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Review

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

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Hum-498 Research Team, Health Research Centre, Department of Nursing, Physiotherapy and Medicine, University of Almería, 04120 Almería, Spain
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Hum-498 Research Team, Health Research Centre, University of Almería, 04120 Almería, Spain
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Distrito Sanitario Poniente, Jesús de Perceval, 22. El Ejido, 04700 Almería, Spain
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FQM228-Research Team, Random Models and Design of Experiments, Department of Mathematics, University of Almería, 04120 Almería, Spain
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Hum-878 Research Team, Health Research Centre, Department of Psychology, University of Almería, 04120 Almería, Spain
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Authors to whom correspondence should be addressed.
Academic Editors: Agnieszka Drosdzol-Cop and Anna Fuchs
Int. J. Environ. Res. Public Health 2021, 18(15), 7832; https://doi.org/10.3390/ijerph18157832
Received: 23 June 2021 / Revised: 15 July 2021 / Accepted: 20 July 2021 / Published: 23 July 2021
(This article belongs to the Special Issue Obstetrics-Gynecology and Women's Health)
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. View Full-Text
Keywords: primary dysmenorrhea; pain; physical therapy; electrotherapy; manual therapy primary dysmenorrhea; pain; physical therapy; electrotherapy; manual therapy
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MDPI and ACS Style

López-Liria, R.; Torres-Álamo, L.; Vega-Ramírez, F.A.; García-Luengo, A.V.; Aguilar-Parra, J.M.; Trigueros-Ramos, R.; Rocamora-Pérez, P. Efficacy of Physiotherapy Treatment in Primary Dysmenorrhea: A Systematic Review and Meta-Analysis. Int. J. Environ. Res. Public Health 2021, 18, 7832. https://doi.org/10.3390/ijerph18157832

AMA Style

López-Liria R, Torres-Álamo L, Vega-Ramírez FA, García-Luengo AV, Aguilar-Parra JM, Trigueros-Ramos R, Rocamora-Pérez P. Efficacy of Physiotherapy Treatment in Primary Dysmenorrhea: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health. 2021; 18(15):7832. https://doi.org/10.3390/ijerph18157832

Chicago/Turabian Style

López-Liria, Remedios, Lucía Torres-Álamo, Francisco A. Vega-Ramírez, Amelia V. García-Luengo, José M. Aguilar-Parra, Rubén Trigueros-Ramos, and Patricia Rocamora-Pérez. 2021. "Efficacy of Physiotherapy Treatment in Primary Dysmenorrhea: A Systematic Review and Meta-Analysis" International Journal of Environmental Research and Public Health 18, no. 15: 7832. https://doi.org/10.3390/ijerph18157832

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