ISSN: 1899-1955
Human Movement
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abstract:
Original paper

Biomechanical changes in women with chronic pelvic pain: a case-control study

Rovan M. Elbesh
1
,
Hamada A. Hamada
2
,
Mohamed A. Elanen
3
,
Amel M. Yousef
4
,
Tamer Mohamed Shousha
5, 6
,
Rania Reda Mohamed
7

1.
Department of Physical Therapy for Women’s Health, Faculty of Physical Therapy, Misr University for Science and Technology, Giza, Egypt
2.
Department of Biomechanics, Faculty of Physical Therapy, Cairo University, Cairo, Egypt
3.
Om El-Masryeen Hospital, Cairo, Egypt
4.
Department of Physical Therapy for Women’s Health, Faculty of Physical Therapy, Cairo University, Cairo, Egypt
5.
Physiotherapy Department, University of Sharjah, Sharjah, United Arab Emirates
6.
Department of Physical Therapy for Musculoskeletal Disorders and Its Surgery, Faculty of Physical Therapy, Cairo University, Egypt
7.
Department of Basic Science, Faculty of Physical Therapy, Cairo University, Cairo, Egypt
Hum Mov. 2022; 23(1): 37–43
Online publish date: 2021/07/25
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Purpose
Chronic pelvic pain can influence women’s quality of life and activity levels; it can lead to several adverse side effects, such as changes in posture and biomechanical alignment. The purpose of this study was to determine the biomechanical changes that occur in women experiencing chronic pelvic pain, either cyclic or noncyclic.

Methods
A case-control study was conducted among 60 females from the Gynecology Physiotherapy Clinic of El-Hosary Women Health Care in 6th of October city. The participants were assigned into 3 groups: cyclic chronic pelvic pain group (A), noncyclic chronic pelvic pain group (B), and normal women group (C). An inclinometer was used to assess biomechanical changes in the angles of the cervical, thoracic, and lumbar region; furthermore, a pelvic inclinometer served to measure the pelvic inclination angle.

Results
Statistical analysis revealed that there was a significant increase in biomechanical variables at the lumbar, thoracic, and cervical angles in group B compared with groups A and C and in group A compared with group C. Moreover, there was a significant increase in right and left pelvic inclination angles in groups A and B compared with group C, and no significant difference was observed between groups A and B.

Conclusions
Biomechanical alignment changes are seen more frequently in women with noncyclic chronic pelvic pain and cyclic chronic pelvic pain than in normal women.

keywords:

biomechanical alignment, spinal alignment, chronic pelvic pain, cyclic pelvic pain, noncyclic pelvic pain

 
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