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This study will be conducted to assess the effect of Pilates Exercises Versus Gym Exercises On Primary Dysmenorrhea.
Dysmenorrhea is a chronic, recurrent pain that manifests as Menstrual cramps or painful periods. It is the most common Gynecologic problem in women of all ages and races, and one of the Most common causes of pelvic pain . There are two types of dysmenorrhea; primary dysmenorrhea, and Secondary a dysmenorrhea. Primary dysmenorrhea (PD) is defined as Colic pain in the suprapubic region and lower abdomen with Irradiation to the lumbar region and thighs that occurs before or During menstruation in the absence of pelvic diseases. The Manifestation of it usually appears 6 months after menarche. The pain Starts shortly before or at the onset of menses and may last for 3 days ,While, secondary Dysmenorrhea is usually associated with pelvic diseases Inside or outside the uterus that could account for their Symptoms; such as endometriosis, adenomyosis, or uterine Fibroids pharmacological therapies include physiotherapeutic treatments such as the use of heating pads and regular physical exercise, dietary supplements (such as vitamins B, D, and E, or omega-3 fatty acids), acupuncture, yoga, massage, and herbal remedies in the management of PD . The pilates exercises is one of the physiotherapy methods, which improves mental and physical well-being, increases Flexibility, and strengthens muscles through controlled movements done as mat exercises and strengthen the body
. Pilates exercise has a positive effect on health Physical fitness as it increases the muscular Strength, muscular endurance, flexibility, cardiorespiratory endurance and a positive effect on Female sex hormone. Pilates exercise is a good one for the promotion of physical metabolism and Physiological function by positive change of immunoglobulin and sex hormone . The Gym exercises is One of the physiotherapy methods, which is known for strengthening core muscles and being effective in improvement of muscular function of abdominal and low back in addition to range of motion and pain relief. Gym exercises focus on strengthening muscles in the abdominal, leg, arm, and back regions. Additionally, they improve balance, stability, and blood circulation, ultimately contributing to the alleviation of menstrual pain .Intense physical activity is thought to trigger the secretion of beta-endorphins, which function like natural painkillers, thereby alleviating menstrual pain often connected with primary dysmenorrheoea .
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pilates Exercises Group | Experimental | Patients will receive Pilates Exercises 3 sessions per week for 3 months Pilates exercises not only enhanced muscular flexibility but also reduced the pain and other issues occurring in dysmenorrhea. Additionally, these exercises had a positive impact on the overall quality of life, establishing Pilates as a viable substitute for managing the symptoms of primary dysmenorrhea In accordance with the fundamental principles of Pilates, including centering, precision, concentration, and controlled breathing, this approach has a holistic impact on both physical and psychological well- being. It has been observed to lead to highly significant alterations in concentration, a reduction in negative emotional effects, and positive behavioral changes One plausible explanation for these effects is the phenomenon of exercise-induced analgesia. Through Pilates, patients may experience an increase in their pain threshold as a result of adjustments in their endogenous pain control mechanism. |
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| Gym exercises Group | Experimental | s patient with primary dysmenorrhea will receive gym Exercises 3 sessions per week for 3 months. Gym exercises focus on strengthening muscles in the abdominal, leg, arm, and back regions. Additionally, they improve balance, stability, and blood circulation, ultimately contributing to the alleviation of menstrual pain Intense physical activity is thought to trigger the secretion of beta-endorphins, which function like natural painkillers, thereby alleviating menstrual pain often connected with primary dysmenorrhea . Gym exercises relieve pain of lower abdomen by control the activation of sympathetic nervous system and positive change of endocrine regulation process through gym exercise, so that pain threshold value was increased due to increase of endorphin . |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pilates Exercises | Other | patient with primary dysmenorrhea will receive gym Exercises 3 sessions per week for 3 months. Gym exercises focus on strengthening muscles in the abdominal, leg, arm, and back regions. Additionally, they improve balance, stability, and blood circulation, ultimately contributing to the alleviation of menstrual pain Intense physical activity is thought to trigger the secretion of beta-endorphins, which function like natural painkillers, thereby alleviating menstrual pain often connected with primary dysmenorrhea . Gym exercises relieve pain of lower abdomen by control the activation of sympathetic nervous system and positive change of endocrine regulation process through gym exercise, so that pain threshold value was increased due to increase of endorphin . Gym Exercise is an effective exercise for stabilization of torso. Because all the body parts are used for the exercise compared to other types of exercises, people can change their posture in various ways correcting their postures |
| Measure | Description | Time Frame |
|---|---|---|
| assessment of pain intensity | 1. Pain assessment: • Assessment of pain intensity: The Numerical Rating Scale will be use to assess pain intensity for all Participating females in both groups before and after the study program. Each female will be asked to mark a Point on the line between the extreme that is related to her Pain intensity level. | before and after 12 weeks of treatment |
| assessment of primary dysmenorrhea symptoms | The WALID scale (working, ability Location , Intensity , Days of pain )will be used to determine the severity of primary dysmenorrhea for all participating females in both groups before and after the study program through measuring a Combination of manifestations: subjective (intensity/Wong-Baker, work ability) and objective (days of pain, location) Where (0) without dysmenorrhea, (1-4) mild dysmenorrhea, (5-7) moderate dysmenorrhea, (8-12) sever dysmenorrhea. | before and after 12 weeks of treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of quality of life | The quality of life enjoyment satisfaction Questionnaire will be used to assess quality of life to all participants in group before and after the treatment and Participants completed the Q-LES-Q-SF questionnaire once during the menstruation phase (when Responses were scored on a five-point scale (from "very poor" to "very good"), where higher scores indicate better enjoyment and satisfaction with life (possible range of raw total score: 14-70). Scores were added and presented as a percentage of the total maximum possible score. A percentage of total score of ≥70 represents normal QoL in a community sample. An additional item (item 16) measured overall life satisfaction and contentment during the past week, on a five-point scale |
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Inclusion criteria :
Healthy young virgin females suffering from primary dysmenorrhea diagnosed by the gynecologist.
Exclusion Criteria:
Females will be excluded from the study if they have;
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Nahla ahmed eldersy, central contact person | Contact | 01064605913 | nahla01280731648@gmail.com | |
| Amir arbi gabr, Professor Study Director | Contact | 01222816912 | dr_amirarabi@yahoo.com |
| Name | Affiliation | Role |
|---|---|---|
| Manal ahmed El-shafei, Assisted Professor | Cairo University | Study Director |
| mohamed ahmed Awad, PHD, Professor | Cairo University | Study Chair |
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| ID | Term |
|---|---|
| D026241 | Exercise Movement Techniques |
| ID | Term |
|---|---|
| D026741 | Physical Therapy Modalities |
| D013812 | Therapeutics |
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| gym exercises | Other | Gym Exercises patient with primary dysmenorrhea will receive gym Exercises 3 sessions per week for 3 months. Gym exercises focus on strengthening muscles in the abdominal, leg, arm, and back regions. Additionally, they improve balance, stability, and blood circulation, ultimately contributing to the alleviation of menstrual pain Intense physical activity is thought to trigger the secretion of beta-endorphins, which function like natural painkillers, thereby alleviating menstrual pain often connected with primary dysmenorrhea . Gym exercises relieve pain of lower abdomen by control the activation of sympathetic nervous system and positive change of endocrine regulation process through gym exercise, so that pain threshold value was increased due to increase of endorphin . Gym Exercise is an effective exercise for stabilization of torso. |
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| before and after 12 of treatment |