Primary Dysmenorrhea
Conditions
Keywords
Knee, Position sense, Balance, Primary Dysmenorrhea
Brief summary
The purpose of the study is to assess knee joint position sense, pain and dynamic balance in female with primary dysmenorrhea.
Detailed description
Dysmenorrhea is a common condition that typically occurs on its own rather than as a result of pelvic disease. It affects between 50% and 90% of adolescent girls and women of reproductive age and is a major reason for missed days from school or work. Among the various menstrual disturbances observed, dysmenorrhea was notably prevalent among adolescents and significantly impacted their daily activities. Early diagnosis and awareness of menstrual issues are crucial, as they not only emphasize the need for health education initiatives but also assist in selecting suitable treatments, thereby reducing the adverse effects of these disturbances on adolescents' lives. However, there is a significant gap in the literature about the effect of Primary dysmenorrhea on knee joint position sense, pain and dynamic balance in young adult female So this study aims to investigate this effect and provide evidence based information in the field of physical therapy.
Interventions
OTHERNo intervention
No intervention
Sponsors
Cairo University
Study design
Observational model
OTHER
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 25 Years
Healthy volunteers
Yes
Inclusion criteria
* They should be virgin, healthy female students * They have regular menstruation (3-8 days in duration, with 21-35 days in-between). * They should have the same activity level mild active female. * Their ages will range from 18 to 25 years old. * Their body mass index (BMI) will range from 18 to 24.9 Kg/m2.
Exclusion criteria
* History of knee injury, surgery in the knee or spinal vertebrae. * Females having any vestibular problems, otitis media, labyrinthitis or any inner ear problems that affect balance * Women with any cognitive deficits * History of neuromuscular or spinal disease. * History of pelvic pathology or any gynecological disease.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall Stability Index (OSI) . Antero-posterior stability index score (APSI) . Medio lateral stability index score (MLSI) . Over all stability index score (OASI) | at first and fourth menstrual days | The Overall Stability Index (OSI) is the primary measure of dynamic postural control obtained from the balance assessment system. It reflects the standard deviation of the participant's sway from the platform's center across both the medial-lateral and anterior-posterior directions. Higher OSI values indicate greater instability and poorer balance performance. As an integrated measure of sway variability, the OSI is considered the most comprehensive indicator of overall balance ability and is commonly used to evaluate changes in postural control in response to therapeutic interventions. |
| Medial-Lateral Stability Index (MLSI) | at first and fourth menstrual days | The Medial-Lateral Stability Index (MLSI) quantifies the degree of side-to-side sway during balance testing. It represents the standard deviation of medial-lateral movement from the platform's center point, providing a directional measure of postural stability. Elevated MLSI scores reflect increased lateral instability, which may be associated with impaired neuromuscular control or deficits in weight-shifting ability. This variable is useful for identifying balance impairments that predominantly affect frontal plane stability. |
| Anterior-Posterior Stability Index (APSI) | at first and fourth menstrual days | The Anterior-Posterior Stability Index (APSI) measures front-to-back sway during dynamic balance assessment. Calculated as the standard deviation of anterior-posterior deviations from the center of the platform, the APSI provides insight into sagittal plane stability. Higher APSI values indicate greater instability and reduced capacity to control forward and backward movements. This index is important for evaluating postural control related to gait, stepping, and activities requiring controlled anterior or posterior shifts in the center of gravity. |
| knee joint position sense | at first and fourth menstrual days | using active knee position sense test by universal goniometer. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| knee joint pain | at first and fourth menstrual days | It will be assessed using the Visual analog scale (VAS) for all females in both groups. They will score their level of pain from 1-10, with higher scores indicating more severe pain. It is valid and reliable in pain assessment |
Countries
Egypt
Contacts
Primary ContactEman B ABDUL HAMID, B.Sc
Backup ContactELHAM s HASSAN, PhD
Outcome results
None listed