Short-term effects of connective tissue manipulation in women with primary dysmenorrhea: A randomized controlled trial

Özgül, Serap; Üzelpasaci, Esra; Orhan, Ceren; Baran, Eugeniusz; Beksaç, Meral; Akbayrak, Türkan

doi:10.1016/j.ctcp.2018.07.007

Cited by 23 publications

(26 citation statements)

References 37 publications

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“…After manual therapy, in each woman the decrease of progesterone level was observed [75]. Other authors also investigated the effectiveness of connective tissue manipulation [76]. The patients were divided into the experimental group and the control group.…”

Section: Physiotherapy For Dysmenorrheamentioning

confidence: 99%

Inflammatory Markers in Dysmenorrhea and Therapeutic Options

Barcikowska

Rajkowska-Labon

Grzybowska

et al. 2020

IJERPH

137

115

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Dysmenorrhea often significantly reduces the quality of women’s life and is still an important public health problem. Despite numerous studies, the pathomechanism of dysmenorrhea is not fully understood. Previous research indicates the complexity of biochemical reactions between the endocrine, vascular, and immune systems. Prostaglandins play a major role in the pathomechanism of dysmenorrhea. In contrast, cytokines and other proinflammatory factors in primary dysmenorrhea are less studied. In addition to the applied pharmacotherapy, more and more studies proving the effectiveness of non-pharmacological methods appear. Therefore, the present work contains a review of the latest research concerning factors involved in dysmenorrhea, as well as therapeutic options. In the literature search, authors used online databases, PubMed, and clinitrials.gov and browsed through individual gynecology, physiotherapy journals and books.

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Section: Physiotherapy For Dysmenorrheamentioning

confidence: 99%

Inflammatory Markers in Dysmenorrhea and Therapeutic Options

Barcikowska

Rajkowska-Labon

Grzybowska

et al. 2020

IJERPH

137

115

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“…One of the most important aspects of all the studies was the measurement of pain. The Visual Analogue Scale (VAS, where "0" and "10" represent the minimum and maximum pain level) was used in seven studies [35][36][37]39,40,42,43]. The Present Pain Intensity Scale (PPI, a 0-4 point scale, 0 equal no pain, 4 mean unbearable pain) was used in one of the studies [38], the Numerical Rating Scale (NRS, an 11-point numeric rating scale) [41], and the McGill Pain Questionnaire (Br-MPQ) were also used in one study [41], and the Pain Catastrophizing Scale (PCS, a 13-item instrument, about thoughts or feelings when experiencing menstrual pain on a 5-point scale) also in one study [39].…”

Section: Evaluation or Questionnairesmentioning

confidence: 99%

“…The participants' anxiety level was also taken into account using the State Trait Anxiety Inventory in three of the studies [35,39,42]. Stress was studied using the Depression, Anxiety and Stress Scale (DASS-21) [39], Pressure Pain Threshold (PPT) and Conditioned Pain Modulation (CPM) [40].…”

Section: Evaluation or Questionnairesmentioning

confidence: 99%

Efficacy of Physiotherapy Treatment in Primary Dysmenorrhea: A Systematic Review and Meta-Analysis

Liria

Torres-Álamo

Vega-Ramírez

et al. 2021

IJERPH

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Primary dysmenorrhea (PD) refers to painful cramps before and/or during menstruation. There is a need for emphasis on alternative methods of conservative treatment, so as to reduce the dependence on drugs for alleviating the symptoms. The aim was to find out the effectiveness of some physiotherapy techniques in the treatment of PD. A systematic review and meta-analysis was conducted according to PRISMA standards. The descriptors were “dysmenorrhea”, “physical the-rapy”, “physiotherapy”, and “manual therapy”. The search was performed in five databases: Scopus, PubMed, PEDro, Web of Science, and Medline, in February 2021. The inclusion criteria were randomized controlled trials over the last six years. Articles not related to the treatment of PD or using pharmacology as the main treatment were excluded. Nine articles met the objectives and criteria, with a total of 692 participants. The most used scale to measure pain was the VAS (visual analogue scale). The main techniques were isometric exercises, massage therapy, yoga, electrotherapy, connective tissue manipulation, stretching, kinesio tape, progressive relaxation exercises and aerobic dance. Meta-analysis shows benefits of physiotherapy treatment for pain relief compared with no intervention or placebo (MD: −1.13, 95% CI: −1.61 to −0.64, I2: 88%). The current low-quality evidence suggests that physiotherapy may provide a clinically significant reduction in menstrual pain intensity. Given the overall health benefits of physiotherapy and the low risk of side effects reported, women may consider using it, either alone or in conjunction with other therapeutic modalities.

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“…43 A recent RCT that investigates the effect of acupressure in PD concluded that manipulating menstrual pain zones during 10-15 sessions provided pain relief for patients with PD along with high rates of satisfaction. 44 The exact therapeutic duration of each manipulation though needs to be further explored, as international literature fails to present long-term reduction of painful symptoms for these patients. 45,46 Many studies so far have praised the effect of acupuncture in minimizing the pain of PD.…”

Section: Acupressure Acupuncture and Reflexologymentioning

confidence: 99%

Integrating Lifestyle Focused Approaches into the Management of Primary Dysmenorrhea: Impact on Quality of Life

Tsonis¹,

Gkrozou

Barmpalia³

et al. 2021

IJWH

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Objective: This narrative review aims to identify alternative ways to improve the symptoms of primary dysmenorrhea (PD). Background: PD refers to endometrial painful cramps during the premenstrual period. This condition affects a lot of women worldwide and is accompanied with absenteeism and high economic costs, thus, risk-free, and effective therapeutic approaches are needed. Pharmacological agents such as non-steroidal anti-inflammatory drugs (NSAIDs) and oral contraceptive pills (OCPs), which are widely prescribed for these women, demonstrate adequate efficacy in alleviating pain and discomfort. The long natural course of the disease dictates remedies that focus on lifestyle changes and on improvement of Quality-of-Life (QoL) for women suffering with PD. Materials and Methods: Five major search engines, namely MEDLINE, PubMed, EMBASE, and Cochrane Library were searched for articles published prior to October 2020 focused in PD. A total of 74 paper were included. Discussion: Physical activity, for instance yoga, aromatherapy massage, and other forms of relaxation, vitamins and dietary changes, acupressure and acupuncture,a and some psychological interventions are just few of the proposed health behavior targeted approaches in cases of PD. This review focuses on lifestyle changes and alternative methods that could potentially result in minimizing symptoms of PD and in improving overall QoL for these patients, by providing current scientific evidence on their efficacy. Conclusion: Complementary and alternative medicine practices (CAM) are widely accepted by women. International literature provides controversial scientific evidence, thus further studies need to be conducted in order to prove or disregard their efficacy in cases of PD.

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Short-term effects of connective tissue manipulation in women with primary dysmenorrhea: A randomized controlled trial

Cited by 23 publications

References 37 publications

Inflammatory Markers in Dysmenorrhea and Therapeutic Options

Inflammatory Markers in Dysmenorrhea and Therapeutic Options

Efficacy of Physiotherapy Treatment in Primary Dysmenorrhea: A Systematic Review and Meta-Analysis

Integrating Lifestyle Focused Approaches into the Management of Primary Dysmenorrhea: Impact on Quality of Life

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