., 2020. Prevalence of primary dysmenorrhea, its intensity, impact and associated factors among female students at Gondar town preparatory school, Northwest Ethiopia. BMC Women's Health, 20(5). doi: https://doi.org/10.1186/s12905-019-0873-4.
[14]. Mouliza N., 2020. Faktor yang Berhubungan dengan Kejadian Dismenore Pada Remaja Putri di MTS Negeri 3 Medan Tahun 2019. Jurnal Ilmiah Universitas Batanghari Jambi. 20(2), pp. 540-550. doi: 10.33087/jiubj.v20i2.912
[15]. Hayya, R. F., Wulandari, R., & Sugesti, R. 2023. Hubungan Tingkat Stress, Makanan Cepat Saji Dan Aktivitas Fisik Terhadap Siklus Menstruasi Pada Remaja Di Pmb N Jagakarsa. SENTRI: Jurnal Riset Ilmiah, 2(4), 1338-1355. doi:https://doi.org/10.55681/sentri.v2i4.751
[16]. Mariana S. & Dari R. U., 2023. Hubungan Stress dan Indeks Masa Tubuh (IMT) dengan Kejadian Dismenorea di SMKS Keluarga Bunda Jambi Tahun 2022. Jurnal Ilmiah Universitas Batanghari Jambi. 23(2), pp. 2107-2111. doi: 10.33087/jiubj.v23i2.3347
[17]. Mariska, V., Awanis, A. & Kusumaning Ayu, W.A.D., 2025. Hubungan Indeks Massa Tubuh (IMT) dengan Derajat Dismenore pada Mahasiswa Sekolah Tinggi Ilmu Kesehatan Nasional Surakarta. Physio Journal, 5(1), pp.1–9. doi: https://doi.org/10.30787/phy.jou.v5i1.1565
[18]. Novianti A. D. & Angresti I., 2022. The Effect Of Abdominal Stretching Exercise On Decreasing The Pain Intensity Of Dysmenorrhea In Nursing Department Students In Stikes Mandala Waluya Kendari. Indonesian Journal of Health Sciences Research and Development, 4(1), pp.14-20. Doi: 10.36566/ijhsrd/Vol4.Iss1/119
[19]. Mansi Dewan, R. dkk., 2023. Electromyographic analysis of trunk and hip muscles during yoga poses prescribed for treating chronic low back pain. Journal of Bodywork & Movement Therapies, 36, pp.117–124.
[20]. Andersson, E. dkk., 2023. Surface Electromyographic Activity of the Rectus Abdominis and External Oblique during Isometric and Dynamic Exercises. Journal of Functional Morphology and Kinesiology, 7(3), p.67.
[21]. Lakra, A. 2023. A Literature Review of Bhujangasana and Its Physioanatomical Aspect. International Journal for Multidisciplinary Research. 5(2), pp.1–4. doi:10.36948/ijfmr.2023.v05i02.1794
[22]. Fitria F, Haqqattiba’ah A. 2020. Pengaruh Akupresur dengan Teknik Tuina terhadap Pengurangan Nyeri Haid (Disminore) pada Remaja Putri. J Ners dan Kebidanan (Journal Ners Midwifery). 7(1):073–81.
[23]. Fitri A., & Yasinta. 2024. Efektivitas Abdominal Stretching Exercise Dalam Menurunkan Dismenore Pada Mahasiswi Keperawatan.Jurnal Keperawatan Abdurrab 8, no. 1 pp. 52–59. http://dx.doi.org/10.36341/jka.v8i1.4718.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Putu Ayu Purnamasari
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright in each article is the property of the Author.
