• J Pain · Jan 2009

    Clinical Trial

    Actigraphy quantifies reduced voluntary physical activity in women with primary dysmenorrhea.

    • Ingrid Chantler, Duncan Mitchell, and Andrea Fuller.
    • Brain Function Research Group, School of Physiology, University of Witwatersrand, Johannesburg, South Africa. Ingrid.Chantler@wits.ac.za
    • J Pain. 2009 Jan 1; 10 (1): 38-46.

    UnlabelledWe assessed whether an activity data logger was able to detect and measure the reduced physical activity reported by women with moderate to severe primary dysmenorrhea. Twelve young women with a history of primary dysmenorrhea and 12 young women without a history of dysmenorrhea wore an activity data logger on their hip for 3 days when menstruating and for 3 matched days of the week when not menstruating. A visual analog scale was use to assess intensity of pain. When menstruating, the women with a history of primary dysmenorrhea, compared with when they were not menstruating, were significantly less active by about 40% on their day of worst pain (P < .001), day of intermediate pain (P < .001), and day of least pain (P < .001). There was no significant difference in the voluntary physical activity of the group on the 3 menstrual days. The women without a history of dysmenorrhea experienced mild menstrual pain but no significant decrease in physical activity (P = .82). We show that data loggers are able to detect and quantify the decrease in physical activity reported by the women with a history of moderate to severe dysmenorrhea and that menstrual pain but not menstruation itself was associated with decreased voluntary physical activity.PerspectiveWe have shown that a miniature activity data logger, when worn on the hip of women with a history of dysmenorrhea, detected a 40% decrease in physical activity when the women were experiencing moderate to severe primary dysmenorrhea. Actigraphy is a useful tool for measuring pain-related debilitation and its management.

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