Postural control of women with primary dysmenorrhea in different phases of the menstrual cycle
DOI:
https://doi.org/10.1590/1809-2950/17243825012018Keywords:
Dysmenorrhea, Posture, Women’s Health, Physical Therapy SpecialtyAbstract
Primary dysmenorrhea (PD) is a lower pelvic or abdominal pain related to menstruation that is associated to painful myofascial points, and its presence can alter somatosensory perception and muscle activation, which can affect postural control. This study’s aim was to verify PD’s influence on women’s static postural control in two different phases of the menstrual cycle, with and without pain. 19 university students (22.4±3.0 years-old) with PD were evaluated by visual analog scale, algometry and force plate. The data were submitted to descriptive statistics and had their normality verified (Shapiro-Wilk), the variables were compared using the Student t-test and Wilcoxon test. The assessed group showed pain considered as average (4.1±2.3). The values for pressure pain threshold were lower in the moment with pain than in the moment without pain, in the right abdominal area (p=0.04) and bilateral lumbosacral (p<0.05), indicating a higher local sensitivity. Regarding the postural control, there was a higher range of anteroposterior movement of the center of pressure, both in the open and closed eyes condition, as well as in the average speed and area of the ellipse of the center of pressure in the closed eyes condition during the PD moment. Such changes point out to a stronger need for postural adjustments in the PD, possibly caused by pain interference over proprioception. It was concluded that there was higher pain sensitivity during the cycle’s menstrual phase and that the pain interfered on this group’s postural control, considering that the lack of sight increased these effects.Downloads
References
Unsal A, Unal A, Tozun M, Arslan G, Calik E. Prevalence of
dysmenorrhea and its effect on quality of life among a group
of female university students. Ups J Med Sci. 2010;115(2):138-
doi: 10.3109/03009730903457218
Polat A, Celik H, Gurates B, Kaya D, Nalbant M, Kavak E, et al.
Prevalence of primary dysmenorrhea in young adult female
university students. Arch Gynecol Obstet. 2009;279(4):527-
doi: 10.1007/s00404-008-0750-0
Lefebvre G, Pinsonneault O, Antao V, Black A, Burnett
M, Feldman K, et al. Primary dysmenorrhea consensus
guideline. J Obstet Gynaecol Can. 2005;(27)12:1117-30. doi:
1016/S1701-2163(16)30395-4
Kannan P, Claydon LS. Some physiotherapy treatments may
relieve menstrual pain in women with primary dysmenorrhea:
a systematic review. J Physiother. 2014;60(1):13-21. doi:
1016/j.jphys.2013.12.003
Dawood MY. Primary Dysmenorrhea: Advances in pathogenesis
and management. Obstet Gynecol. 2006;108(2):428-41. doi:
1097/01.AOG.0000230214.26638.0c
Iacovides S, Avidon I, Baker FC. What we know about primary
dysmenorrhea today: a critical review. Hum Reprod Update.
;21(6):762-78. doi: 10.1093/humupd/dmv039
Duarte M, Freitas SMSF. Revisão sobre posturografia
baseada em plataforma de força para avaliação do
equilíbrio. Rev Bras Fisioter. 2010;14(3):183-92. doi: 10.1590/
S1413-35552010000300003
Moseley GL, Hodges PW. Are changes in postural
control associated with low back pain caused by pain
interference? Clin J Pain. 2005;21(4):323-9. doi: 10.1097/01.
ajp.0000131414.84596.99
Ozturk G, Kulcu DG, Aydog E, Kaspar C, Ugurel B. Effects of
lower back pain on postural equilibrium and fall risk during the
third trimester of pregnancy. J Matern Fetal Neonatal Med.
;29(8):1358-62. doi: 10.3109/14767058.2015.1049148
Braga AB, Rodrigues ACMA, Lima GVMP, Melo LR, Carvalho
AR, Bertolini GRF. Comparação do equilíbrio postural
estático entre sujeitos saudáveis e lombálgicos. Acta Ortop
Bras. 2012;20(4):210-2.
Huang QM, Liu L. Wet needling of myofascial trigger
points in abdominal muscles for treatment of primary
Stallb dysmenorrhea. Acupunct Med. 2014;32(4):346-9. doi:
1136/acupmed-2013-010509
Radebold A, Cholewicki J, Polzhofer GK, Greene HS.
Impaired postural control of the lumbar spine is associated
with delayed muscle response times in patients with chronic
idiopathic low back pain. Spine. 2001;26(7):724-30. doi:
1097/00007632-200104010-00004
Miranda R, Schor E, Girão MJBC. Avaliação postural em
mulheres com dor pélvica crônica. Rev Bras Ginecol Obstet.
;31(7):353-60.
Montenegro MLLS, Vasconcelos ECLM, Silva JCR, Reis, FJC,
Nogueira, AA, Poli-Neto OB. Postural changes in women with
chronic pelvic pain: a case control study. BMC Musculoskelet
Disord. 2009; 10: 82-5. doi:10.1186/1471-2474-10-82
Brumagne S, Janssens L, Knapen S, Claeys K, SuudenJohanson E. Persons with recurrent low back pain exhibit a
rigid postural control strategy. Eur Spine J. 2008;17(9):1177-
doi: 10.1007/s00586-008-0709-7
Petrofsky J, Lee H. Greater reduction of balance as a result
of increased plantar fascia elasticity at ovulation during the
menstrual cycle. Tohoku J Exp Med. 2015;237(3):219-26. doi:
1620/tjem.237.219
Molins-Cubero S, Rodriguez-Blanco C, Vaca AOP, HerediaRizo AM, Bosca-Gandia JJ, Ricard F. Changes in pain
perception after pelvis manipulation in women with primary
dysmenorrhea: a randomized controlled trial. Pain Med.
;15(9):1455-63. doi: 10.1111/pme.12404
Travell JG, Simons DG, Simons LS, Cummings BD. Myofascial
pain and dysfunction: the trigger point manual. 2ª ed. São
Paulo: Lippincott Williams & Wilkins; 1998.
Isselee H, Laat AD, Bogaerts K, Lysens R. Long-term
fluctuations of pressure pain thresholds in healthy men,
normally menstruating women and oral contraceptive users.
Eur J Pain. 2001;5(1):27-37. doi: 10.1053/eujp.2000.0213
Lemos LFC, David AC, Mota CB. Equilíbrio postural de
mulheres adultas em duas faixas etárias. Rev Bras Cienc Mov.
;19(3):51-7.
Bajaj P, Madsen H, Arendt-Nielsen L. A comparision
of modality-specific somatosensory changes during
menstruation in dysmenorrheic and nondysmenorrheic
women. Clin J Pain. 2002;18(3):180-90.
Borges PCG, Rams JFD, Depes DB, Yatabe S, Damião RS,
Lopes RGC, et al. Dismenorréia e endométrio. Femina.
;35(12):789-95.
Vincent K, Warnaby C, Stagg CJ, Moore J, Kennedy S,
Tracey I. Dysmenorrhea is associated with central changes
in otherwise healthy women. Pain. 2011;152(9):1966-75. doi:
1016/j.pain.2011.03.029
Terzi R, Terzi H, Kale A. Avaliação da relação entre síndrome
pré-menstrual e dismenorreia primária em mulheres com
fibromialgia. Rev Bras Reumatol. 2015;55(4):334-9. doi:
1016/j.rbr.2014.12.009
Haugstad GK, Haugstad TS, Kirste UM, Leganger S, Wojniusz
S, Klemmetsen I, et al. Posture, movement patterns, and body
awareness in women with pelvic pain. J Psychosom Res.
;61(5):637-44. doi: 10.1016/j.jpsychores.2006.05.003
Mochizuki L, Amadio AC. As informações sensoriais para o
controle postural. Fisioter Mov. 2006;19(2):11-8.
Alonso AC, Mochizuki L, Luna NMS, Ayama S, Canonica
AC, Greve JMDA. Relation between the sensory and
anthropometric variables in the quiet standing postural
control: is the inverted pendulum important for the static
balance control? Biomed Res Int. 2015;2015:985312. doi:
1155/2015/985312
Mann L, Kleinpaul JF, Moro ARP, Mota CB, Carpes FP.
Effect of low back pain on postural stability in younger
women: influence of visual deprivation. J Bodyw Mov Ther.
;14(4):361-6. doi: 10.1016/j.jbmt.2009.06.007
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