Tag: menopauza

Nuotoliniu būdu vykdomų modifikuotų pilateso pratimų poveikis menopauzės simptomams ir dubens dugno raumenų disfunkcijai premenopauzinėms moterims. Atsitiktinių imčių kontroliuojamas tyrimas

T. Kavya, B. Sathya Prabha, P. Ponmathi

T. Kavya, B. Sathya Prabha, P. Ponmathi – Ineffect of tele-based modified pilates on menopausal symptoms and pelvic floor muscle dysfunction in premenopausal women. A randomized controlled trial – Fizjoterapia Polska 2024; 24(2); 367-373

DOI: https://doi.org/10.56984/8ZG5608C3D

Santrauka
Pagrindimas
Menopauzė apibrėžiama kaip nuolatinis menstruacijų nutraukimas, kurį sukelia sumažėjusi kiaušidžių folikulų veikla. Šiuo laikotarpiu moterys gali patirti karščio pylimus, prakaitavimą, miego sutrikimus, širdies diskomfortą, svaigulį, nuovargį, galvos skausmus, dažną šlapinimąsi, silpnus dubens dugno raumenis (PFM), raumenų ir sąnarių skausmus, emocinį nesaugumą, depresiją. Pratimai ir kitos fizinės veiklos gali padėti palengvinti menopauzės simptomus (MPS) ir pagerinti PFM funkciją premenopauzinėms moterims. Tarp šių veiklų pilatesas yra saugi technika, padedanti gerinti fizinį ir psichologinį veiksmingumą.

Tikslas
Išsiaiškinti nuotoliniu būdu vykdomų modifikuotų pilateso pratimų poveikį menopauzės simptomams ir dubens dugno raumenų disfunkcijai premenopauzinėms moterims.

Metodika
Moterims buvo atlikta menopauzės simptomų ir dubens dugno disfunkcijos patikra naudojant menopauzės vertinimo skalę (MRS) ir dubens dugno disfunkcijos inventorių (PFDI). Remiantis įtraukimo ir ištraukimo kriterijais, tiriamieji buvo atsitiktinai paskirti į dvi grupes: A grupę – kontrolinę (CG) ir B grupę – eksperimentinę (EG). Abiejose grupėse tiriamieji buvo vertinami pagal MRS ir PFDI kartu su skersiniais pilvo raumenimis (TrA) ir PFM stiprumu. CG tiriamieji 8 savaites užsiėmė aerobikos pratimais – vaikščiojimu. EG tiriamieji dalyvavo TMPE grupiniuose užsiėmimuose po 40 minučių. Abiejų grupių tiriamieji buvo vertinami per pirmąjį ir paskutinįjį užsiėmimus po 8 savaičių.

Rezultatai
TMPE grupė parodė reikšmingą menopauzės simptomų ir dubens dugno disfunkcijos sumažėjimą. Buvo pastebėta, kad TMPE pagerino PFM ir TrA raumenų stiprumą labiau nei kontrolinė grupė.

Išvada
Pilateso grupė parodė menopauzės simptomų pagerėjimą ir dubens dugno disfunkcijos simptomų sumažėjimą, kartu pagerėjo PFM ir TrA raumenų stiprumas.

Raktiniai žodžiai
menopauzė, menopauzės simptomai (MPS), dubens dugno raumenų (PFM) disfunkcija, nuotoliniu būdu vykdomi modifikuoti pilateso pratimai (TMPE), fizinė veikla (PA)

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Viso kūno vibracijos poveikis kraujospūdžiui nutukusioms pomenopauzinio amžiaus moterims: atsitiktinių imčių kontroliuojamas tyrimas

Wafaa Mohammad Kamal, Ebtesam A Ali, Marwa A Radwan, Zeinab S Ahmed, Dina MA Mohamed

 

Wafaa Mohammad Kamal, Ebtesam A Ali, Marwa A Radwan, Zeinab S Ahmed, Dina MA Mohamed – Effect of whole-body vibration on blood pressure in obese postmenopausal women. a randomized controlled study –  Fizjoterapia Polska 2024; 24(2); 35-41

DOI: https://doi.org/10.56984/8ZG5608H7W

Santrauka

Pagrindas. Menopauzė yra natūralus biologinis procesas, reiškiantis moterų reprodukcinio gyvenimo pabaigą ir susijęs su padidėjusiais daugybinio insulto rizikos veiksniais. Daugybė tyrimų parodė, kad sveikoms moterims menopauzės metu padidėja pilvo nutukimas, trigliceridai (TG), bendras cholesterolis (TC), mažo tankio lipoproteinai (LDL), nevalgiusio gliukozės kiekis kraujyje, kūno masės indeksas (KMI) ir kraujospūdis (BP), o didelio tankio lipoproteinų (HDL) kiekis sumažėja. Tikslas. Mes siekiame nustatyti viso kūno vibracijos (WBV) poveikį BP ir kraujo lipidų profiliui nutukusioms pomenopauzinio amžiaus moterims. Tiriamieji ir metodai. Mūsų tyrime dalyvavo 30 pomenopauzinio amžiaus moterų su hipertenzija (HTN), kurių amžius buvo 55–65 metai ir KMI 30–34,9 kg/m². Patyręs gydytojas diagnozavo dalyvius kaip pre-HTN arba 1 stadijos HTN, su BP matavimais 140/90–159/99 mmHg. Dalyviai atsitiktine tvarka buvo suskirstyti į dvi lygias grupes (n = 15). A grupė gavo mitybos režimą, o B grupė gavo mitybos režimą kartu su dviejų mėnesių viso kūno vibracijos (WBV) treniruočių programa 30 min, 3 sesijos per savaitę. Buvo gauti visi dalyvių matavimai, įskaitant jų BP ir serumo TC, TG, HDL ir LDL lygį prieš ir po terapijos. Rezultatai. Rezultatai parodė, kad vidutinė sistolinio kraujospūdžio (SBP), diastolinio kraujospūdžio (DBP), TC, TG ir LDL reikšmės reikšmingai sumažėjo abiejose grupėse, su reikšmingu sumažėjimu B grupės naudai. Be to, vidutinė HDL reikšmė statistiškai reikšmingai padidėjo abiejose grupėse, su reikšmingu padidėjimu B grupės naudai. Išvada. WBV kartu su tinkama mitybos intervencija laikoma saugia, naudotojui patogia ir labai efektyvia fizinės terapijos strategija, skirta kraujo lipidų lygiams gerinti ir BP mažinti pomenopauzinio amžiaus moterims su HTN.

Raktažodžiai
pomenopauzė, viso kūno vibracija, kraujo lipidai, kraujospūdis, hipertenzija

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Radijo dažnių poveikis menopauzės metu riebaliniam audiniui: Atsitiktinės kontrolės tyrimas

Shreen R Aboelmagd, Mahmoud A Elsayed, Mai Helmy Hassan, Afaf M. Botla, Hazem S. El Ashmawi, Reham E. Hamoda

 

Shreen R Aboelmagd, Mahmoud A Elsayed, Mai Helmy Hassan, Afaf M. Botla, Hazem S. El Ashmawi, Reham E. Hamoda – Effect of radiofrequency on postmenopausal adipose tissue: A randomized control trial –  Fizjoterapia Polska 2024; 24(1); 91-97

DOI: https://doi.org/10.56984/8ZG2EF83B3

Santrauka
Tikslas. Nustatyti radijo dažnių poveikį antropometriniams matavimams ir lipidų profilui menopauzės metu moterims.
Medžiaga ir metodai. Šiame tyrime buvo įtrauktos šešiasdešimt menopauzės metu diagnozuotų su pilvo srities riebalinio audinio pertekliumi ir nenormaliu lipidų profilu moterų. Dalyvės buvo atsitiktinai priskirtos dviem lygioms grupėms. A grupė laikėsi Viduržemio jūros dietos ir dalyvavo aerobinėse pratybose 12 savaičių (n = 30), o B grupė laikėsi Viduržemio jūros dietos ir dalyvavo tiek aerobinėse pratybose, tiek radijo dažnių gydymuose per tą pačią 12 savaičių laikotarpį (n = 30). Abiejų grupių antropometriniai matavimai, apimantys svorį, kūno masės indeksą (KMI) ir liemens apimtį, kartu su lipidų profilio komponentais, įtraukiant bendrąjį cholesterolį (BC), aukšto tankio lipoproteiną (ATL), žemo tankio lipoproteiną (ŽTL), labai žemo tankio lipoproteiną (LŽTL) ir trigliceridus (TG), buvo įvertinti prieš ir po 12 savaičių programos trukmės.
Rezultatai: Abiejose grupėse pastebėti reikšmingi visų išmatuotų rodiklių pagerėjimai (p < 0,05). Po gydymo palyginus, abiejose grupėse statistiškai reikšmingai sumažėjo visi antropometriniai matavimai, ŽTL ir TG (p < 0,05), tuo tarpu ATL statistiškai reikšmingai padidėjo (p < 0,05), tai buvo palankiau B grupei. Nepaisant to, tarp grupių po gydymo nebuvo reikšmingų skirtumų BC ir LŽTL atveju (p > 0,05).
Išvada: Radijo dažnis teigiamai veikia antropometrinius matavimus ir lipidų profilį menopauzės metu moterims.
Raktiniai žodžiai:
menopauzė, riebalinis audinys, radijo dažnis, antropometriniai matavimai, lipidų profilis
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Effect of whole body vibration versus high intensity interval training on interleukin-6 in obese post-menopausal women

Fayka E Ali, Fahima M Okeel, Amir A Gabr, Amel M Yousef, Abdullah M. Al-Shenqiti, Mohamed Ahmed Elbedewy


Fayka E Ali, Fahima M Okeel, Amir A Gabr, Amel M Yousef, Abdullah M. Al-Shenqiti, Mohamed Ahmed Elbedewy – Effect of whole body vibration versus high intensity interval training on interleukin-6 in obese post-menopausal women. Fizjoterapia Polska 2022; 22(2); 144-149

Abstract
Background. Menopause and aging affect the health of obese women, provoking accumulation of visceral adipose tissue (VAT) and inflammation. Obesity leads to major health problems, which increase the risk of debilitating diseases that lead to death. Thus, loss of weight and VAT are primary goals of treatment through modifications of dietary habits and exercise. Purpose of the study. This study was conducted to determine which is more effective on interleukin- 6 (IL-6) levels for obese post-menopausal women, whole body vibration training (WBVT) or high intensity interval training (HIIT). Subjects and methods. 45 post-menopausal obese women diagnosed with higher level of IL-6, their body mass index (BMI) > 30 kg/m2 and waist/hip ratio (W/H ratio) > 0.8 participated at this study. Women were divided randomly into 3 equal groups in numbers; Group (A) followed low caloric diet (1200 Cal), Group (B) received WBVT and Group (C) received HIIT. Both groups (B & C) followed the same low caloric diet as group (A). Evaluation was done before and after 3 months of treatment, through measuring weight, BMI, waist as well as hip circumferences, W/H ratio and IL-6 levels. Results. The three groups revealed statistically significant improvements (P < 0.05) in all parameters after treatment compared to baseline. Also, there were statistically differences between the 3 groups after treatment, with the group (B) more favorable than groups (A & C). Conclusion. WBVT is more effective than HIIT on reducing inflammation via reducing IL-6 level in obese post-menopausal women.
Key words:
obesity, menopause, whole body vibration exercise, high intensity interval training, interleukin-6
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Effect of pilates exercises on postmenopausal symptoms and lumbar flexibilty

Norhan El Sayed Farouk Saleh, Soheir Mahmoud Elkosery, Hazem Salah EL Din El Ashmawi, Marwa Esmael Hasanin Esmael


Norhan El Sayed Farouk Saleh, Soheir Mahmoud Elkosery, Hazem Salah EL Din El Ashmawi, Marwa Esmael Hasanin Esmael – Effect of pilates exercises on postmenopausal symptoms and lumbar flexibilty. Fizjoterapia Polska 2022; 22(1); 192-197

Abstract
Background and objective. Postmenopausal women suffer from clinical symptoms such as vasomotor, psychological, physical, and genitourinary symptoms. 77% of postmenopausal women suffer from muscle and joint problems, loss of muscle strength and flexibility. This study was conducted to see effect of Pilates exercise on postmenopausal symptoms and lumbar flexibility.
Methods. Forty postmenopausal women at least 1 year from their last menstruation aged from 50-59 years there BMI does not exceed 30 kg/m2 were assigned randomly to 2 equal groups: Group A (study group) received calcium 500 mg/day, cholecalciferol (vitamin D3) (0.2mg)/day and Pilates exercises (hundred, saw, side kick spine stretch) for 45 minutes/ session, three times per week for 12 weeks. Group B (control group) only received calcium 500 mg/day and cholecalciferol (0.2 mg)/day for 12 weeks. Their menopausal symptoms were assessed through menopausal rating scale (MRS) and lumbar flexibility assessed by (modified Schober test, sit to reach test and fingertip to floor test) before and after treatment period.
Results. There was a significant decrease in MRS post treatment results in the study and control group compared with that of pretreatment ones (p > 0.01). there was a significant decrease in the post treatment results of MRS of Group A (study group) compared with that of Group B (control group). Regarding flexibility There was a significant increase in sit and reach distance, modified Schober test distance and significant decrease in fingertip-to-floor distance post treatment results in the study and control group compared with that pretreatment results (p < 0.001), there was a significant increase in lumbar flexibility of Group A (study group) compared with that of Group B (control group) post-treatment results.
Conclusion. Pilate’s exercise has a positive effect on postmenopausal symptoms and lumbar flexibility.
Key words:
Pilate’s exercise, menopause, postmenopausal symptoms, lumbar flexibility
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The impact of magnetostimulation on the level of urinary incontinence among women after menopause

Robert Kowalski, Joanna Kałuża-Pawłowska, Marek Kiljański

Robert Kowalski, Joanna Kałuża-Pawłowska, Marek Kiljański – The impact of magnetostimulation on the level of urinary incontinence among women after menopause. Fizjoterapia Polska 2021; 21(5); 58-69

Abstract
Urinary incontinence (UI) is according to ICS definition “every uncontrolled urine loss”. Among the broadly understood definition, there are different types of UI: effort, urgent, from overflow, mixed, transitional, bedwetting and other types of UI. The most common type from mentioned is the effort urinary incontinence and the mixed one. Due to the complex nature of UI problem, there are many methods of diagnosis and treatment of incontinence. In conservative treatment, pelvic floor muscle exercises, physical therapy (including magnetic field) and behavioral therapy are commonly used.  The aim of the study.  The aim of work is to evaluate the impact of magnetostimulation and pelvic floor muscle exercises on the level of urinary incontinence among women after menopause. Material and methodology.  The research was conducted among 30 women at the age of 45–67 years old (average ± 56) who were treated because of UI in The Independent Public Health Care Centre named Primate Cardinal Stefan Wyszyński in Sieradz in the rehabilitation ward. The patients were divided into two groups – 15 people each. In the first group participants were tested by magnetostimulation and they were doing pelvic floor muscle exercises. In the second group they were only doing pelvic floor muscle exercises.The patients have been surveyed twice, before and after 3 weeks therapy. In the study two different questionnaires (A and B) were used. They were based on Gaudenza questionnaire. Results. According to the analysis of survey data, these are the following results. In the first group improvement concerned: reduction in the frequency of UI episodes and frequency of urination, less amount of „urine loss” and UI intensity based on daily physical acivity, extending the time of the ability to control urination and better quality of life tested women. In the second group an improvement has been noticed according to subjective patient’s feelings. All data analysis results from questionnaires were not statistically significant.
Conclusions. From the analysis of the results, the following conclusions have been drawn: 1. Combination therapy of magnetostimulation with pelvic floor exercises causes more beneficial effect than applying only exercises. 2. Subjective assessment of participants on how to improve ailments connected with UI, speaks in favour of therapy with the use of magnetic field stimulation. 3. The most common type of incontinence amoung tested women after menopause was the effort one. 4. Therapy with 3–weeks programme of magnetic field stimulation increases the level of satisfaction and improves well-being of poople with UI.
Key words:
urinary incontinence, magnetostimulation, menopause, physiotherapy
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Effect of cold and ultrasonic therapy on postural kyphosis in pre and post-menopausal women: A randomized controlled trial

Marwa M. Mahran, Soheir M. Elkosery, Mohamed H. Mustafa, Amel M. Yousef

Marwa M. Mahran, Soheir M. Elkosery, Mohamed H. Mustafa, Amel M. Yousef – Effect of cold and ultrasonic therapy on postural kyphosis in pre and post-menopausal women: A randomized controlled trial. Fizjoterapia Polska 2021; 21(5); 20-25

Abstract
Background. Thoracic kyphosis is one of the manifestations of post-menopausal spinal osteoporosis so it is preferable to prevent incidence of kyphosis related to estrogen deficiency especially for premenopausal whose kyphosis start to be developed. Purpose. The aim of this study was to detect the effect of cold and ultrasonic therapy on postural kyphosis with middle back pain in pre and post-menopausal women. Materials and Methods. Sixty non-osteoporotic pre and post-menopausal women between the ages of 40 and 60 years, assigned randomly into 3 groups equal in numbers; each group consisted of 10 pre and 10 post-menopausal women; Group (A) received physiotherapy program followed by cold therapy, Group (B) received ultrasonic therapy followed by physiotherapy program, and Group (C) received ultrasonic then the physiotherapy program followed by cold therapy. The three groups followed the same physiotherapy program in form of strengthening, stretching and postural reeducation, three sessions per week for three months. The kyphotic index and pain were assessed by flexicurve ruler and visual analogue scale (VAS) respectively pre- and post-interventions. Results. Within the three groups (A, B & C) the kyphotic index and pain showed significant decrease (P < 0.0001) post treatment in both pre- and post-menopausal conditions, while they showed clinical improvement and non-significant difference (P > 0.05) when compared pre to post-menopause conditions in the pre- and post-treatment. The clinical improvement in the kyphotic index in group (A), (B) & (C) at pre as well as post-menopausal conditions were equal [(↓8.44% & ↓7.1%), (↓7.7% &↓8.12%) & (↓9.68% &↓11.08%)] and VAS were [ (↓32%&↓35%), (↓40% & 30%) & (↓37.55%, ↓31.57%)] respectively post treatment. Conclusion. Adding cold and ultrasound therapy to physiotherapy program have a clinical impact in reducing kyphosis and pain in pre- and post-menopausal women.
Key words:
cold, ultrasonic, menopause, kyphosis, flexicurve ruler
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Effect of Anemia on Fatigue and Oxygen Saturation levels in Menopausal Anemic Women

Ashraf Gamal Mashali, Amel Mohamed Yousef, Fahima Metwali Okaiel, Amir Arabi Gabr

Ashraf Gamal Mashali, Amel Mohamed Yousef, Fahima Metwali Okaiel, Amir Arabi Gabr – Effect of Anemia on Fatigue and Oxygen Saturation levels in Menopausal Anemic Women. Fizjoterapia Polska 2021; 21(2); 184-189

Abstract
Background. Reduced number of red blood cells and hemoglobin defined as anemia which lowering the capability of the blood to deliver oxygen to all body tissues. Anemia leads to fatigue and dyspnea on exertion, which can decrease a patient’s ability to accomplish normal daily living activities. Platelets and red blood cells aggregation increase with age, which decreasing the delivery of oxygen to the tissues by elevating blood viscosity flow in the microcirculation. Purpose. The purpose of this study is to determine the effect of anemia on Fatigue and Oxygen Saturation levels in Menopausal Anemic Women. Methods. An Observational case control study design, convenience sample of 50 menopausal women, their age ranged between 45 to 55 years old were divided into two groups (A&B). Group A consisted of 25 non-anemic women while, Group B consisted of 25 anemic women. All participants were evaluated through 6MWT for endurance, BS scale for exertion, FSS for fatigue and PULSE OXIMETER for oxygen saturation. Results. Statistical analysis showed that there was a significant decrease (p < 0.05) in endurance and oxygen saturation of group (B) compared with group (A) and also there was a significant increase (p < 0.05) in fatigue level and exertion level of group (B) compared with group (A), Conclusions: Anemic menopausal women have higher fatigue and exertion levels and lower endurance and oxygen saturation levels than non-anemic menopausal women.
Key words:
Anemia, Fatigue, Menopause
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Assessment of the severity of menopause symptoms and the occurrence of pain in the lumbar spine among women living in the Silesia Voivodeship

Agata Grzyb, Anna Koralewska, Martyna Gruszka, Zuzanna Sobczak, Magdalena Drewnowska

A. Grzyb, A. Koralewska, M. Gruszka, Z. Sobczak, M. Drewnowska– Assessment of the severity of menopause symptoms and the occurrence of pain in the lumbar spine among women living in the Silesia Voivodeship. Fizjoterapia Polska 2020; 20(4); 22-33

Abstract
Introduction. During the menopause, many changes are observed in a woman’s life. These processes have different backgrounds, but mainly they are caused by hormonal changes that have a huge impact on the functioning of the whole organism. These changes may cause, among others: insomnia, mood disorders, weight gain, and indirectly may affect the appearance of back pain.
Aim of the study. The main aim of the study was to recognize the incidence and severity of menopause symptoms, as well as to assess the degree of disability caused by pain in the thoracolumbar spine in the Silesian female population.
Material and method. The material consisted of 150 women between the ages of 40 and 60 from the Śląskie Voivodeship. The study used: the author’s questionnaire, Menopausal Symptom Assessment Scale (MRS) and the Oswestry Questionnaire. The collected material was subjected to statistical analysis.
Results. There was a wide variation in the incidence of menopause symptoms among respondents. Correlation analysis showed that there are statistically significant differences between all menopausal symptoms and lower back pain. Over half of the respondents (56.7%) struggled with excessive body weight. 79% of women have a moderate degree of disability.
Conclusions. The most common symptoms of menopause are psychological symptoms. The respondents have pain in the lumbar spine. The vast majority of women have a moderate degree of disability resulting from pain in the lower spine, the higher the body mass index result, the greater the sensation of somatic and vegetative symptoms and urogenital symptoms. The obtained data encourage a deeper and broader analysis of the phenomenon.

Key words:
pain, women, menopause

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