International Journal of Health Sciences and Research Vol.13; Issue: 6; June 2023 Website: www.ijhsr.org Original Research Article ISSN: 2249-9571 International Journal of Health Sciences and Research (www.ijhsr.org) 11 Volume 13; Issue: 6; June 2023 Correlation of Kinesiophobia and Physical Activity Level Among Individual with Primary Dysmenorrhea Dr. Medha Madhavbhai Paliwal 1 , Dr. Mihirdev Jhala 2 1 Post-Graduate Student, 2 Principal, JG College Of Physiotherapy, Gujarat University, Ahmedabad, India Corresponding Author: Dr. Medha Madhavbhai Paliwal DOI: https://doi.org/10.52403/ijhsr.20230603 ABSTRACT Introduction: Primary dysmenorrhea is most common complaint in women’s medicine. More t han 50% of women who have menstrual bleeding have a painful menstruation. Persistence primary dysmenorrhea has direct impact on everyday activity, physical performance and show avoidance response to coping with pain causing fear of movement known as kinesiophobia. Therefore, the objective of study is to find correlation between kinesiophobia and physical activity level. Materials and Methods: An observational study was conducted on females between age group of 18-24 years from various colleges of Ahmedabad city. Tempa scale of kinesiophobia (TSK) and international physical activity questionnaire (IPAQ) was filled by 111 individuals with primary dysmenorrhea and submitted through google form. Ethical clearance has been taken. Result: SPSS version 20 was used for statistical analysis. There is significant negative correlation found between kinesiophobia and physical activity level (r= -0.278; P= 0.003). Conclusion: - The result of the present study suggests that subjects of primary dysmenorrhea with higher physical activity level have lower kinesiophobia. Keywords: Primary Dysmenorrhea, Kinesiophobia, Physical Activity Level. INTRODUCTION Dysmenorrhea is a common gynecological condition causing excruciating menstrual cramps that originate in the uterus. Primary and secondary dysmenorrhea are the two subtypes of the condition. Menstrual discomfort without any pelvic disease is referred to as primary dysmenorrhea. Elevated endometrial prostaglandin levels and its metabolites are the underlying cause of these symptoms. (1) The incidence increases with age and is highest in young women. (4) 84.2% of college-bound girls between the ages of 18 and 25 reported having dysmenorrhea. (3) The most prevalent symptom is pain, which is situated in the lower abdomen and resembles labor pain. Pain may also radiate to the thighs, lower back, suprapubic area, lumbar region, and supraspinatus. Additionally, there may be headaches, nausea, constipation, diarrhoea, incontinence, and vomiting. It typically begins on the first menstrual day and lasts until the third day. (5) According to a cognitive-behavioral paradigm like the fear-avoidance theory, pain can result in kinesiophobia, a fear of movement that frequently results in long- term restrictions on mobility. (2) In addition to the apparent physical issues, dysmenorrhea frequently manifests as behavioural or mental disorders. Physical discomfort and mood swings interfere with regular tasks, leading to serious social