Effect of core muscles strengthening on primary dysmenorrhea associated with malposture / Mona Olwy Abdelsalam Helal ; Supervised Marwa Esmael Hasanin , Hossam Eldin Hussein Kamel , Doaa Ahmed Mohamed Osman

Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Gynecology and Obstetrics

Background: In females having primary dysmenorrhea associated with malposture, the improper restriction of lumbosacral movement is hypothesized to cause an increase in bodily fluid in the pelvis as well as uterine contractions, which intensifies menstrual pain. So, it is necessary to decrease pain severity and adjust malposture. Purpose: This study aimed to determine the effect of core muscles strengthening on primary dysmenorrhea associated with malposture. Subjects: Forty adult females with primary dysmenorrhea and lumbar hyperlordosis were randomized into 2 groups equal in number.Group (A) received self-care and lifestyle interventions for 3 consecutive menstrual cycles, while group (B) received the same self-care and lifestyle interventions in addition to core muscles strengthening for 3 consecutive menstrual cycles. Materials and Methods: The dysmenorrhea severity was evaluated by WaLIDD scale while the lumbar curvature angle was measured by flexible ruler pre- and post-treatment. Results: There were significant reductions in WaLIDD score and lumbar lordosis angle within both groups (A & B) (p<0.05). Comparing both groups post- treatment revealed a non-significant difference in WaLIDD score (p>0.05), while there was a significant reduction in lumbar lordosis angle (p<0.05) in favor of group (B). The percentages of improvement post-treatment in WaLIDD score and lumbar lordosis angle were 37.22% and 4.95% in group (A), while they were 47.24% and 19.38% in group (B) and significantly reducing their lumbar hyperlordosis

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