Some physiotherapy treatments may relieve menstrual pain in women with primary dysmenorrhea: a systematic review
Language: 
English
Short Title: 
Some physiotherapy treatments may relieve menstrual pain in women with primary dysmenorrhea
Abstract: 

QUESTION: In women with primary dysmenorrhoea, what is the effect of physiotherapeutic interventions compared to control (either no treatment or placebo/sham) on pain and quality of life? DESIGN: Systematic review of randomised trials with meta-analysis. PARTICIPANTS: Women with primary dysmenorrhea. INTERVENTION: Any form of physiotherapy treatment. OUTCOME MEASURES: The primary outcome was menstrual pain intensity and the secondary outcome was quality of life. RESULTS: The search yielded 222 citations. Of these, 11 were eligible randomised trials and were included in the review. Meta-analysis revealed statistically significant reductions in pain severity on a 0-10 scale from acupuncture (weighted mean difference 2.3, 95% CI 1.6 to 2.9) and acupressure (weighted mean difference 1.4, 95% CI 0.8 to 1.9), when compared to a control group receiving no treatment. However, these are likely to be placebo effects because when the control groups in acupuncture/acupressure trials received a sham instead of no treatment, pain severity did not significantly differ between the groups. Significant reductions in pain intensity on a 0-10 scale were noted in individual trials of heat (by 1.8, 95% CI 0.9 to 2.7), transcutaneous electrical nerve stimulation (2.3, 95% CI 0.03 to 4.2), and yoga (3.2, 95% CI 2.2 to 4.2). Meta-analysis of two trials of spinal manipulation showed no significant reduction in pain. None of the included studies measured quality of life. CONCLUSION: Physiotherapists could consider using heat, transcutaneous electrical nerve stimulation, and yoga in the management of primary dysmenorrhea. While benefits were also identified for acupuncture and acupressure in no-treatment controlled trials, the absence of significant effects in sham-controlled trials suggests these effects are mainly attributable to placebo effects.

Author(s): 
Kannan, Priya
Claydon, Leica Sarah
Item Type: 
Journal Article
Publication Title: 
Journal of Physiotherapy
Journal Abbreviation: 
J Physiother
Publication Date: 
2014-03
Publication Year: 
2014
Pages: 
13-21
Volume: 
60
Issue: 
1
ISSN: 
1836-9561
DOI: 
10.1016/j.jphys.2013.12.003
Library Catalog: 
PubMed
Extra: 
PMID: 24856936

Turabian/Chicago Citation

Priya Kannan and Leica Sarah Claydon. 2014-03. "Some physiotherapy treatments may relieve menstrual pain in women with primary dysmenorrhea: a systematic review." Journal of Physiotherapy 60: 1: 13-21. 10.1016/j.jphys.2013.12.003.

Wikipedia Citation

<ref> {{Cite journal | doi = 10.1016/j.jphys.2013.12.003 | issn = 1836-9561 | volume = 60 | pages = 13-21 | last = Kannan | first = Priya | coauthors = Claydon, Leica Sarah | title = Some physiotherapy treatments may relieve menstrual pain in women with primary dysmenorrhea: a systematic review | journal = Journal of Physiotherapy | date = 2014-03 | pmid = | pmc = }} </ref>