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The role of physiotherapy interventions in alleviating physical symptoms and improving quality of life in individuals with premenstrual syndrome: A systematic review and meta-analysis Cover

The role of physiotherapy interventions in alleviating physical symptoms and improving quality of life in individuals with premenstrual syndrome: A systematic review and meta-analysis

Open Access
|Jul 2024

Figures & Tables

Fig. 1.

PRISMA flow diagram

Fig. 2a.

Risk of bias summary for included studies

Fig. 3.

Forest plot demonstrating comparison of physiotherapy intervention on BDI score in participants with PMS

Fig. 4.

Forest plot of comparison of physiotherapy intervention on VAS in participants with PMS

The level of evidence for included studies (PEDro checklist)

Study234567891011Total score
George et al. (2018) [16]YNYNNNYYYY6
Bandrawy et al. (2020) [4]YNYNNNYYYY6
Heba Embaby et al. (2022)[19]YYYYYYNYYY9
Ibrahim et al. (2020)[12]YYYNNNYNNN4
Veena et al. (2014)[17]YNYNNNYYYN5
Ghaffarilaleh et al. (2019)[8]YYYNYYYYYN8
Faeze et al. (2016)[21]YYYNYYYYYY9

Characteristics of included studies

StudySample size (n)ParticipantsInterventionOutcomesResult
Cisel Demiralp Ovgunet al. (2023) [1]94Women aged 18 – 30, studying at Mediterranean UniversityMRT (n=31), PRE (n=32) and Control group (n=31) twice a week, each session for 20 to 30 minutes.Demographic information form, McGill Pain Questionnaire, Pittsburgh Sleep quality index, Health-related quality of life (HRQOL)MRT and PRE provide relaxation, increase blood flow, improve symptoms, improve sleep and quality of life
Mohebbi Dehnavi, Zahra et al (2018)[9]65Female students living in dormitories of Mashhad UniversityIntervention group (n=35) Aerobic exercise for 8 weeks, 3 times a week, 30 minutes each time Control group (n=30) no interventionPremenstrual syndrome questionnaire, Beck Depression, and Borg scale.Significant reduction in the physical symptoms of PMS in the intervention group at the end of the study
Elvan YILMAZ-AKYUZ et al. (2019)[6]106Female students aged 18 – 35 studying at the Faculty of Health Sciences of a public universityExercise Group (n=37); but 35 completed treatment and 2 dropped out, Diet Group (n=37) but 35 completed treatment and 2 dropped out, control group(n=37) 1 dropped out for 12 weeks; training three days a week for 30 minutesVisual Analogue Scale (VAS), Premenstrual Syndrome Scale (PMSS)and Food Frequency Questionnaire (FFQ)The diet and aerobic exercise groups mean scores decreased significantly after the intervention. There was a significant difference in VAS scores between the groups after the intervention
Asmaa M. El-Bandrawy et al. (2020)[4]50Women aged 18–25 aged were selected from the Faculty of Physical Therapy, Deraya UniversityGroup A (n=25) received aquatic exercises and relaxation Group B (n=25) relaxation exercises three sessions a week for 8 weeks for 30 minPremenstrual syndrome scale (PMSS), Visual analogue scaleBoth groups showed a significant increase in VO2 max and a significant reduction in PMSS, VAS, and blood cortisol levels
Fatemeh Bazarganipour et al. (2017)[5]90Women aged 18–45 of Hormozgan UniversityAcupressure on LIV3 point(n=30), Acupressure on LI4 point (n=30), Acupressure on placebo point (n=30)PSST questionnaire, QOL (Quality of life)Acupressure and applying pressure at LIV3 and LI4 are an effective method to decrease the physical symptoms and to improve quality of life
Susan Annie George et al. (2018)[16]30Women aged 18–23 years from Medical SciencesExperimental group (n=15) physical activities stretching, core strengthening and relaxation technique and control group (n=15) given relaxation technique 3 times per week for 28 daysVAS and Beck Depression Inventory ScaleBoth groups showed a reduction in pain and depression, comparing the between groups there is a huge change in mean value hence it is not significant
Veena JasuJa et al. (2014) [17]60Women aged 18–40 years from the department of physiology at SBKS MI & RC, Vadodara, Gujarat, IndiaGroup A (Relaxation technique, PMR), Group B (No intervention) for 2 times/week for 1 monthBeck Depression Inventory (BDI-II) and State Trait Anxiety Inventory (STAI)PMR showed a significant reduction in BDI II and STAI scores
Anushka Raipure et al. (2023)[7]70Women aged 18 to 35 with PMS in tertiary care hospital in Sawangi, WardhaGroup A(n=35) Laura Mitchell’s PRT, and Group B(n=35) received Benson’s relaxation for 30 minsPremenstrual syndrome questionnaire, and Numerical pain rating scale (NPRS)The result showed an improvement in both groups whereas Group B shows a more marked decrease in the PMS symptoms
Karthika. S. R et al. (2022) [18]25Women aged 14–30 years at Lakshmi maternity hospital, Chennai(n=25) given both stretching and walking for three monthsPremenstrual syndrome questionnaire and Physical and Mental healthThe result of the study shows a reduction in PMS symptoms and there is improvement in the mental health
Monica H. Ibrahim et al. (2020)[12]30Women aged 18–25 selected from Gynecological Clinic, EgyptGroup A(n=15) Breathing exercise, Group B (n=15) Breathing exercise and treadmill walking for 8 weeksVisual Analog Scale (VAS) and Daily record of severity of problems (DRSP)Both groups showed no significant differences in serum cortisol levels, resting HR, and DRSP But there were significant decreases in resting RR and abdominal pain
Heba Embaby et al. (2022) [19]60Women aged 17–21 with PMS from Faculty of Physical Therapy, Cairo UniversityGroup A (Kinesio Tape) (n = 30) and Group B (pelvic rocking exercise) (n = 30) 3 times/week for 2 monthsVisual analog scale (VAS) and Modified Calendar of Premenstrual Experiences (COPE)The result showed that both interventions are beneficial in reducing PMS symptoms
Ghafoureh Ghaffarilaleh et al. (2019) [8]62Women aged 20–45; Tabriz, IranGroup A(n=31) consists of yoga, but only 26 completed the follow-up 2 months, in 3 sessions/week for 60 minutes, Control group (n=31) only 28 completed the follow-upPremenstrual symptoms screening tool (PSST), Beck Depression Inventory scale (BDI-II)After giving yoga there is a significant reduction in depression scores
Hemalatha. R et al. (2023) [20]45Women aged 18–25; Department of Physiotherapy, IndiaGroup A- Barre exercise (n=15), Group B- Pilates (n=15), and Group C- Aerobic exercise (n=15) for eight weeksPremenstrual syndrome scale (PMSS)Barre exercises group showed more significant improvement in PMS symptoms, whereas Pilates and Aerobic exercises are also effective
Faeze Panahi et al. (2016) [21]6060 women; study was conducted at Mazandaran UniversityOne group (n=30) receiving Mindfulness-Based Cognitive Therapy (MCBT) for eight sessions each for eight weeks, and one control group (n=30)Premenstrual Assessment Scale (PAS), Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI)MCBT is effective in reducing depression and Anxiety. It could be used as a treatment option for PMS
Language: English
Page range: 61 - 70
Submitted on: Mar 22, 2024
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Accepted on: Jul 1, 2024
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Published on: Jul 8, 2024
In partnership with: Paradigm Publishing Services

© 2024 Shalini Verma, Gurjant Singh, Saumya Kothiyal, published by University of Physical Education in Warsaw
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