Clinical Pilates' Impact on Fitness, Symptoms & Kinesiophobia in PMS

Atlas University

Status: Completed

Conditions: Premenstrual Syndrome; Pilates Exercise

Treatments: Other: Clinical Pilates; Behavioral: Recommendations for Enhancing General Well-Being

Study type: Interventional

Funder types: Other

Identifiers

NCT06835062

AtlasUmkaya04

Details and patient eligibility

About

Premenstrual syndrome (PMS) is characterized by a series of somatic and psychological symptoms of varying severity that occur during the luteal phase of the menstrual cycle, affecting approximately 30% of women and resolving with menstruation. These symptoms impact daily activities, interpersonal relationships, social engagements, work efficiency, and educational productivity. PMS manifests with physical symptoms such as breast swelling and tenderness, fatigue, headaches, and weight gain, as well as psychological and emotional symptoms such as mood disorders, irritability, and stress. Symptoms typically subside with the onset of menstruation. There is no single accepted treatment for PMS. Due to conflicting findings in studies, various treatment methods are used, including lifestyle modifications, education, stress management techniques (such as massage, reflexology, and yoga), exercise, or medical support. Regular exercise is known to improve overall well-being. It prevents the decrease in endorphin secretion during the luteal phase of the menstrual cycle and has a positive impact on PMS symptoms, particularly mood disorders, fluid retention, and breast tenderness. Pilates-based exercise training is an approach that enhances muscle stability through effective, controlled movements while strengthening muscle groups associated with pain. Clinical Pilates-based exercise training is considered a preferable method for PMS management, as it is believed to improve functional capacity, pain management, mood disorders, endurance, flexibility, symptom severity, and fear of movement in individuals with PMS. Due to the limited number of studies in the literature on PMS, our study aims to investigate the effects of a clinical Pilates-based exercise program on functional fitness parameters, symptom severity, and kinesiophobia.

Enrollment: 40 patients

Sex: Female

Ages: 18 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Having Premenstrual Syndrome (PMS)
• Being able to read and understand Turkish
• Willingness to participate in the study

Exclusion criteria

• Being in menopause or perimenopause
• Being pregnant
• Currently participating in or having engaged in a regular exercise program (other than clinical Pilates) within the past year
• Having comorbid orthopedic, musculoskeletal, psychological, or cardiovascular conditions that may affect test evaluations

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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40 participants in 2 patient groups

Clinical Pilates Group

Experimental group

Treatment:

Behavioral: Recommendations for Enhancing General Well-Being

Other: Clinical Pilates

Control Group

Active Comparator group

Treatment:

Behavioral: Recommendations for Enhancing General Well-Being