Do core stability exercises help women with PMDD?

Abstract Background Premenstrual Dysphoric Disorder (PMDD) is a severe and disabling form of premenstrual syndrome characterized by significant physical, emotional, and behavioral symptoms that occur during the luteal phase of the menstrual cycle. It markedly affects activity of daily living (ADL), academic performance, social interactions, and overall quality of life among college-going girls. Pain, particularly in the lower abdomen, pelvis, and lower back, along with fatigue and mood disturbances, contributes to functional limitations. Core stability exercises, which enhance neuromuscular control, spinal stability, and muscular endurance, may help in reducing pain and improving functional independence. Methodology An experimental study design was adopted. A total of 34 college-going girls aged 18–25 years diagnosed with PMDD based on standard diagnostic criteria were recruited using purposive sampling. Baseline assessment included pain measurement using the Visual Analog Scale (VAS) and evaluation of the Activity of Daily Living using the Daily Record of Severity of Problems Scale (DSRP). Participants underwent a structured core stability exercise program focusing on activation of the transverse abdominis, multifidus, pelvic floor muscles, and deep abdominal stabilizers. The intervention was conducted for 8 weeks. Post-intervention assessment was carried out using the same outcome measures. Results Statistical analysis was performed using appropriate tests (paired t-test). The findings demonstrated a statistically significant reduction in pain scores (p Conclusion Core stability exercises are an effective, safe, and non-invasive physiotherapeutic intervention for reducing pain and improving activity of daily living among college-going girls diagnosed with PMDD. Incorporating structured core strengthening programs into routine physiotherapy management may improve quality of life and academic functioning in this population.

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