Biomechanical Assessment of Spinal Posture in Girls With Primary Dysmenorrhea

Primary Dysmenorrhea Clinical Trial

Official title:

Biomechanical Assessment of Spinal Posture in Girls With Primary Dysmenorrhea

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT03802474
• Other study ID #: P.T.REC/012/002074
• Status: Not yet recruiting
• Start date: January 2019
• Est. completion date: December 2019

Study information

• Verified date: September 2018
• Source: Cairo University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational [Patient Registry]

Clinical Trial Summary

Dysmenorrhea comes from the Greek word for difficult monthly flow and describes painful menstruation.Primary dysmenorrhea might be caused by spinal misalignment and incompatibility between muscles of the pelvic circumference and soft tissue.Leg Length Discrepancy affects spinal posture. Although, several studies evaluated the relation between spinal alignment, spinal configuration and primary dysmenorrhea, but, there is no previous study investigate the effect of leg length discrepancy on primary dysmenorrhea. So, this study will correlate leg length discrepancy with spinal configuration and primary dysmenorrhea.

Statement of the problem:

Is there an impact of spinal posture on primary dysmenorrhea in girls?

Hypothesis:

Null hypothesis: There is no impact of spinal mobility ,spinal configurations and leg length discrepancy on primary dysmenorrhea

Description:

Primary dysmenorrhea is defined as painful menses in women with a normal pelvic anatomy. Adolescent girls tend to have a higher prevalence of primary dysmenorrhoea than older women, as primary dysmenorrhoea can improve with age.Asymmetry in upright posture is associated with various outcomes, such as the decreased loading of the affected side in stroke; degenerative changes of the hip, knee, and ankle joints and spine; or a leg length discrepancy.restriction of movement of the lumbosacral vertebrae, body fluid increases within the pelvis as well as contraction of the uterus leading to the intensification of the menstrual pain. Although, several studies evaluated the relation between spinal alignment, spinal configuration and primary dysmenorrhea, but, there is no previous study investigate the effect of leg length discrepancy on primary dysmenorrhea. So, this study will correlate leg length discrepancy with spinal configuration and primary dysmenorrhea.

One handred healthy girls with regular menstrual cycle and are not have any pelvic or gynecological disorders will be participated in this study. All subjects will be recruited from student of faculty of physical therapy, Cairo University.

1. Personal data: All data will be recorded in a recording data sheet.

2. Formetric Raster stereography: It will be used to assess spinal configuration (kyphotic angle, lordotic angle, pelvic inclination, trunk inclination and pelvic tilting) during menstruation.

3. Leg length discrepancy Tape measure can be used to measure the true leg length from the anterior superior iliac spine to the medial malleolus. The functional leg length is measured from the umbilicus to medial malleolus.

4. Inclinometer can be used to measure range of motion of lumbar spines.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 100
• Est. completion date: December 2019
• Est. primary completion date: August 2019
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: 17 Years to 24 Years

Eligibility

Inclusion Criteria:

• Healthy girls with regular menstrual cycles with an average of 28:35 days.

• Their age will be ranged from 17to 24 years.

• Their body mass index will be ranged from 20 to 25kg/m2.

Exclusion Criteria:

• Girls who have musculoskeletal disorders as low back pain.

• Girls who have any pelvic or gynecological disorders.

• History of lower limb injury.

• Over-weight and obese girls.

• Thin and underweight girls.

• Girls with spinal deformities as kyphosis and scoliosis.

Related Conditions & MeSH terms

• Dysmenorrhea
• Primary Dysmenorrhea

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Cairo University

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Trunk flexion	Flexion describes a bending movement that decreases the angle between a segment and its proximal segment	1 month
Other	Trunk extention	Extention describes a straightening movement that increases the angle between body parts	1 month
Other	trunk lateral flexion	Lateral flexion describes bending movement of a body part in the lateral direction, that is to say sidewards. It can be performed either to the right or to the left side.	1 month
Primary	Trunk inclination	the trunk inclination refer to the difference in height between VP and DM based on a vertical plane (sagital section).; an angle >2.8 referred to as " Inclination" (I), an angle <2.8 as "reclination" (R).	1month
Primary	Kyphotic angle	this is the maximum kyphotic angle measured between the surface tangents of the upper inflection point ICT in the vicinity of the VP and the thoracic lumbar inflection point ITL.	1 month
Primary	lateral deviation	the total deviation of the spinal midline from the VP-DM line in the frontal plane , i.e the maximum deflection on the right plus the maximum deflection on the left	1 month
Primary	lordotic angle	this is the maximum lordotic angle measured between the surface tangents of the thoracic-lumbar inflection point ITL and the lower lumbar-sacral inflection point ILS	1 month
Primary	pelvic inclination	this is calculated as the mean torsion of the DLand DR surface normals	1 month
Primary	pelvic tilt	the difference in height of the lumbar dimples, based on a horizontal plane (transverse section ). DR is higher than DL if the angle is positive	1 month
Primary	pelvic torsion	pelvic torsion is calculated from the reciprocal torsion of the surface normals on the two lumbar dimples (vertical components). If the difference angle is positive, then the normal on the right dimple (DR) is up more than on the left dimple.	1 month
Secondary	leg lenght discripancy	True leg length is measured from the anterior superior iliac spine to the medial malleolus. The functional leg length is measured from the umbilicus to medial malleolus.	1 months