A Comparative Study on Dynamic Balance During Menstrual and Non-Menstrual Period Among Female University Students
DOI:
https://doi.org/10.55489/njcm.140720232963Keywords:
Sex Hormones, Menstruation, Balance, Y- Balance Test, Health RiskAbstract
Background: The ability to maintain dynamic balance is crucial for carrying out daily tasks. The female body's balance may be impacted by a number of important factors, including the menstrual cycle. Due to changes in sex hormone levels during menstruation, postural control and muscular coordination may be affected. The aim of this study was to compare the dynamic balance among female university students during menstrual and non-menstrual period’s students.
Methodology: A comparative study was conducted among female university students to compare the differences in dynamic balance between menstrual and non-menstrual periods. Using the purposive sampling method, a total of 45 university students were recruited. Data were gathered using a validated self-administered questionnaire, and the subjects' dynamic balance was assessed using the Y-balance test.
Results: The results indicate that the reach distance (anterior, posteromedial, posterolateral) for right and left stance shows an improvement during non-menstrual period when compared during menstruation (p< 0.001).
Conclusions: Regardless of the dominant or non-dominant leg, the dynamic balance of females is better during non-menstruation than it is during menstruation. While recommending exercises to females or while they engage in sports activities, these balance fluctuations in females must be taken into account to mitigate health risks.
References
Kacem M, Borji R, Sahli S, Rebai H. The disturbing effect of neuromuscular fatigue on postural control is accentuated in the premenstrual phase in female athletes. Frontiers in Phys-iology. 2021:1720. Doi: https://doi.org/10.3389/fphys.2021.736211 PMid:34733175 PMCid:PMC8558460
Haddad J, Dhaliwal BS, Dhaliwal MS. Improvement in Balance and Stability Using a Novel Sensory Application: Haptic Vi-brotactile Trigger Technology. Int J Res Phys Med Rehabil. 2022;1(1):1-7.
Shahin A, Ulas YH, Deniz E. Effects of menstrual periods on postural stability in eumenorrheic female group. Sci Res Es-says. 2012 Aug 30;7:3053-7. Doi: https://doi.org/10.5897/SRE12.295
Emami F, Kordi Yoosefinejad A, Motealleh A. Comparison of static and dynamic balance during early follicular and ovula-tion phases in healthy women, using simple, clinical tests: a cross sectional study. Gynecological Endocrinology. 2019 Mar 4;35(3):257-60. Doi: https://doi.org/10.1080/09513590.2018.1519788 PMid:30350735
Willems TM, Witvrouw E, Delbaere K, Philippaerts R, De Bourdeaudhuij I, De Clercq D. Intrinsic risk factors for inver-sion ankle sprains in females-a prospective study. Scandina-vian journal of medicine & science in sports. 2005 Oct;15(5):336-45. Doi: https://doi.org/10.1111/j.1600-0838.2004.00428.x PMid:16181258
Khowailed IA, Petrofsky J, Lohman E, Daher N, Mohamed O. 17β-estradiol induced effects on anterior cruciate ligament laxness and neuromuscular activation patterns in female runners. Journal of Women's Health. 2015 Aug 1;24(8):670-80. Doi: https://doi.org/10.1089/jwh.2014.5184 PMid:26167943
Khowailed IA, Lee H. Neuromuscular control of ankle-stabilizing muscles-specific effects of sex and menstrual cycle. International journal of sports medicine. 2021 Mar;42(03): 270-6. Doi: https://doi.org/10.1055/a-1236-3654 PMid:32920801
Petrofsky J, Lee H. Greater reduction of balance as a result of increased plantar fascia elasticity at ovulation during the menstrual cycle. The Tohoku journal of experimental medi-cine. 2015;237(3):219-26. Doi: https://doi.org/10.1620/tjem.237.219 PMid:26537843
Lee BJ, Cho KH, Lee WH. The effects of the menstrual cycle on the static balance in healthy young women. Journal of physi-cal therapy science. 2017;29(11):1964-6. Doi: https://doi.org/10.1589/jpts.29.1964 PMid:29200635 PMCid:PMC5702825
Gribble PA, Hertel J, Plisky P. Using the Star Excursion Balance Test to assess dynamic postural-control deficits and out-comes in lower extremity injury: a literature and systematic review. J Athletic training. 2012; 47(3): 339-57. Doi: https://doi.org/10.4085/1062-6050-47.3.08 PMid:22892416 PMCid:PMC3392165
Shaffer SW, Teyhen DS, Lorenson CL, Warren RL, Koreerat CM, Straseske CA, Childs JD. Y-balance test: a reliability study in-volving multiple raters. Military medicine. 2013 Nov 1;178(11):1264-70. Doi: https://doi.org/10.7205/MILMED-D-13-00222 PMid:24183777
Kaya DÖ, Çelenay ŞT. Fluctuations of state anxiety, spinal structure, and postural stabilityacross the menstrual cycle in active women. Turkish journal of medical sciences. 2016;46(4):977-84. Doi: https://doi.org/10.3906/sag-1501-13 PMid:27513393
Darlington CL, Ross A, King J, Smith PF. Menstrual cycle effects on postural stability but not optokinetic function. Neurosci-ence letters. 2001 Jul 20;307(3):147-50. Doi: https://doi.org/10.1016/S0304-3940(01)01933-4 PMid:11438385
Ishii C, Nishino LK, Campos CA. Vestibular characterization in the menstrual cycle. Brazilian Journal of Otorhinolaryngolo-gy. 2009;75:375-80. Doi: https://doi.org/10.1016/S1808-8694(15)30655-8 PMid:19649488
Naessen T, Lindmark B, Larsen HC. Better postural balance in elderly women receiving estrogens. American journal of ob-stetrics and gynecology. 1997 Aug 1;177(2):412-6. Doi: https://doi.org/10.1016/S0002-9378(97)70207-2 PMid:9290460
Baltgalvis KA, Greising SM, Warren GL, Lowe DA. Estrogen regulates estrogen receptors and antioxidant gene expression in mouse skeletal muscle. PloS one. 2010 Apr 13;5(4):e10164. Doi: https://doi.org/10.1371/journal.pone.0010164 PMid:20405008 PMCid:PMC2854140
Calleja-Agius J, Brincat MP. Effects of hormone replacement therapy on connective tissue: why is this important?. Best Practice & Research Clinical Obstetrics & Gynaecology. 2009 Feb 1;23(1):121-7. Doi: https://doi.org/10.1016/j.bpobgyn.2008.10.003 PMid:19095501
Ericksen H, Gribble PA. Sex differences, hormone fluctuations, ankle stability, and dynamic postural control. Journal of ath-letic training. 2012 Mar;47(2):143-8. Doi: https://doi.org/10.4085/1062-6050-47.2.143 PMid:22488279 PMCid:PMC3418125
Deie M, Sakamaki Y, Sumen Y, Urabe Y, Ikuta Y. Anterior knee laxity in young women varies with their menstrual cycle. In-ternational orthopaedics. 2002; 26: 154-6. Doi: https://doi.org/10.1007/s00264-001-0326-0 PMid:12073107 PMCid:PMC3620888
Chidi-Ogbolu N, Baar K. Effect of estrogen on musculoskeletal performance and injury risk. Frontiers in physiology. 2019:1834. Doi: https://doi.org/10.3389/fphys.2018.01834 PMid:30697162 PMCid:PMC6341375
Pollock NK, Laing EM, Baile CA, Hamrick MW, Hall DB, Lewis RD. Is adiposity advantageous for bone strength? A peripher-al quantitative computed tomography study in late adoles-cent females. The American journal of clinical nutrition. 2007 Nov 1;86(5):1530-8. Doi: https://doi.org/10.1093/ajcn/86.5.1530 PMid:17991669
Janicka A, Wren TA, Sanchez MM, Dorey F, Kim PS, Mittelman SD, et al. Fat mass is not beneficial to bone in adolescents and young adults. The Journal of Clinical Endocrinology & Metab-olism. 2007 Jan 1;92(1):143-7. Doi: https://doi.org/10.1210/jc.2006-0794 PMid:17047019
Wojtys EM, Huston LJ, Boynton MD, Spindler KP, Lindenfeld TN. The effect of the menstrual cycle on anterior cruciate lig-ament injuries in women as determined by hormone levels. The American journal of sports medicine. 2002 Mar;30(2):182-8. Doi: https://doi.org/10.1177/03635465020300020601 PMid:11912085
Adhuri Gaur M, Parekh K. A study to determ ine the associa-tion of body m ass index with perform ance-based m easures of balance and m obility in young adults. Int J Physiother Res. 2015;3(4):1175-79. Doi: https://doi.org/10.16965/ijpr.2015.163
Bae J, Park S, Kwon JW. Factors associated with menstrual cy-cle irregularity and menopause. BMC women's health. 2018 Dec;18(1):1-1. Doi: https://doi.org/10.1186/s12905-018-0528-x PMid:29409520 PMCid:PMC5801702
King GW, Abreu EL, Cheng AL, Chertoff KK, Brotto L, Kelly PJ, et al. A multimodal assessment of balance in elderly and young adults. Oncotarget. 2016 Mar 3;7(12):13297. Doi: https://doi.org/10.18632/oncotarget.7758 PMid:26934319 PMCid:PMC4924642
Darlington CL, Ross A, King J, Smith PF. Menstrual cycle effects on postural stability but not optokinetic function. Neurosci-ence letters. 2001 Jul 20;307(3):147-50. Doi: https://doi.org/10.1016/S0304-3940(01)01933-4 PMid:11438385
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Yughdtheswari Muniandy, Chin Shu Xuan, Sumedha Singh , Rajkumar Krishnan Vasanthi, Vignesh Srinivasan, Priyadharshini Kumar, Prathap Suganthirababu
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The authors retain the copyright of their article, with first publication rights granted to Medsci Publications.