Wpływ treningu propriocepcji odcinka lędźwiowego na kobiety z pierwotnym bolesnym miesiączkowaniem: przegląd aktualnych dowodów

Nehal G. Omran, Amel M. Yousef, Hamada A. Hamada, Hosam Eldeen H. Kamel, Doaa A. Osman

Nehal G. Omran, Amel M. Yousef, Hamada A. Hamada, Hosam Eldeen H. Kamel, Doaa A. Osman – Effect of lumbar proprioception training on females with primary dysmenorrhea: a review of current evidence –  Fizjoterapia Polska 2025; 25(4); 220-224

DOI: https://doi.org/10.56984/8ZGA4318HQZ

Streszczenie
Wprowadzenie. Pierwotne bolesne miesiączkowanie (PD) jest jedną z głównych przyczyn bólu menstruacyjnego u kobiet w wieku rozrodczym. Choć tradycyjnie wiązane jest z kurczami macicy wywołanymi przez prostaglandyny, coraz więcej badań wskazuje na znaczenie czynników nerwowo-mięśniowych, szczególnie dysfunkcji sensomotorycznej odcinka lędźwiowego.
Cel. Niniejszy przegląd narracyjny syntetyzuje aktualne dowody dotyczące kontroli sensomotorycznej odcinka lędźwiowego w PD, ze szczególnym uwzględnieniem dokładności odtwarzania pozycji, związanych deficytów neuromięśniowych oraz potencjału treningu propriocepcji jako interwencji niefarmakologicznej.
Metody. Przeglądu literatury dokonano do czerwca 2025 roku w ośmiu bazach danych, wykorzystując hasła MeSH obejmujące „primary dysmenorrhea,” „lumbar proprioception,” „repositioning accuracy” i „sensorimotor control.” Do analizy kwalifikowano badania oceniające propriocepcję tułowia lub interwencje ukierunkowane na funkcję sensomotoryczną odcinka lędźwiowego w PD lub innych stanach bólowych.
Wyniki. Do analizy włączono sześć badań: dwa RCT (jedno w toku), jedno pilotażowe studium przypadku, jedno badanie obserwacyjne w PD, jedno przekrojowe dotyczące bólu krzyża oraz jeden przegląd systematyczny. We wszystkich badaniach konsekwentnie wykazano zaburzenia kontroli propriocepcyjnej w populacjach z dolegliwościami bólowymi. Ćwiczenia bazujące na pracy mięśni głębokich wydają się poprawiać dokładność propriocepcji i zmniejszać ból, jednak bezpośrednie dowody dotyczące odtwarzania pozycji lędźwiowej w PD są ograniczone i metodologicznie niespójne.
Wnioski. Wstępne dowody wskazują, że trening propriocepcji odcinka lędźwiowego może stanowić nowatorskie uzupełnienie terapii PD. Do potwierdzenia tych obserwacji i wdrożenia ich do praktyki klinicznej potrzebne są wysokiej jakości badania RCT z zastosowaniem obiektywnych wskaźników neuromięśniowych.
Słowa kluczowe
pierwotne bolesne miesiączkowanie, propriocepcja, dokładność odtwarzania pozycji, stabilność tułowia, kontrola lędźwiowo-miedniczna, dysfunkcja sensomotoryczna
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原发性痛经中脊柱骨盆对齐与子宫尺寸的相关性: 一项病例对照研究

Randa G. Mohamed, Amel M. Yousef, Hamada Ahmed Hamada, Doaa A. Osman

 

Randa G. Mohamed, Amel M. Yousef, Hamada Ahmed Hamada, Doaa A. Osman – Correlation between spinopelvic alignment and uterine dimensions in primary dysmenorrhea: A case-control study –  Fizjoterapia Polska 2024; 24(3); 23-29

DOI: https://doi.org/10.56984/8ZG020AEL0

摘要

背景. 高发的原发性痛经(PD)在年轻女性中引起了人们对其多因素成因的关注。研究的一个领域是肌肉骨骼姿势与妇科健康的关系。目的. 研究有无PD的女性中脊柱骨盆对齐与子宫尺寸的潜在相关性。方法. 这项病例对照观察研究包括40名有规律月经周期的女性,分为两组:20名有PD(研究组)和20名无PD(对照组)。使用4D形态仪评估脊柱骨盆对齐参数,包括胸椎后凸、腰椎前凸、骨盆倾斜和骨盆扭转。通过超声检查测量子宫尺寸,包括子宫体长和宽度,以及宫颈长度和宽度。结果. 在有PD的研究组中,脊柱骨盆对齐与子宫尺寸之间未发现显著相关性(p > 0.05)。然而,在无PD的对照组中,子宫体宽度与胸椎后凸角度(p < 0.05)、宫颈长度与骨盆倾斜度(p < 0.05)之间存在显著的中等负相关。结论. 在有PD的女性中,脊柱骨盆对齐与子宫尺寸之间没有显著的相关性。相反,在无痛经的女性中,子宫体宽度与胸椎后凸角度以及宫颈长度与骨盆倾斜之间存在显著相关性。

关键词:

原发性痛经, 脊柱骨盆对齐, 子宫尺寸

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Premenstrual syndrome and its biopsychosocial symptoms among physiotherapy students in Eastern Delta: An exploratory study

Gehan A. Abdelsamea, Mostafa Amr, Ahmed M. N. Tolba, Haitham O. Elboraie, Amir Soliman, Shereen Hamed Elsayed, Doaa A. Osman


Gehan A. Abdelsamea, Mostafa Amr, Ahmed M. N. Tolba, Haitham O. Elboraie, Amir Soliman, Shereen Hamed Elsayed, Doaa A. Osman – Premenstrual syndrome and its biopsychosocial symptoms among physiotherapy students in Eastern Delta: An exploratory study. Fizjoterapia Polska 2022; 22(5); 88-99

DOI: https://doi.org/10.56984/8ZG20A0LR

Abstract

Background. During the luteal phase of the menstrual cycle, a set of clinically significant physical and psychological symptoms known as premenstrual syndrome (PMS) emerge. This condition can be extremely distressing and hinder females’ ability to work.
Purpose. To calculate the prevalence and severity of PMS and its biopsychosocial symptoms in female physiotherapy students in Eastern Delta and to investigate the relationship between various socio-demographic and reproductive factors.
Methods. At Delta University for Science and Technology in Gamasa, Egypt, 396 female physiotherapy students participated in an exploratory cross-sectional survey with a mean age of 20.23±1.07 years and BMI with a mean of 28.86 ± 5.05 kg/m2. The premenstrual syndrome scale (PMSS) was adopted to assess the prevalence of PMS and related symptoms, and a self-administered questionnaire was used to gauge sociodemographic and reproductive data.
Results: Three hundred ninety-six females of 438 females completed the study. In 85% of cases, PMS predominated research calculations. The PMS group displayed symptoms of fatigue, cramping in the abdomen, tension, mood fluctuations, and decreased productivity more overtly. According to a multiple linear regression analysis, living in a rural area, hitting menarche earlier, having a higher BMI, and having a family history were all significantly linked to PMS (p < 0.05). Conclusion. Female students have a high prevalence of PMS and its biopsychosocial symptoms. Therefore, adoption of preventive reproductive health and counseling services should be implemented as a standard component of routine clinical treatment for university students.

Keywords:
premenstrual syndrome, Egypt, premenstrual syndrome scale, biopsychosocial symptoms, physiotherapy students

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Effect of exercise versus diet on visceral adiposity indicators in obese postmenopausal diabetic women: A comparative study

Doaa A. Osman, Abdullah M. Al-Shenqiti, Hamada Ahmed Hamada, Mohamed Ibrahim Mabrouk


Doaa A. Osman, Abdullah M. Al-Shenqiti, Hamada Ahmed Hamada, Mohamed Ibrahim Mabrouk – Effect of exercise versus diet on visceral adiposity indicators in obese postmenopausal diabetic women: A comparative study. Fizjoterapia Polska 2022; 22(2); 42-48

Abstract
Objective. To evaluate the effect of aerobic exercise versus dietary modification on visceral adiposity indicators in obese postmenopausal diabetic women. Design. A prospective, randomized, controlled comparative study.
Methods. Thirty-six obese postmenopausal women, suffering from type 2 diabetes (T2D), participated in this study. They were randomized into two equal groups. The exercise group received aerobic exercise program for 8 weeks (n = 18), whereas the diet group received dietary modification for 8 weeks (n = 18). The anthropometric parameters, fasting blood glucose (FBG), triglyceride (TG), high density lipoprotein (HDL) and visceral adiposity indicators were evaluated for all women in the two groups before and following 8 weeks of treatment.
Results. All outcome measures showed statistically significant improvements within both groups (p < 0.05), with statistically non-significant differences between both groups after treatment (p > 0.05).
Conclusion. Aerobic exercise and dietary modification have similar positive effects on visceral adiposity indicators in obese postmenopausal diabetic women.
Key words:
aerobic exercise, dietary modification, visceral adiposity indicators, postmenopausal women, diabetes, obesity
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Effect of Bioptron Light Therapy on Postmenopausal Osteoporosis: A Randomized Controlled Trial

Mohamed O. Abd Elhamid, Amel M. Yousef, Rokia A. El-Banna, Reda Kotb abd elrazik, Doaa A. Osman

Mohamed O. Abd Elhamid, Amel M. Yousef, Rokia A. El-Banna, Reda Kotb abd elrazik, Doaa A. Osman – Effect of Bioptron Light Therapy on Postmenopausal Osteoporosis: A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(5); 160-165

Abstract
Objectives. Postmenopausal osteoporosis, a major public health problem worldwide, is associated with low quality of life, morbidity, significant mortality and huge socio-economic burden. Therefore, this study aimed to investigate the effect of bioptron light therapy on postmenopausal osteoporosis.
Methods. Thirty postmenopausal women with hip osteoporosis, aged 50-60 years, were randomized into 2 equal groups. Group (A) received medical treatment in the form of calcium, vitamin D3 and sodium fluoride supplementation for 4 weeks (n = 15), while group (B) received the same medical treatment in addition to bioptron light therapy for 4 weeks (n = 15). The primary outcome was total hip T–score, while the secondary outcome was total score of Quality of Life Questionnaire of the European Foundation for Osteoporosis (QUALEFFO-41). The outcome measures were evaluated pre- and post-treatment.
Results. Comparing both groups pre- and post-treatment revealed that there was a statistically non-significant difference in total hip T–score (P > 0.05). Also, total score of QUALEFFO-41 revealed a statistically non-significant difference pre-treatment (P > 0.05), while post-treatment, it revealed a statistically significant reduction (P < 0.05) in favour of group (B). The percentages of improvement post-treatment in total hip T–score and total score of QUALEFFO-41 were 2.4% and 15.65% in group (A), while they were 11.29% and 31.63% in group (B).
Conclusions. Bioptron light therapy is effective in treating postmenopausal women with hip osteoporosis through producing a greater improvement percentage in total hip T–score and improving their quality of life.
Key words:
Postmenopausal osteoporosis, Bioptron Light Therapy, Quality of Life Questionnaire
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Effect of acupressure on prostaglandin F2α in primary dysmenorrhea: A randomized controlled trial

Mohamed A. Awad, Esraa A. Khowailed, Amir A. Gabr, Magda Ramadan Zahran, Doaa A. Osman

Mohamed A. Awad, Esraa A. Khowailed, Amir A. Gabr, Magda Ramadan Zahran, Doaa A. Osman – Effect of acupressure on prostaglandin F2α in primary dysmenorrhea: A randomized controlled trial. Fizjoterapia Polska 2020; 20(4); 168-173

Abstract

Objectives. It is well documented that acupressure has a beneficial effect on reducing pain severity of primary dysmenorrhea; however, none of the previous studies had investigated the effect of acupressure on prostaglandin levels in females with primary dysmenorrhea. This study aimed to investigate the effect of acupressure on prostaglandin F2α (PGF2α) in primary dysmenorrhea.
Methods. A total of 50 adult females with primary dysmenorrhea participated in this study. Their ages ranged from 19 to 27 years and their body mass index (BMI) ranged from 20 to 25 kg/m2. They were randomized into 2 equal groups. Group (A) received nutritional modification for 3 consecutive menstrual cycles, while group (B) received the same nutritional modification in addition to acupressure at the liver point (LIV3) for 3 consecutive menstrual cycles. The primary outcome was plasma levels of PGF2α while the secondary outcome was short form of McGill pain questionnaire. The outcome measures were evaluated pre- and post- treatment.
Results. Comparing both groups post-treatment revealed that there were significant reductions in PGF2α levels and short form of McGill pain questionnaire scores (p < 0.0001) in favour of group (B).
Conclusions. Acupressure is effective in treating females with primary dysmenorrhea through reducing levels of PGF2α and scores of short form of McGill pain questionnaire.

Key words:

acupressure, prostaglandin F2α, short form of McGill pain questionnaire, primary dysmenorrhea

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前位头部错姿对青春期后女性的颞下颔关节本体感觉的影响:观察性研究

Nehal G. Omran, Amel M. Yousef, Hamada A. Hamada, Ayman Gouda Matar, Doaa A. Osman

Nehal G. Omran, Amel M. Yousef, Hamada A. Hamada, Ayman Gouda Matar, Doaa A. Osman – Effect of Forward Head Posture on Temporomandibular Joint Proprioception in Post-Pubertal Females: An Observational Study. Fizjoterapia Polska 2019; 19(2); 142-146

摘要
目的。探讨前位头部错姿(FHP)对青春期后女性的颞下颔关节(TMJ)本体感觉的影响。
材料和方法。共40名青春期后女性参与研究,她们将背依照颅锥角(CVA)分为两组。前位头部错姿(FHP)组的CVA小于48° (n=21),而对照组的CVA大于48° (n=19)。通过游标卡尺测量两组女性的TMJ复位的准确度。
结果。统计分析显示两组间在睁眼或闭眼的TMJ各方向复位(张口、突出和侧向运动)间无显著差异(p>0.05)。
结论和讨论。在青春期后女性中FHP对所有方向的TMJ本体感觉都没有负面影响,无论眼睛是张开或闭合。

关键词:
前位头部错姿、颅锥角、颞下颔关节、本体感觉、青春期后的女性

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