Effect of acupressure at the Sanyinjiao point on primary dysmenorrhea: A randomized controlled trial

Kashefi, Farzaneh; Ziyadlou, Samaneh; Khajehei, Marjan; Ashraf, Alireza; Fadaee, A.; Jafari, Peyman

doi:10.1016/j.ctcp.2010.04.003

Cited by 40 publications

(40 citation statements)

References 13 publications

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“…Other studies have reported similar findings [3, 4, 7, 8, 20, 47, 48]. In this study, the average age at menarche was approximately 12 years, which is slightly lower than that in Turkey (13.38; [4]), Iran (13.3 years; [49]), Korea (13 years; [50]), Nigeria (12.7 years; [13]), Japan (12.5 years; [21]), and Hong Kong, South Africa, and Mexico (12.3 years; [8, 18, 47]). However, early menarche is defined as menarche beginning before age 11-12 [51–53].…”

Section: Discussionsupporting

confidence: 79%

Auricular Acupressure Combined with an Internet-Based Intervention or Alone for Primary Dysmenorrhea: A Control Study

Yeh

Hung²,

Chen

et al. 2013

Evidence-Based Complementary and Alternative Medicine

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Background. Primary dysmenorrhea is prevalent in adolescents and young women. Menstrual pain and distress causes poor school performance and physiological damage. Auricular acupressure can be used to treat these symptoms, and Internet-based systems are a flexible way of communicating and delivering the relevant information. Objective. This study investigates the effects of auricular acupressure (AA) alone and combined with an interactive Internet-based (II) intervention for the management of menstrual pain and self-care of adolescents with primary dysmenorrhea. Design. This study adopts a pretest/posttest control research design with a convenience sample of 107 participants. Results. The outcomes were measured using the short-form McGill pain questionnaire (SF-MPQ), visual analogue scale (VAS), menstrual distress questionnaire (MDQ), and adolescent dysmenorrheic self-care scale (ADSCS). Significant differences were found in ADSCS scores between the groups, and in SF-MPQ, VAS, MDQ, and ADSCS scores for each group. Conclusion. Auricular acupressure alone and a combination of auricular acupressure and interactive Internet both reduced menstrual pain and distress for primary dysmenorrhea. Auricular acupressure combined with interactive Internet instruction is better than auricular acupuncture alone in improving self-care behaviors.

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Section: Discussionsupporting

confidence: 79%

Auricular Acupressure Combined with an Internet-Based Intervention or Alone for Primary Dysmenorrhea: A Control Study

Yeh

Hung²,

Chen

et al. 2013

Evidence-Based Complementary and Alternative Medicine

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“…Needling Sanyinjiao can affect and promote the flow of qi and blood so as to improve the nourishment of the Thoroughfare Vessel, Conception Vessel, and the uterus and can relieve menstrual pain. Sanyinjiao is commonly used for gynecologic indications in clinical practice, especially for alleviating dysmenorrhea [19–21]. Guanyuan (CV04) and Qihai (CV06) are local acupoints, which means that they are acupoints located in the affected area.…”

Section: Discussionmentioning

confidence: 99%

Application of Acupoints and Meridians for the Treatment of Primary Dysmenorrhea: A Data Mining-Based Literature Study

Yang

et al. 2015

Evidence-Based Complementary and Alternative Medicine

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Background. Dysmenorrhea is a common problem for which acupuncture provides effective analgesia. Although acupoint selection affects the effectiveness of acupuncture, the basic rules of acupoint selection are little understood. This study aims to investigate the principles of acupoint selection and characteristics of acupoints used for primary dysmenorrhea. Methods. PubMed, China National Knowledge Infrastructure, and Chinese Biomedical Database were searched for clinical trials published in English or Chinese from January 1978 to April 2014 evaluating the effect of acupuncture on primary dysmenorrhea, with or without methods of randomization and/or control. Three authors extracted information and two reviewers inputted information on titles, journals, interventions, main acupoints, and outcomes using the self-established Data Excavation Platform of Acupoint Specificity for data mining. Results. Sanyinjiao (SP06), Guanyuan (CV04), and Qihai (CV06) were used most frequently. The most frequently used meridians were Conception Vessel, Spleen Meridian of Foot Taiyin, and Bladder Meridian of Foot Taiyang. 67.24% of acupoints used were specific acupoints. Acupoints on lower limbs were most frequently used. Conclusion. Data mining is a feasible approach to identify the characteristics of acupoint selection. Our study indicated that modern acupuncture treatment for primary dysmenorrhea is based on selection of specific acupoints according to traditional acupuncture theory.

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“…A few trials reported up to four different rationales. Endorphin-mediated mechanisms were identified in 12 trials, 3,[19][20][21][22]26,[28][29][30]32,34,43 the gate-control theory was reported in eight trials, 19,20,22,34,36,37,42,43 TCM theory was described in six trials, 19,20,27,32,33,43 DNIC in two trials, 30,34 neuroendocrine effect in five trials, 29,32,[39][40][41] placebo effect based on endogenous opioid mechanism in one trial, 28 and long-term depression (LTD) effect in one trial. 28 Six RCTs offered no discernible physiologic rationale.…”

Section: Resultsmentioning

confidence: 99%

“…Table 2 summarizes the physical therapy interventions, dosage of treatment, and the mechanisms of action underlying each intervention as proposed by the authors. Among the 26 trials included, we identified eight acupressure trials, [19][20][21][22][23][24][25][26] seven acupuncture trials, 27-33 five TENS trials, 3,34-37 two spinal manipulation trials, 38,39 one low-level light therapy (LLLT) trial, 40 one far-infrared ray trial, 41 one trial for heat, 42 and one yoga trial. 43 The rationales identified in the trials were endorphin mediated mechanism, gate-control theory, TCM theory, thermal analgesia, and DNIC.…”

Section: Resultsmentioning

confidence: 99%

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Physiological rationales of physical therapy interventions in the management of primary dysmenorrhea: a critical review

Kannan¹,

Claydon

2015

Physical Therapy Reviews

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Background: The mechanisms underlying the physical therapy interventions for obtaining relief from primary dysmenorrhea (PD) symptoms are not fully understood. Objective: To provide an overview of the physiological rationales from randomized controlled trials (RCTs) on how physical therapy interventions in the management of PD might work. Methods: Databases CINAHL, PEDro, Embase, Web of Science, Ovid Medline, and AMED were searched from database inception to October 2014 using related terms for dysmenorrhea and physical therapy interventions. Trials were independently selected and data extracted by two reviewers. Results: The search yielded 287 citations; 26 RCTs met the inclusion criteria and were included for review. Among the 26 included trials, eight trials on acupressure, seven on acupuncture, and five on TENS, two on spinal manipulation, one on low-level light therapy (LLLT), one on heat, one on far-infrared ray, and one on yoga were identified. The predominant physiological rationales identified in the RCTs are endogenous opioid mechanisms (n512), gate-control theory (n58), and traditional Chinese medicine (TCM) theory (n56). A few trials reported up to four different rationales. Conclusions: The analgesic effect of acupuncture is primarily through the release of endogenous opioids and hormones. In addition, practitioners of TCM believe that acupuncture alleviates pain of PD by regulating the prostaglandin levels. Acupressure, heat, high frequency transcutaneous electrical nerve stimulation (TENS), and yoga are proposed to work by segmental inhibition of pain pathway.

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Effect of acupressure at the Sanyinjiao point on primary dysmenorrhea: A randomized controlled trial

Cited by 40 publications

References 13 publications

Auricular Acupressure Combined with an Internet-Based Intervention or Alone for Primary Dysmenorrhea: A Control Study

Auricular Acupressure Combined with an Internet-Based Intervention or Alone for Primary Dysmenorrhea: A Control Study

Application of Acupoints and Meridians for the Treatment of Primary Dysmenorrhea: A Data Mining-Based Literature Study

Physiological rationales of physical therapy interventions in the management of primary dysmenorrhea: a critical review

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