Thesis (Ph.D)-Cairo University, 2024.

Bibliography: pages 79-94.

Premenstrual syndrome (PMS) is characterized by emotional and
physical symptoms that begins at the late luteal phase of the menstrual cycle
(5–7 days before menstruation) and ends in the follicular phase (2–4 days
after menstruation) (Hasani et al., 2015). It affects 85% of females of
reproductive age. The most common psych emotional and behavioural
symptoms are depression, anxiety, irritability, restlessness, anger, confusion
and loneliness (Pearlstein et al., 2000).
The vestibular system is not just for maintaining balance and
equilibrium or reflexes but also, in advanced functions like improving
cognition, improving diabetic condition, reducing stress (Smith and Zheng,
2013). Vestibular system stimulation
has shown many benefits like
decreased self-stimulation, decreased hypersensitivity, increased postural
security, increased concentration and attentiveness, increased balance,
increased body awareness, calming effects, reduction of abnormal muscle
tone (Sailesh and Mukkadan, 2013).
Aerobic exercise has an effect on lipid profile. It was reported that
short term aerobic exercise improves High-Density Lipoprotein (HDL-C)
and decreases Triglyceride (TG), Total Cholesterol (TC), Low-Density
Lipoprotein-Cholesterol (LDL–C). This may be due to the fact that the
decrease in LDL levels could be attributed to the increases in the activity of
hepatic triglyceride lipase enzyme during short term physical exercise (Lira
et al., 2010).
75
This study was conducted to determine the effect of aerobic exercise
versus vestibular stimulation on lipid profile in premenstrual syndrome.
Sixty patients with premenstrual syndrome had regular menstrual
cycles were participated in this study. They were selected randomly from
Out Patient Clinic of Gynecology Department, Cairo University in Cairo.
Their ages were ranged between 23-30 year. Their body mass index
did not exceed 30 kg/ m2. They were not participating in physical therapy
exercise program at the last 3 months. Patients with cardiovascular
problems, pulmonary problems and endometriosis are excluded from the
study.
This study was designed as randomized controlled trial. All patients
were divided randomly into two equal groups (A&B). Group A: It consisted
of thirty patients with premenstrual syndrome. They were treated by aerobic
exercises in the form of treadmill training at moderate intensity of 60- 70%
of the maximum heart rate, 3 times per week for 2 months. Group B: It
consisted of thirty patients with premenstrual syndrome. They were treated
by vestibular stimulation, 3 times per week for 2 months.
The study was conducted under the acceptance of ethical committee
NO: P.T.REC ∕ 012 ∕ 004862 Faculty of Physical Therapy, Cairo University.
Total cholesterol level, HDL, LDL, triglycerides were assessed for all
patients before and after treatment in both groups (A&B). Premenstrual
syndrome scale was used to confirm the diagnosis of PMS before study and
to evaluate the severity of PMS symptoms for all patients in both groups
(A&B) before and after treatment.

شارك في هذه الدراسة 60 مريضة تعاني من متلازمة ما قبل الحيض حيث كانت لهم دورات شهرية منتظمه وتم اختيارهم عشوائيا من العيادة الخارجية لقسم أمراض النساء بجامعة القاهرة . تراوحت أعمارهن بين 23-30 سنة مع مؤشر كتلة الجسم لا يتجاوز 30 كجم/م2 ولم يشاركوا في برنامج تمارين العلاج الطبيعي خلال الأشهر الثلاثة الماضية وكذلك تم استبعاد المرضى الذين يعانون من مشاكل في القلب والأوعية الدموية، ومشاكل في الرئة وبطانة الرحم من الدراسة. التصميم: تم تصميم هذه الدراسة كتجربة عشوائية محكومة حيث تم تقسيم جميع المرضى بشكل عشوائي إلى مجموعتين متساويتين (أ & ب). المجموعة (أ): تتكون من ثلاثين مريضة تعاني من متلازمة ما قبل الحيض حيث تم علاجهن بتمارين هوائية على شكل تدريب على جهاز المشي بكثافة متوسطة تتراوح بين 60-70% من الحد الأقصى لمعدل ضربات القلب، 3 مرات أسبوعيًا لمدة شهرين. المجموعة( ب): وتتكون من ثلاثين مريضة تعاني من متلازمة ما قبل الحيض وتم علاجهن عن طريق تمارين الاتزان الحركي، 3 مرات في الأسبوع لمدة شهرين. وهكذا، وجد أن التمارين الهوائية فعالة أكثر من تمارين الاتزان الحركي على نسبة الدهون في متلازمة ما قبل الطمث، في تخفيف التوتر وأعراض الدورة الشهرية.

Issues also as CD.

Text in English and abstract in Arabic & English.