Journal of Paramedical Sciences & Rehabilitation

Journal of Paramedical Sciences & Rehabilitation

Effect of Core Stability Exercises on Primary Dysmenorrhea and Muscular Fitness Indices in Teenage Girls

Document Type : Original Article

Authors
Z Koohestani
M Koushkie Jahromi
J Nemati
Department of Physical Education and Sport Sciences, Faculty of Educational and Psychology, Shiraz University, Shiraz, Iran
10.22038/jpsr.2020.37090.1890
Abstract
Purpose:
The aim of this study was to determine the effect of core stability exercises on physical fitness of core muscles and primary dysmenorrhea inteenage girls.
Methods:
Participants of the study included 30 teenage girls with primary dysmenorrhea. Participants were assigned into either the exercise group (n=15) or control (n=15) group randomly. All subjects completed the Menstrual Symptom Questionnaire (MSQ) to measure symptoms of dysmenorrhea. Abdominal muscle endurance, balance and trunk flexibility of participants were measured respectively by sit up, one leg stance and Wels tests. Measurements were performed before and after the exercise period. The exercise group performed core muscle exercises for 8 weeks, 3 days a week. During this period control group did not participate in any kind of exercises. Analysis of variance with repeated measures and Pearson correlation tests were used for data analysis.
Results:
The result showed that core muscle exercises reduced dysmenorrhea symptoms (p=0.001), increased endurance of abdominal muscles (p=0.001), and flexibility (p=0.04) in exercise group. However, core muscle exercises did not change balance significantly (p>0.05). Dysmenorrhea changes were negatively related to physical fitness changes (r=0.55, p=0.002).
Conclusion:
Core muscle exercises can be used as a treatment to reduce the severity of dysmenorrhea which may be associated with increasing core muscle fitness indices.
Keywords
Primary dysmenorrhea
Core muscle exercises
Teenage girls
Physical fitness
  1. Bernardi M, Lazzeri L, Perelli F, Reis FM, et al. Dysmenorrhea and related disorders. F1000 Res  2017; 6: 1645.
  2. Basirat Z, Haji Ahmadi M. Evaluation of Dysmenorrhea and Premenstrual Syndrome in High School Girls in Babol. Iranian J Obstet Gynecol Intertil 2016; 9(1):19-25. [Persian]
  3. Davis AR, Westhoff CL. Primary dysmenorrhea in adolescent girls and treatment with oral contraceptives. J Pediatr Adolesc Gynecol 2001; 14(1): 3-8.
  4. Banikarim C, Chacko MR, Kelder SH. Prevalence and impact of dysmenorrhea on Hispanic female adolescents. Arch Pediatr Adolesc Med 154(12): 1226-1229.
  5. Rahbar N, Asgharzadeh N, Ghorbani R. Effect of omega‐3 fatty acids on intensity of primary dysmenorrhea. Int J Gynaecol Obstet 2012; 117(1): 45-47. [Persian]
  6. Chung YC, Chen HH, Yeh ML. Acupoint stimulation intervention for people with primary dysmenorrhea: Systematic review and meta-analysis of randomized trials. Complement Ther Med 2012; 20(5): 353-363.
  7. Atallahi M, Akbari SA, Mojab F, Majd HA. Effects of wheat germ extract on the severity and systemic symptoms of primary dysmenorrhea: a randomized controlled clinical trial. Iran Red Crescent Med J 2014; 16(8): e19503.
  8. Mastrangelo MA, Galantino ML, House L. Effects of yoga on quality of life and flexibility in menopausal women: a case series. Explore: J Scien Heal 2007; 3(1): 42-45.
  9. Dawood MY. Primary dysmenorrhea: advances in pathogenesis and management. Obstet Gynecol 2006; 108(2): 428-441.
  10. Kazemi A, Bokaei M, Shirinkam F. Effect of water load on intensity of primary dysmenorrhea. JBUMS 2001; 3(3): 17-20. [Persian]
  11. Modarres M, Mirmohhamad Ali M, Oshrieh Z, Mehran A. Comparison of the Effect of Mefenamic Acid and Matricaria Camomilla Capsules on Primary Dysmenorrhea. JBUMS 2011; 13(3): 50-58. [Persian]
  12. Hagey AR, Warren MP. Role of exercise and nutrition in menopause. Clin Obstet Gynecol 2008; 51(3): 627-641.
  13. Kraemer WJ, Retimes NA. Hormonal responses and adaptations to resistance exercise and training. Sports Med 2005; 35(4): 339-361.
  14. Saadat nejad N, Koushkie Jahromi M, Salesi M. Comparison ginger and resistance training on primary dysmenorrhea in female students of Shiraz University. ISMJ 2015; 18(1): 100-109. [Persian]
  15. Taghi Shakeri M, Jafarnejad F, mohebbi dehnavi Z. The prevalence of the severity of physical and psychological symptoms in premenstrual syndrome in warm and cool temperament after 8 weeks of regular aerobic exercise. The Iranian J Obstet Gynecol Infert 2017; 20(10): 1-12.
  16. Barker PR, Petroczi A, Quested E. Assessment of nutritional knowledge in female athletes susceptible to the Female Athlete Triad syndrome. J Occup Med Toxicol 2007; 2(10): 1175-1186.
  17. Saadatabadi F, Bambaichi E, Esfarjani F. Effect of Six Weeks Flexibility Training on   dysmenorrhea. J Isfahan Med School 2010; 28(109): 401-407. [Persian]
  18. Siahpour T, Nikbakht M, Rahimi E, Rabiee M. The Effect of 8 weeks aerobic exercise and yoga on primary dysmenorrhea. Armaghane danesh 2013; 18 (6): 475-483. [Persian]
  19. Moosavi S, Koushkie Jahromi M. Effect of high and average intensity interval training on premenstrual syndrome and some health indices of girls. Ebnesina 2015; 17(1): 10-18. [Persian]
  20. Rumball JS, Lebrun CM. Preparticipation physical examination selected issues for the female athlete. Clin J Sport Med 2004; 14(3): 153-160.
  21. Akuthota V, Ferreiro A, Moore T, Fredericson M. Core stability exercise principles. Curr sport Med Rep 2008;7(1):39-44.
  22. Daneshmandi H, Barati A H, Ahmadi R. The Effect of Core Stabilization Training Program on the Balance of Mentally Retarded Educable Students. Arch Rehabil 2013; 14(3) :16-24. [Persian]
  23. Cavaggioni L, Ongaro L, Zannin E, Iaia FM, Alberti G. Effects of different core exercises on respiratory parameters and abdominal strength. J physical ther sci 2015; 27(10): 3249-3253.
  24. Sekendiz B, Cug M, Korkusuz F. Effects of Swiss-ball core strength training on strength, endurance, flexibility, and balance in sedentary women. J Strength Cond Res 2010; 24(11): 3032-3040.
  25. Kaur S, Shanmugam S, Kang MK. To compare the effect of stretching and core strengtheningexercises on Primary Dysmenohrrea in Young females. IOSR-JDMS 2014; 1(13): 22-32.
  26. Kim MJ, Baek IH, Goo BO. The effect of lumbar-pelvic alignment and abdominal muscle thickness on primary dysmenorrhea. J Phys Ther Sci 2016; 28(10): 2988-2990.
  27. Samadi Z, Taghian F Valiani M. Effects of Pilates and Aerobic Exercise on Symptoms of Premenstrual Syndrome in Non-Athlete Girls. J Isfahan Med School 2013; 30(213): 14-18. [Persian] 
  28. Hulley SB, Cummings SR, Browner WS, Grady D, Newman TB. Designing clinical research: an epidemiologic approach. 4th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2013; Appendix 6A: 73.
  29. American College of Sports Medicine, editor. ACSM's health-related physical fitness assessment manual. Lippincott Williams & Wilkins; 2013: 21.
  30. Magaret A. Chesne Y, Donald L. The Development of the Menstrual Symptom Questionnaire. Behav Res Ther 1975; 13(4): 237-244.
  31. Lumbar/core strength and stability exercise, Princeton University, athletic medicine. (Access: April 2017). https://uhs.princeton.edu/sites/uhs/ files/documents/Lumbar.pdf.
  32. Rashidi Z, Daneshfar A, Shojaei M, Bagherian-Sararoudi R, et al. Scrutiny Effects of Eight-Weeks Pilates Exercise on Women's Postmenopausal Depressive Symptoms. J Isfahan Med Sch 2013 ;31(231):408-415. [Persian]
  33. Chang EA, Koo IS, Choi JH. The Effect of Pilates Stabilization Exercise and Kinesio taping on the Dysmenorrhea and Prostaglandin F2α of Female University Students. JIAPTR 2018; 9(3): 1558-1563.
  34. Da Fonseca JM, Radmann CS, de Carvalho FT, de Andrade Mesquita LS. The influence of the Pilates method on muscular flexibility, symptoms, and quality of life in women with primary dysmenorrhea. Sci Med 2016; 26(2): ID23052.
  35. Jahromi MK, Gaeini A, Rahimi Z. Influence of a physical fitness course on menstrual cycle characteristics. Gynecol Endocrinol. 2008; 24(11): 659-662.
  36. Arab AM, Ibrahimi E. Clinical trunk muscle endurance tests in subjects with and without low back pain. Med J Islam Repub Iran 2005; 19(2): 95-101. [Persian]
  37. Kloubec JA. Pilates for improvement of muscle endurance, flexibility, balance, and posture. J Strength Cond Res 2010; 24(3): 661-667.
  38. Wang L, Wang X, Wang W, Chen C, et al. Stress and dysmenorrhoea: a population based prospective study. Occup Environ Med 2004; 61(12): 1021-1026.
  39. Tsatsoulis A, Fountoulakis S. The protective role of exercise on stress system dysregulation and comorbidities. Ann N Y Acad Sci 2006; 1083: 196-213.
  40. Rezaee H., Koushkie Jahromi M, Salesi M, Izadi S. The influence of core stability exercise and vitamin D supplementation on some of physical fitness indices in young multiple sclerosis (MS). Sport Physiol 2017; 9(35): 17- 34.
  41. Granacher U, Schellbach J, Klein K, Prieske O, et al. Effects of core strength training using stable versus unstable surfaces on physical fitness in adolescents: a randomized controlled trial. BMC Sports Sci Med Rehabil 2014; 6(1): 40.
  42. Park MH, Yu JH, Hong JH, Kim JS, et al. Effect of core muscle thickness and static or dynamic balance on prone bridge exercise with sling by shoulder joint angle in healthy adults. J Phys Ther Sci 2016; 28(3): 945-950.
  43. Amiri B, Sahebozamani M, Sedighi B. The effects of 10-week core stability training on balance in women with multiple sclerosis according to Expanded Disability Status Scale: a single-blinded randomized controlled trial. Eur J Phys Rehabil Med 2019; 55(2): 199-208.
  44. Rival C, Ceyte H, Olivier I. Developmental changes of static standing balance in children. Neurosci Lett 2005; 376(2): 133-136.

Journal of Paramedical Sciences & Rehabilitation
Volume 9, Issue 1
Winter 2020
Pages 100-110