Effects of High-Frequency Treatment using Radiofrequency on Autonomic Nervous System and Pain in Women with Dysmenorrhea

다국어 초록 (Multilingual Abstract)

Objective: The purpose of this study is to present basic data for appropriate therapeutic intervention by confirming changes in the autonomic nervous system and pain by applying high-frequency deep diathermy to the lower abdomen in patients with primary dysmenorrhea.
Design: A randomized controlled clinical trial.
Methods: Thirty-eight women aged 18-50 years who complained of regular menstrual cycles (24-32 days) and primary dysmenorrhea symptoms were randomly assigned to a high-frequency therapy group (5, 7, or 9 mins) and a superficial heat therapy group (20 min). High frequency treatment group: The subject was in a supine position, and radio frequency was applied to the lower abdomen below the umbilicus. The radio frequency therapy device used in this study uses a 300 kHz capacitive electrode and a 500 kHz resistive electric transfer to deliver deep heat. Superficial heat treatment Group: Subjects applied a hot pack to the lower abdomen for 20 minutes while lying on their back. Evaluations were made of Heart rate variability and Visual Analogue Scale.
Results: In subjects with menstrual pain, there was a significant difference in pain between the high-frequency therapy group and the superficial heat therapy group (p＝0.026). However, there was no significant difference between the autonomic nervous system and the stress resistance (p＞0.05).
Conclusions: As a result of this study, high-frequencytreatment using radiofrequency was effective in relieving pain because it can penetrate deeper tissues than conventional hot packs using superficial heat. In particular, it was found that the optimum effect was obtained when high frequency was applied forfive-seven minutes.

참고문헌 (Reference)

1 박규현 ; 김재윤 ; 박래준, "표면 열과 심부 열의 생물학적 원리에 관한 고찰" 대한물리치료학회 14 (14): 197-203, 2002

2 이지영 ; 이진무 ; 이창훈 ; 조정훈 ; 장준복 ; 이경섭, "일부 月經痛 환자의 심박변이도(Heart Rate Variability) 고찰" 대한한방부인과학회 20 (20): 164-177, 2007

3 우종민, "심박동수 변이(Heart Rate Variability) 측정법의 개념과 임상적 활용" 한국정신신체의학회 12 (12): 3-14, 2004

4 Iacovides S, "Women with dysmenorrhea are hypersensitive to experimental deep muscle pain across the menstrual cycle" 14 (14): 1066-1076, 2013

5 Iacovides S, "What we know about primary dysmenorrhea today : a critical review" 21 : 762-778, 2015

6 Froese G, "The sensitivity of the thoracolumbar spinal cord of the mouse to hyperthermia" 125 (125): 173-180, 1991

7 Potur DC, "The effects of local low-dose heat application on dysmenorrhea" 27 : 216-221, 2014

8 Mense S., "Structure-function relationships in identified afferent neurones" 181 (181): 1-17, 1990

9 Proctor M, "Spinal manipulation for primary and secondary dysmenorrhoea" 2001

10 Park M-K, "Specific physiological responses in women with severe primary dysmenorrhea during the menstrual cycle" 24 : 601-609, 2005

11 Chung SG., "Rehabilitative treatments of chronic low back pain" 50 : 494-506, 2007

12 Hill J, "Pulsed short-wave diathermy effects on human fibroblast proliferation" 83 : 832-836, 2002

13 Holtzman DA, "Prospective case series on the effects of lumbosacral manipulation on dysmenorrhea" 31 (31): 237-246, 2008

14 Holtzman DA, "Prospective case series on the effects of lumbosacral manipulation on dysmenorrhea" 31 : 237-246, 2008

15 Dawood MY., "Primary dysmenorrhea : advances in pathogenesis and management" 108 : 428-441, 2006

16 Polat A, "Prevalence of primary dysmenorrhea in young adult female university students" 279 : 527-532, 2009

17 Zecchillo D, "Osteopathic manipulative treatment of primary dysmenorrhea and related factors : A randomized controlled trial" 6 (6): 165-174, 2017

18 Ganzit G, "New methods in the treatment of joint-muscular pathologies in athletes : The"TECAR"therapy" 53 : 361-368, 2000

19 Perez Machado AF, "Microwave diathermy and transcutaneous electrical nerve stimulation effects in primary dysmenorrhea : clinical trial protocol" 7 : 359-366, 2017

20 Pumprla J, "Functional assessment of heart rate variability : physiological basis and practical applications" 84 : 1-14, 2002

21 Tarvainen MP, "Finland:Biosignal Analysis and Medical Imaging Group (BSAMIG)"

22 Mense S., "Effects of temperature on the discharges of muscle spindles and tendon organs" 374 (374): 159-166, 1978

23 Sloan RP, "Effect of mental stress throughout the day on cardiac autonomic control" 37 : 89-99, 1994

24 Brinkert W, "Dysmenorrhoea is associated with hypersensitivity in the sigmoid colon and rectum" 132 : S46-S51, 2007

25 Proctor M, "Diagnosis and management of dysmenorrhoea" 332 : 1134-1138, 2006

26 Akin MD, "Continuous low-level topical heat in the treatment of dysmenorrhea" 97 (97): 343-349, 2001

27 Yu A., "Complementary and alternative treatments for primary dysmenorrhea in adolescents" 39 : 1-12, 2014

28 Montero P, "Characteristics of menstrual cycles in Moroccan girls : prevalence of dysfunctions and associated behaviours" 26 : 243-249, 1999

29 Michalsen A, "Changes of short-time heart rate variability during hyperthermia treatment with infrared A whole body irradiation" 6 : 212-215, 1999

30 Molins-Cubero S, "Changes in pain perception after pelvis manipulation in women with primary dysmenorrhea : a randomized controlled trial" 15 : 1455-1463, 2014

31 Matsumoto T, "Autonomic nervous system activity in the late luteal phase of eumenorrheic women with premenstrual symptomatology" 27 : 131-139, 2006

32 Klein E, "Altered heart rate variability in panic disorder patients" 37 (37): 18-24, 1995

33 Park R-J, "A study on treatment effect of electrical stimulation" 11 : 67-77, 1993

34 Harlow SD, "A longitudinal study of risk factors for the occurrence, duration and severity of menstrual cramps in a cohort of college women" 103 : 1134-1142, 1996

35 Valma JR, "A Review of Therapeutic Ultrasound : Effectiveness Studies" 81 (81): 1339-1350, 2001

36 Bachtiar F, "A Comparison of Hot Pack and Stretching Exercises on Primary Dysmenorrhea in Adolescent Girls" 38-43, 2019