Long-Term Follow-Up Result of Connective Tissue Manipulation in Young Women with Primary Dysmenorrhea: Different Intervention Durations

Yağcı, Nesrin; ŞENEL, Aybike; Atalay, Orçin Telli; Akman, Tolga; Can, Özlem Koşar

doi:10.1007/s43032-023-01172-5

Cited by 1 publication

(1 citation statement)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…6 The non-pharmacological and non-invasive therapies are endorsed to manage dysmenorrhea symptoms, including acupuncture, biofeedback, heat treatments, transcutaneous electrical nerve stimulation, exercises, and manual therapy. 7,8 Manual therapy, a specialized branch of physical therapy, employing skilled hands-on techniques to assess, diagnose, and treat musculoskeletal and neuromuscular conditions. This therapeutic approach encompasses a variety of hands-on techniques, including massage, acupressure, holographic therapy, spinal manipulative therapy and more.…”

Section: Introductionmentioning

confidence: 99%

Manual Therapy in Primary Dysmenorrhea: A Systematic Review and Meta-Analysis

Li,

Sun,

Wang

et al. 2024

JPR

View full text Add to dashboard Cite

This research aimed to assess the effectiveness of manual therapy in alleviating pain among women undergoing primary dysmenorrhea (PD). Methods: All randomized controlled trials (RCTs) regarding manual therapy for PD were searched from online databases, spanning from their inception to July 2023. The identified literature underwent a thorough screening process, and the data were meticulously extracted and analyzed using RevMan 5.3. Subsequently, the included studies underwent Cochrane's quality assessment and metaanalysis. The evidence obtained was then assessed using the grading of recommendations, assessment, development, and evaluation (GRADE) approach. Results: 32 RCTs, involving 2566 women were finally included for analysis. The overall quality of the concluding evidence was generally rated as low or very low. Performance bias and blind bias were found to be the main risk of bias of the included studies. In comparison to no treatment, manual therapy demonstrated a significant increase in pain relief in short-term (n=191, MD=1.30, 95% CI: 0.24~2.37). The differences in the effects of manual therapy and the placebo on pain intensity may not be statistically significant (n=255, MD=0.10, 95% CI: −0.37~0.58). In contrast to NSAIDs, manual therapy exhibited superior pain alleviation (n=507, MD=3.01, 95% CI: 1.08~4.94) and a higher effective rate (n=1029, OR=4.87, 95% CI: 3.29~7.20). Importantly, no severe adverse events were reported across all studies, indicating a relatively safe profile for manual therapy. Conclusion: Manual therapy presented promise in effectively relieving menstrual pain with minimal adverse events in short term, outperforming both no treatment and NSAIDs. However, this conclusion is tempered by the low quality of the included RCTs, highlighting the necessity for more robust trials to validate it.

show abstract

Section: Introductionmentioning

confidence: 99%