Prospective Case Series on the Effects of Lumbosacral Manipulation on Dysmenorrhea

Holtzman, D; Petrocco-Napuli, Kristina; Burke, Jeanmarie R.

doi:10.1016/j.jmpt.2008.02.005

Cited by 25 publications

(39 citation statements)

References 18 publications

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“…A study on dysmenorrhea has been done in relation to drug therapy to inhibit excessive secretion of prostaglandin3 ) , and treatment of dysmenorrhea depends on drugs even though these drug therapies can result in several adverse events such as indigestion and headache4 ) and focus only on transient reduction of the pain. Meanwhile, Denise et al supposed that primary dysmenorrhea might be caused by spinal misalignment and reported that dysmenorrhea was reduced by applying manual therapy to 16 women with dysmenorrhea5 ) . Blakey et al supposed that primary dysmenorrhea might be caused by incompatibility between muscles of the pelvic circumference and soft tissue6 ) .…”

Section: Introductionmentioning

confidence: 99%

The effect of lumbar-pelvic alignment and abdominal muscle thickness on primary dysmenorrhea

2016

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[Purpose] The purpose of this study was to identify effects of malalignment of the lumbar pelvis, as a passive element, and the thicknesses of abdominal muscles, as active elements, on primary dysmenorrhea. [Subjects and Methods] The subjects were divided into a primary dysmenorrhea group and normal group according to Visual Analogue Scale, and ultimately there were 28 subjects in the dysmenorrhea group and 22 subjects in the normal group. Alignment of the lumbar pelvis was measured by using a Formetric 4D analysis system, and the thicknesses of abdominal muscles were measured by using ultrasound imaging. [Result] Scoliosis was 6.7 ± 4.3° in the primary dysmenorrhea group and 3.8 ± 2.0° in the normal group, and the lordotic angles of the two groups were 0.6 ± 0.5° and 0.1 ± 0.3°, respectively. The thickness of the internal oblique was 3.8 ± 1.3 mm in the primary dysmenorrhea group and 6.0 ± 1.9 mm in the thicknesses of the transverse abdominis in the two groups were 2.6 ± 6.8 mm and 3.5 ± 6.1 mm, respectively. Furthermore, the thickness of the normal group, and the external oblique was 4.0 ± 0.8 mm in the primary dysmenorrhea group and 5.4 ± 1.4 mm in the normal group. [Conclusion] This study showed significant differences between the primary dysmenorrhea group and the normal group in lumbar-pelvic alignment and thicknesses of abdominal muscles.

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Section: Introductionmentioning

confidence: 99%

The effect of lumbar-pelvic alignment and abdominal muscle thickness on primary dysmenorrhea

2016

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“…In one prospective case series on the impact of chiropractic drop table lumbosacral adjusting on primary dysmenorrhea, particularly premenstrual syndrome symptoms, all the women participating reported at least some reduction in lower abdominal pain and LBP. 38 Furthermore, a randomized, placebo-controlled, crossover, clinical trial comparing manual diversified chiropractic adjustments and sham Activator adjustments found mixed and interesting results. 39 Both groups reported a reduction in premenstrual syndrome symptoms, with the greater reduction found in the initial treatment group.…”

Section: Discussionmentioning

confidence: 99%

Intermittent low back pain referred from a uterine adenomyosis: a case report

Jensen

Bewketu

Sanford

2011

Journal of Chiropractic Medicine

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“…70 The chiropractors also believe that SMT delivered to vertebral levels associated with the sensory and motor supply to the uterus and low back modifies the autonomic nervous system balance, and the resultant sympathetic response inhibits the uterine contraction and increases the blood flow to the pelvic region and therefore reduces the ischemic pain. 71,72 One trial reviewed compared the efficacy of SMT with sham manipulation on menstrual pain and plasma prostaglandin levels in blood.…”

Section: Neuroendocrine Effectmentioning

confidence: 99%

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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Prospective Case Series on the Effects of Lumbosacral Manipulation on Dysmenorrhea

Cited by 25 publications

References 18 publications

The effect of lumbar-pelvic alignment and abdominal muscle thickness on primary dysmenorrhea

The effect of lumbar-pelvic alignment and abdominal muscle thickness on primary dysmenorrhea

Intermittent low back pain referred from a uterine adenomyosis: a case report

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

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