Effect of Lumbar Proprioception Training on Primary Dysmenorrhea

Effect of Lumbar Proprioception Training on Primary Dysmenorrhea: A Randomized Clinical Trial

the aim of this study will be to investigate the effect of lumbar proprioception training on primary dysmenorrhea.

Study Overview

• Status: Completed
• Conditions: Primary Dysmenorrhea
• Intervention / Treatment: Other: Hot packs; Other: Pelvic rocking exercise; Other: lumbar proprioception training

Detailed Description

Although previous studies reported the effect of physiotherapy practices through therapeutic exercises on primary dysmenorrhea as core muscles strengthening, core stability exercises, connective tissue massage and classical massage, relaxation, strengthening, stretching, aerobic exercises, pelvic floor muscle strengthening exercises, yoga and Pilates. None of them have investigated the effect of lumbar proprioception training on primary dysmenorrhea. Therefore, this study will be the first one which aims to investigate the effect of lumbar proprioception training on primary dysmenorrhea. This trial will include 2 groups; group A composed of 20 females that will receive hot packs and pelvic rocking exercises for 4 weeks and group B also composed of 20 females that will receive hot packs and pelvic rocking exercises in addition to lumbar proprioception training for 4 weeks.

• Study Type: Interventional
• Enrollment (Actual): 30
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Egypt
  • Giza, Egypt
    • Doaa Osman

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• All females will have moderate to severe primary dysmenorrhea (as determined by WaLIDD Scale).
• Their ages will range from 18 to 22 years old.
• All females will be virginal and non-smokers.
• Their BMI will be range from 20-25 kg/m2
• They have regular menstrual cycle with menstrual cycle length of 28-30 days.
• They have persistent primary dysmenorrhea of more than 6 months

Exclusion Criteria:

• They shouldn't have musculoskeletal or neurological disorders, chronic LBP or sacroiliac dysfunction, diabetes, pelvic pathology or any gynecological disease.
• They shouldn't experience a stressful event in the last 6 month.
• Attending regular exercise training in the last 6 months.
• Taking medications or vitamin and mineral supplements due to other medical conditions.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Control group; They will receive hot packs and pelvic rocking exercises for one menstrual cycle.	Other: Hot packs; hot application in the form of hot packs on the lower abdomen and lower back for a total duration of 30 minutes, once per day, during the first two days of menstruation; Other: Pelvic rocking exercise; Pelvic rocking exercise
Experimental: Lumbar proprioception group; They will receive the same lumbar proprioception training plus hot packs and pelvic rocking exercises for one menstrual cycle.	Other: Hot packs; hot application in the form of hot packs on the lower abdomen and lower back for a total duration of 30 minutes, once per day, during the first two days of menstruation; Other: Pelvic rocking exercise; Pelvic rocking exercise; Other: lumbar proprioception training; a) Sensorimotor training: Sensorimotor training and reconditioning of proprioceptive senses have recently been found to be helpful in increasing motor performance and coordination, muscle strength, sensorimotor abilities, increasing intermuscular control, and improving one's response to sensory information and muscle tone. Reconditioning of proprioceptive senses and sensorimotor training increases one's muscle adjustment ability, maximizes the sensory input in different parts of the body and aids in improving one's motor adjustment ability (Hwang et al ., 2013). Position Exercise methods as Hollowing exercise: Participants will be asked to contract the abdominal muscles, raising the center of movement toward the navel in a quadruped position.; Other Names: lumbar proprioception exercises

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Measurement of lumbar proprioception	It will be evaluated through Biodex system in both groups before and after treatment program through measuring the lumbar repositioning accuracy.	4 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Calculation of score of WaLIDD Scale	It will be used to identify dysmenorrhea severity in both groups before and after treatment program through measuring combination of manifestations: subjective (intensity/Wong-Baker, work ability) and objective (days of pain, location) for both groups.The total score of 0 indicates without dysmenorrhea; 1-4 indicates mild dysmenorrhea, 5-7 indicates moderate dysmenorrhea, 8-12 indicates severe dysmenorrhea (Teherán et al., 2018).	4 weeks
lumbar curvature angle	it will be measured by Flexible ruler which is affected by the tilt of the pelvis, in both groups before and after treatment program.	4 weeks

Collaborators and Investigators

• Sponsor: Cairo University
• Investigators: Principal Investigator: doaa osman, assis.prof, study principle investigator

Study record dates

Study Major Dates

• Study Start (Actual): August 1, 2023
• Primary Completion (Actual): December 1, 2023
• Study Completion (Actual): December 1, 2023

Study Registration Dates

• First Submitted: September 11, 2023
• First Submitted That Met QC Criteria: September 17, 2023
• First Posted (Actual): September 22, 2023

Study Record Updates

• Last Update Posted (Actual): February 14, 2024
• Last Update Submitted That Met QC Criteria: February 13, 2024
• Last Verified: February 1, 2024

More Information

Terms related to this study

• Keywords: primary dysmenorrhea; lumbar proprioception training; pelvic rocking exercises
• Additional Relevant MeSH Terms: Pathologic Processes; Pain; Neurologic Manifestations; Menstruation Disturbances; Pelvic Pain; Dysmenorrhea
• Other Study ID Numbers: P.T.REC/012/004410

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No