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

Bibliography: pages 77-97.

Background: Primary dysmenorrhea is one of the main reasons for gynecological
consultation. In many studies carried out across the world, it is responsible for a high
frequency of school absenteeism and disruption of daily activities. Purpose: This
study was conducted for comparing the effect of aquatic exercise versus aerobic
exercise on primary dysmenorrhea and quality of life in adolescent females.
Subjects and Methods: Sixty adolescent females suffered from moderate to severe
primary dysmenorrhea were distributed randomly and equally into two groups;
group A, was treated by aquatic exercise for 12 weeks, while group B, was treated
by aerobic exercise for 12 weeks. Assessment of both groups involved evaluating
severity of dysmenorrhea using the WaLIDD Score, measuring pain intensity with
the numeric pain rating scale (NPRS), determining pressure pain threshold (PPT)
with an algometry, and evaluating quality of life using the EuroQol – 5 Dimension
– 3 level (EQ–5D–3L) and EQ VAS. These evaluations were conducted before and
after the 12–week treatment period. Results: Both groups, A and B, experienced
significant reductions in the WaLIDD score, NPRS, all domains of EQ–5D–3L
(p<0.05), coupled with a significant increase in PPT and EQ VAS (p<0.05). Post–
treatment comparisons between both groups showed non significant differences in
WaLIDD score, NPRS, and PPT (p>0.05). However, there were significant
reductions in all domains of EQ–5D–3L and significant increase in EQ VAS,
favoring group A (p<0.05). Conclusion: Both aquatic and aerobic exercises were
effective methods in primary dysmenorrhea management and quality of life
improvement in adolescent females, with a better effect of aquatic exercise in
improving quality of life.

يُعد عسر الطمث الأولى أحد الأسباب الرئيسية لإستشارة أمراض النساء. وفى العديد من الدراسات التي أجريت في جميع أنحاء العالم، يعد سببًا رئيسيًا في تغيب الطالبات عن المدرسة وإضطراب الأنشطة اليومية. الهدف: هدفت هذه الدراسة إلى مقارنة تأثير التمرينات المائية مقابل التمرينات الهوائية علي آلام عسر الطمث الأولى وجودة الحياة لدى المراهقات

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Text in English and abstract in Arabic & English.