الفهرس 
Effect of core muscles strengthening Exercises on pelvic pain caused by Copper intrauterine device
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Abstract
Background: Pelvic pain is the most frequent intrauterine device (IUD) associated complication. It is defined as having significant pain and cramping during / or prior to menstrual cycle that were not present before IUD was inserted. Aim of work: The purpose of this study was to investigate the effect of core muscles strengthening exercises on the pelvic pain caused by IUD. Methods: 30 women complaining of pelvic pain after IUD insertion by at least 6 months participated in this study. They were divided randomly into two groups, equal in number. The study group (group A) received core muscles strengthening exercises and supportive advice during the painful episodes as heating application on the lower abdominal area, hot cinnamon drinks and diaphragmatic breathing exercise for relaxation and mind distraction ; and the second group was the control group (group B) received the same supportive advice as group (A) during the painful episodes. Both groups were assessed before and after the treatment period (10 weeks) for pain degree by visual analogue scale (VAS) and menstrual pain severity experienced through the activities of daily living by verbal multidimensional scoring scale (VMSS). Results: The results of this study revealed that, there was a significant decrease in VAS and VMSS post treatment values in group (A) (study group) compared with the pre treatment values, while there was no significant difference between pre and post treatment values in group (B) (control group). When comparing both groups, there was a significant decrease in the post treatment values of VAS and in the median values of VMSS of group (A) compared with that of group (B)