Abdominal Stretching Exercise as A Complementary Therapy for Dysmenorrhea Pain in Adolescent Girls

Authors

DOI:

https://doi.org/10.37287/ijghr.v8i3.1289

Keywords:

abdominal stretching exercise, adolescent, dysmenorrhoea

Abstract

Dysmenorrhoea is a reproductive health problem commonly experienced by adolescent girls and women of reproductive age, with a high prevalence and significant impact on daily activities, emotional well-being, and quality of life. Physical exercise, particularly abdominal stretching exercises, has the potential to be a non-pharmacological intervention in attenuating the pain scale of dysmenorrhea through increased comfort and muscle relaxation. This study was conducted to determine the effect of abdominal stretching exercises on attenuating the pain scale of dysmenorrhea at SMA Negeri 2 Sukoharjo. This study used a quantitative method with a one-group pretest–posttest quasi-experimental design. The study was conducted in September 2025 on 87 female students in grade XI at SMA N 2 Sukoharjo who were selected using purposive sampling according to the inclusion criteria. The intervention given was abdominal stretching exercises. The severity level of dysmenorrhea pain was assessed pre- and post-intervention employing the Numeric Rating Scale (NRS). Data analysis included univariate and bivariate analyses. Normality was tested using Kolmogorov–Smirnov and showed that the data were not normally distributed, so bivariate analysis used the Wilcoxon signed rank test with a confidence level of 95% and α = 0.05. The results showed that the majority of respondents were 16 years old with a dominant age of menarche of 12 years and had a normal menstrual cycle and duration. Before the intervention, most respondents experienced moderate dysmenorrhea pain (scale 5). After being given abdominal stretching exercises, there was a decrease in the intensity of dysmenorrhea pain, with the majority of respondents experiencing low pain (scale 2). Bivariate analysis using the Wilcoxon signed rank test showed a significant difference between the pain scale before and after the intervention (p ≤ 0.05), indicating that abdominal stretching exercises are effective in reducing the scale of dysmenorrhea pain. This study shows that abdominal stretching exercises are effective in reducing the pain scale of dysmenorrhoea in adolescent girls.

References

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Durmuş, A., & Eryılmaz, G. (2022). Effects of Heat and Massage Applications to the Lumbosacral Area on Duration of Delivery and Perception of Labor Pain: A Randomized Controlled Experimental Trial. Clinical and Experimental Health Sciences, 12(4), 945–953.

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Hendianti, A., Harahap, T. S., & Cahyani, Y. (2022). The Relationship Between Menstrual Cycle Length and Lifestyle With Dysmenorrhea Among Adolescents in Indonesia: A Cross-sectional Study. KnE Medicine, 21–29.

Horman, N., Manoppo, J., & Meo, L. N. (2021). Faktor-faktor yang Berhubungan dengan Kejadian Dismenore Primer pada Remaja Puteri di Kabupaten Kepulauan Sangihe. Jurnal Keperawatan, 9(1), 38–47.

Jaleel, G., Shaphe, M. A., Khan, A. R., Malhotra, D., Khan, H., Parveen, S., Qasheesh, M., Beg, R. A., Chahal, A., & Ahmad, F. (2022). Effect of exercises on central and endocrine system for pain modulation in primary dysmenorrhea. Journal of Lifestyle Medicine, 12(1), 15.

Li, R., Lopez, D. A., Gupta, M., & Palermo, T. M. (2023). Pubertal development and pain incidence and characteristics in children: a 1-year prospective cohort study of a national sample. Pain, 164(12), 2725–2736.

MacGregor, B., Allaire, C., Bedaiwy, M. A., Yong, P. J., & Bougie, O. (2023). Disease burden of dysmenorrhea: Impact on life course potential. International Journal of Women’s Health, 499–509.

Manalu, S., Putri, L., Damanik, U., Sinaga, R., Purba, E. M., & Wahdina, F. (2022). The Effect of Abdominal Strstching Exercise on the Reduction of Dymenorore Pain in High School Students of State 1 Borbor, Toba Regency, in 2022. The 2nd Mitra Husada Health International Conference (MIHHICo), 2, 53–61.

Maringga, E. G., Mustofa, L. A., & Fatayati, A. N. (2025). Pengaruh Penggunaan Kompres Hangat terhadap Penurunan Intensitas Nyeri pada Dismenore Primer Remaja Putri di Kecamatan Mojoroto. PubHealth Jurnal Kesehatan Masyarakat, 4(1), 88–94.

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Nuralam, N., Dharmayanti, N. D., & Jumhati, S. (2020). Pengaruh Abdominal Stretching Exercise Terhadap Penurunan Nyeri Haid (Dismenorea) Primer Pada Mahasiswi DIII Analis Kesehatan. Jurnal Ilmiah Kesehatan, 12(2), 213–220. https://doi.org/10.37012/jik.v12i2.432

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Rejeki, S., Pratama, F. Y., Ernawati, E., Yanto, A., Soesanto, E., & Pranata, S. (2021). Abdominal stretching as a therapy for dysmenorrhea. Open Access Macedonian Journal of Medical Sciences, 9, 180–183. https://doi.org/10.3889/oamjms.2021.6711

Seales, P., Seales, S., & Ho, G. (2021). Exercise for dysmenorrhea. American Family Physician, 103(9), 525–526.

Solon, M., Madu, Y. G., Lalio, H., & Bua’, I. U. (2024). Effectiveness of Dysmenorrhea Exercises on The Intensity of Menstrual Pain Adolescent Women. Jurnal Keperawatan Florence Nightingale, 7(1), 6–12. https://doi.org/10.52774/jkfn.v7i1.126

Syafriani, Aprilla, N., & Zurrahmi. (2021). Hubungan Status Gizi dan Umur Menarche dengan Kejadian Dismenore pada Remaja Putri di SMAN 2 Bangkinang Kota 2020. JURNAL NERS, 5, 32–37.

Talekar, V. C., Singh, M., Kamble, K., & Mane, D. K. (2022). Effect of stretching exercises on menstrual pain among adolescent girls. MGM Journal of Medical Sciences, 9(3), 303–308.

Tsamara, G., Raharjo, W., & Ardiani Putri, E. (2020). Hubungan Gaya Hidup dengan Kejadian Dismenore Primer pada Mahasiswi Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Tanjungpura. Jurnal Nasional Ilmu Kesehatan, 2(3), 130.

Tyas, E. S., Hartono, S., Wahyuni, E. S., Muhammad, H. N., Prasetya, F. I., & Sasmito, P. (2023). The Effect of Abdominal Stretching, Yoga, and Dysmenorrhea Exercises on Prostaglandin Levels and Pain. International Journal of Public Health Excellence (IJPHE), 3(1), 442–449. https://doi.org/10.55299/ijphe.v3i1.734

Wulandari, N. H., & Widiyaningsih, E. N. (2023). Hubungan Asupan Fe Dan Aktivitas Fisik Dengan Kejadian Dismenore Primer Pada Remaja Putri di SMA Dan SMK Batik Surakarta. Jurnal Gizi Dan Kesehatan (JGK), 3(1), 37–46. https://doi.org/10.36086/jgk.v3i1

Zapała, B., Ząber, A., Gacoń, E., Zembala, J., Siekierko, N., Kucharski, J., Żołnierek, M., Kotusiewicz, W., & Lewandowski, M. M. (2023). The non-pharmacological treatment of primary dysmenorrhea-efficiency and safety. Journal of Education, Health and Sport, 30(1), 79–86.

De Fretes, F., Anastasya Tingginehe, V., & Setiawan, H. (2020). Pengetahuan Tentang Menstruasi Berhubungan Dengan Kesiapan Mental Pra-Remaja Dalam Menjalani Menstruasi. Jurnal Ilmiah STIKES Kendal, 10(1), 11–18.

Durmuş, A., & Eryılmaz, G. (2022). Effects of Heat and Massage Applications to the Lumbosacral Area on Duration of Delivery and Perception of Labor Pain: A Randomized Controlled Experimental Trial. Clinical and Experimental Health Sciences, 12(4), 945–953.

Ghosh, A., Chandra, R., Jain, U., & Chauhan, N. (2024). Investigating beta-endorphins: Ways to boost health, conventional and future detection methods. Process Biochemistry, 141, 102–111.

Gutman, G., Nunez, A. T., & Fisher, M. (2022). Dysmenorrhea in adolescents. Current Problems in Pediatric and Adolescent Health Care, 52(5), 101186.

Hendianti, A., Harahap, T. S., & Cahyani, Y. (2022). The Relationship Between Menstrual Cycle Length and Lifestyle With Dysmenorrhea Among Adolescents in Indonesia: A Cross-sectional Study. KnE Medicine, 21–29.

Horman, N., Manoppo, J., & Meo, L. N. (2021). Faktor-faktor yang Berhubungan dengan Kejadian Dismenore Primer pada Remaja Puteri di Kabupaten Kepulauan Sangihe. Jurnal Keperawatan, 9(1), 38–47.

Jaleel, G., Shaphe, M. A., Khan, A. R., Malhotra, D., Khan, H., Parveen, S., Qasheesh, M., Beg, R. A., Chahal, A., & Ahmad, F. (2022). Effect of exercises on central and endocrine system for pain modulation in primary dysmenorrhea. Journal of Lifestyle Medicine, 12(1), 15.

Li, R., Lopez, D. A., Gupta, M., & Palermo, T. M. (2023). Pubertal development and pain incidence and characteristics in children: a 1-year prospective cohort study of a national sample. Pain, 164(12), 2725–2736.

MacGregor, B., Allaire, C., Bedaiwy, M. A., Yong, P. J., & Bougie, O. (2023). Disease burden of dysmenorrhea: Impact on life course potential. International Journal of Women’s Health, 499–509.

Manalu, S., Putri, L., Damanik, U., Sinaga, R., Purba, E. M., & Wahdina, F. (2022). The Effect of Abdominal Strstching Exercise on the Reduction of Dymenorore Pain in High School Students of State 1 Borbor, Toba Regency, in 2022. The 2nd Mitra Husada Health International Conference (MIHHICo), 2, 53–61.

Maringga, E. G., Mustofa, L. A., & Fatayati, A. N. (2025). Pengaruh Penggunaan Kompres Hangat terhadap Penurunan Intensitas Nyeri pada Dismenore Primer Remaja Putri di Kecamatan Mojoroto. PubHealth Jurnal Kesehatan Masyarakat, 4(1), 88–94.

Maufiroh, M., Handoko, G., & Suhartin. (2023). Efektifitas Jalan Kaki Terhadap Tingkat Nyeri Menstruasi (Dismenore) Pada Remaja Putri. Jurnal Penelitian Perawat Nasional, 5(1), 203–208. http://jurnal.globalhealthsciencegroup.com/index.php/JPPP

Nuralam, N., Dharmayanti, N. D., & Jumhati, S. (2020). Pengaruh Abdominal Stretching Exercise Terhadap Penurunan Nyeri Haid (Dismenorea) Primer Pada Mahasiswi DIII Analis Kesehatan. Jurnal Ilmiah Kesehatan, 12(2), 213–220. https://doi.org/10.37012/jik.v12i2.432

Pawae, M. I., Nurbaya, S., & Sumi, S. S. (2024). Hubungan Pengetahuan Dan Perilaku Terhadap Penatalaksanaan Dismenore Siswi Sma Negeri 7 Makassar. JIMPK : Jurnal Ilmiah Mahasiswa & Penelitian Keperawatan, 4(3), 33–38. https://jurnal.stikesnh.ac.id/index.php/jimpk/article/view/1468

Portengen, C. M., Smith, T., Hidalgo-Lopez, E., Becker, H., Lenert, M. E., Schrepf, A., Harte, S. E., Kaplan, C. M., & Beltz, A. M. (2025). Early pubertal timing is a risk factor for adolescent dysmenorrhea. Npj Women’s Health, 3(1), 50.

Rejeki, S., Pratama, F. Y., Ernawati, E., Yanto, A., Soesanto, E., & Pranata, S. (2021). Abdominal stretching as a therapy for dysmenorrhea. Open Access Macedonian Journal of Medical Sciences, 9, 180–183. https://doi.org/10.3889/oamjms.2021.6711

Seales, P., Seales, S., & Ho, G. (2021). Exercise for dysmenorrhea. American Family Physician, 103(9), 525–526.

Solon, M., Madu, Y. G., Lalio, H., & Bua’, I. U. (2024). Effectiveness of Dysmenorrhea Exercises on The Intensity of Menstrual Pain Adolescent Women. Jurnal Keperawatan Florence Nightingale, 7(1), 6–12. https://doi.org/10.52774/jkfn.v7i1.126

Syafriani, Aprilla, N., & Zurrahmi. (2021). Hubungan Status Gizi dan Umur Menarche dengan Kejadian Dismenore pada Remaja Putri di SMAN 2 Bangkinang Kota 2020. JURNAL NERS, 5, 32–37.

Talekar, V. C., Singh, M., Kamble, K., & Mane, D. K. (2022). Effect of stretching exercises on menstrual pain among adolescent girls. MGM Journal of Medical Sciences, 9(3), 303–308.

Tsamara, G., Raharjo, W., & Ardiani Putri, E. (2020). Hubungan Gaya Hidup dengan Kejadian Dismenore Primer pada Mahasiswi Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Tanjungpura. Jurnal Nasional Ilmu Kesehatan, 2(3), 130.

Tyas, E. S., Hartono, S., Wahyuni, E. S., Muhammad, H. N., Prasetya, F. I., & Sasmito, P. (2023). The Effect of Abdominal Stretching, Yoga, and Dysmenorrhea Exercises on Prostaglandin Levels and Pain. International Journal of Public Health Excellence (IJPHE), 3(1), 442–449. https://doi.org/10.55299/ijphe.v3i1.734

Wulandari, N. H., & Widiyaningsih, E. N. (2023). Hubungan Asupan Fe Dan Aktivitas Fisik Dengan Kejadian Dismenore Primer Pada Remaja Putri di SMA Dan SMK Batik Surakarta. Jurnal Gizi Dan Kesehatan (JGK), 3(1), 37–46. https://doi.org/10.36086/jgk.v3i1

Zapała, B., Ząber, A., Gacoń, E., Zembala, J., Siekierko, N., Kucharski, J., Żołnierek, M., Kotusiewicz, W., & Lewandowski, M. M. (2023). The non-pharmacological treatment of primary dysmenorrhea-efficiency and safety. Journal of Education, Health and Sport, 30(1), 79–86.

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Published

2026-02-04

How to Cite

Dina, D. C., & Sulastri, S. (2026). Abdominal Stretching Exercise as A Complementary Therapy for Dysmenorrhea Pain in Adolescent Girls. Indonesian Journal of Global Health Research, 8(3), 407–414. https://doi.org/10.37287/ijghr.v8i3.1289

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