Terapi Relaksasi Otot Untuk Dysmenorrhea

  • Dwi Kustriyanti STIKES Karya Husada Semarang
  • B Boediarsih STIKES Karya Husada Semarang
Keywords: Adolescents, dysmenorrhe, muscle relaxation


Dysmenorrhea refers to painful menstruation which appears in the luteal phase that could affect productivity and quality of life, while dysmenorrhea in adolescents can reduce the concentration of learning. Muscle relaxation therapy is a non-pharmacological treatment that is effective, efficient and simple therapy as an treatment of dysmenorrhea. This study was to determine whether the muscle relaxation therapy reduces for dysmenorrhea in adolescents. This study was conducted in May until September 2017 at Karya Husada Science Health College . This design was true experimental with randomized pretest posttest design. Dysmenorrhea screening using ACOG diagnostic criteria, in 207 female students to determine the prevalence of dysmenorrhea and it’s symptoms was recorded in the diary records symptom. Students with dysmenorrhea were divided into a control group (n=30) and an experimental group (n=30). Students in control group received deep breathing relaxation therapy and those in experimental group received muscle relaxation therapy. The intensity of pain, blood pressure, respiration and pulse were measured 15 minutes before being given treatment and would be measured again at 15 minutes after giving the treatment during menstrual pain. Instruments used Numerical Rating Scale. Result: Pain intensity before and after intervention in intervention and control group were 5,53 ± 1,167 vs 4,17 ± 1,053, P = 0,000 and 4,47 ± 1,358 vs 3,87 ± 1,96, P = 0,000 . Test paired t-test and Wilcoxon test to see changes in systolic, diastolic and respiratory pressure changes of pulse before and after relaxation. Comparison of the effects of muscle relaxation and deep breathing relaxation with P <0.05 (0.002) with Mann Whitney test. Muscle relaxation therapy was effective in reducing the intensity of menstrual pain or dysmenorrhea in adolescents.


ACOG (The American College of Obstetricians and Gynecologists). (2009). Menstrual Cramps
and Dysmenorrhea. Fact Sheet Tool Kit Teen Care, Second Edition.
Banikarim, C., Chacko,M.R., Kelder, S.H. (2000). Prevalence and Impact of Nyeri haid on
Hispanic Female Adolescents. Arch Pediatr Adolesc Med.,154:1226-1229.
Care Management Guidelines. (2005). Pain Management International association for the
study of Pain (IASP). Palliative Care. Departemen of Health and Human Service.
Chiu, M., Hsu, T.F., Lai, A.C., Lin, Y.T., Lin, C.C. (2012). Pain Relief assessment by aromatic
essential oil Massage On Outpatients with Primary Dysmenorrhea: A randomized,
double blind clinical trial. Journal of Obstetrics and Gynaecology Research.
Japan.Dawood, M.Y. (2006). Primary Dysmenorrhea Advances In Pathogenesis and
Management. Journal Obstetric and Gynecologists. Vol. 108, No 2, August. Published
by Lippincott williams & Wilkins. ISSN 0029-7844/06.
Deb, S, raine Fenning N. (2008). Dysmenorrhea. Obstet Gynecol Reprod Med. 18:294-299.
Dehkordi, Z.R., Baharanchi, F.S.H., Bekhradi, R. (2013). Effect of lavender inhalation on the
symptoms of primary Dysmenorrhea and the amount of menstrual bleeding: A
randomized clinical trial. Journal Complementary Therapies Medicines.
Dvivedi, J., Dvivedi, S., Mahajan, K.K., Mittal, S., Singhal, A. (2008). Effect of 61-points
relaxation technique on stress parameters in premenstrual syndrome. Indian J Physiol
Pharmacol 2008: 52(1).
French, L. (2005). Dysmenorrhea. American Academy for Family Phisicians, 71(2), 285-291.
Goodale, I.L., Domar, A.D., Benson, H. (1990). Alleviation of premenstrual syndrome
symptoms with the relaxation response. Obstetric & gynecology. Vol 75 No. 4 April
Han, S.H., Hur, M.H., Buckle, J., Choi, J., Lee, M.S. (2006). Effect of Aromatherapy on
Symptoms of Dysmenorrhea in College Students: A Randomized Placebo Controlled
Clinical Trial. Journal of Alternativeand Complementary Medicine.
Harel, Z. (2006). Mini-Review Dysmenorrhea in Adolescents and Young Adults: Etiology and
Management. Journal Pediatric Adolescent Gynecology.
Ilyasu Z. et al (2012). Menstrual pattern and gynecologic morbidity among University students
in Kano, Nigeria. J Pediatr Adolesc Gynecol. 25:4C1-406.
Kim, Y.J., Lee, S.M.,Yang, Y.S., Hur, M.H. (2011). Self-aromatherapy massage of the abdomen
for the reduction of menstrual pain and anxiety during menstruation in nurses: A
placebo-controlled clinical trial. European Journal of Integrative Medicine.
Lakshmi, A.P.M., Saraswathi I., Saravanan A., Ramamchandran C. (2011). Prevalence of
Premenstrual Syndrome and Dysmenorrhoea among Female Medical Students and its
Association with College Absenteeism. International Journal of Biological and
Medical Research.
Mahdavi, A., Heidari, M.A., Gorji, A.M.H., Yazdani, J., Ardebil, M.D. (2013). Implementing
Benson’s relaxation training in hemodialysis patients: changes in perceived stress,
anxiety, and depression. North American journal of medical sciences. September 2013.
Volume 5. Issue 9.
Mahmudiono, T. (2011). Fiber, PUFA and Calcium Intake is Associated With The Degree of
Primary Nyeri haid In Adolescent Girl Surabaya, Indonesia. Journal of Obstretics and
Napitupulu, N.F. (2010). Pengaruh teknik relaksasi progresif terhadap insomnia pada lanjut usia
di Dusun Blunyah Gede Kelurahan Sinduadi Kec. Mlati Kabupaten Sleman Yogyakarta.
Pilliteri. A. (2010). Maternal and Child Health Nursing. 6th edition. Wolter Kluwer.
New York.
Proctor, M.,Murphy, PA.(2009). Herbal and Dietary Therapies for Primary and Secondary
Dysmenorrhea. Cochrane Database Syst Rev ., (3): CD002124.
Roger, P., Smith ., Andrew, M., Kaunitz. (2007). Patient information: Painful menstrual periods
(Dysmenorrhea) (Beyond the Basics) Diakses tanggal 19 Maret 2014.
Song, Q.H., Xu, R.M., Zhang, Q.H., Ma, M., Zhao, X.P. (2013). Relaxation training during
chemotherapy for breast cancer improves mental health and lessens adverse events. Int J
Clin Exp Med. 6(10):979-984.
Stuart, G.W. (2006). Buku Saku Keperawatan Jiwa. Edisi 5. EGC: Jakarta.
Suyamto. (2009). Pengaruh Relaksasi Otot Dalam Menurunkan Skor Kecemasan T-TMAS
Mahasiswa Menjelang Ujian Akhir Program (UAP) di Akademi Perawat Notokusumo
Yogyakarta. Tesis Program Pasca Sarjana Universitas Gadjah Mada. Yogyakarta.
Wong, L.P., Khoo, E.M. (2011). “Menstrual-Related Attitude and Symptoms Among Multiracial
Asian Adolescent Females”. International Journal Behavioral Medicine. 18:246-
253. DOI 10.1007/s12529-010-9091-z.
Zhou, H.G., Yang, Z.W. (2010). Prevalence of Dysmenorrhoea in Female Students in a Chinese
University: A Prospective Study. Health Journal.