Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

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Effects of Manipulative Therapy Applied to Menstrual Discomfort: A Meta-analysis

월경불편감에 적용한 수기요법의 중재효과 : 메타분석

  • Received : 2019.08.23
  • Accepted : 2020.01.03
  • Published : 2020.01.31
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Abstract

This study examined the effects of manipulative therapy interventions applied to alleviate menstrual discomfort caused by premenstrual syndrome (PMS) and dysmenorrhea. To identify all relevant articles, a search of the articles published from inception up to May 31, 2018 revealed 1,808 studies in eleven databases. Two researchers independently evaluated the quality assessment of theses for 30 studies (31 reports) that satisfied the inclusion criteria using RoB (Ris of Bias) and RoBANS (Risk of Bias Assessment tool for Non-randomized Studies). The data were analyzed by meta-analysis. The effect sizes of the intervention applied to alleviate PMS were -1.20 (95% confidence intervals (CI): -1.55 to -0.86) for foot reflexology, -0.44 (95% CI: -0.68 to -0.20) for auricular acupressure therapy, and -0.56 (95% CI: -0.80 to -0.32) for acupressure therapy. The effect sizes of the intervention applied to alleviate dysmenorrhea were -0.64 (95% CI: -1.07 to -0.20) for foot reflexology, -1.09 (95% CI: -1.46 to -0.71) for auricular acupressure therapy, and -0.75 (95% CI: -1.00 to -0.50) for acupressure therapy, -0.68 (95% CI: -1.08 to -0.27) for massage. This study suggests that the manipulative therapy is effective in alleviating the menstrual discomfort caused by dysmenorrhea and PMS.

본 연구는 월경불편감을 겪는 대상자들의 월경전증후군 및 월경곤란증을 완화하기 위해 적용한 수기요법의 중재효과를 확인하기 위해 실시한 메타분석 연구이다. 2018년 5월 31일까지 출판된 문헌들을 대상으로 검색한 결과 11개의 데이터베이스에서 총1,808개의 연구가 일차적으로 확인되었으며, 두 명의 연구자가 포함기준 및 배제기준을 충족하는 30개의 논문을 최종 선택하여 RoB과 RoBANS를 통해 각각 질 평가를 수행하였다. 연구 결과, 월경전증후군에 적용한 수기요법의 중재효과는 발반사요법이 -1.20 (95% CI: -1.55 to -0.86), 이압요법이 -0.44 (95% CI: -0.68 to -0.20), 지압요법이-0.56 (95% CI: -0.80 to -0.32)으로 나타났다. 월경곤란증에 적용한 수기요법의 중재효과는 발반사요법이 -0.64 (95% CI: -1.07 to -0.20), 이압요법이 -1.09 (95% CI: -1.46 to -0.71), 지압요법이 -0.75 (95% CI: -1.00 to -0.50), 마사지가 -0.68 (95% CI: -1.08 to -0.27)로 나타났다. 본 연구를 통해 수기요법이 월경전증후군 및 월경곤란증으로 야기되는 월경불편감을 완화시키는 효과를 있음을 확인한 바, 추후 표준화된 수기요법 개발의 기초자료로 본 연구의 결과가 활용되기를 기대한다.

Keywords

References

  1. T. H. Kim, H. S. Park, H. H. Lee, S. H. Chung, "Premenstrual syndrome and dysmenorrhea in the career women at Bucheon city", Korean Journal of Obstetrics & Gynecology, Vol.54, No.9, pp.523-528, Sep. 2011. DOI: https://dx.doi.org/10.5468/KJOG.2011.54.9.523
  2. B. M. Kim, J. I. Jung, Y. M. Song, J. K. Lee, J. H. Yoo, "Association of premenstrual syndrome with quality of life in young korean women", Journal of the Korean Academy of Family Medicine, Vol.29, No.2, pp.108-113, Feb. 2008.
  3. M. O. Kim, "A study on the premenstrual syndrome and health promoting behavior in female college students", Journal of the Korean Data Analysis, Vol.20, No.3, pp.1565-1577, Jun. 2018. https://doi.org/10.37727/jkdas.2018.20.3.1565
  4. Ministry of Health & Welfare. 2007 - 2011 Health Insurance Medical Fee Payment Data' [Internet]. Ministry of Health & Welfare, Available From : http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=281441&page=1. 2013 (accessed Nov 10, 2017)
  5. K. H. Nam, Y. H. Lee, "Difference in premenstrual syndrome by physical activity level in high school", Journal of Korean Public Health Nursing, Vol.28, No.2, pp.320-332, Aug. 2014. DOI: http://dx.doi.org/10.5932/JKPHN.2014.28.2.320
  6. J. H. Han, S. Kim, S. H. Kim, S. K. Lee, "Relationships among menstrual attitude, premenstrual distress, and premenstrual coping in korean college women", Korean Journal of Women Health Nursing, Vol.23, No.1, pp.11-20, Mar. 2017. DOI: https://doi.org/10.4069/kjwhn.2017.23.1.11
  7. J. H. Jeon, S. K. Hwang, "A structural equation modeling on premenstrual syndrome in adolescent girls", Journal of Korean Academy of Nursing, Vol.44, No.6, pp.660-671, Dec. 2014. DOI: https://doi.org/10.4040/jkan.2014.44.6.660
  8. S. H. Moon, H. H. Cho, "Job seeking stress, stress coping styles, and perimenstrual symptoms in female college students", Journal of the Korean Data Analysis Society, Vol.16, No.4, pp.2261-2272, Aug. 2014.
  9. S. H. Ahn, S. O. Lee, "A Study premenstrual discomfort and related factors in female college students", Journal of the Korean Data Analysis Society, Vol.8, No.6, pp.2221-2235, Dec. 2006.
  10. K. A. Jeong, "Premenstrual syndrome (PMS): clinical approach of diagnosis and treatment", Korean Journal of Obstetrics & Gynecology, Vol.50, No.3, pp.416-422. Mar. 2007.
  11. M. Kathleen B. Lusky, W. G. Gerrish, S. Shaver, S. L. Keys, "Cognitive-behavioral therapy for premenstrual syndrome and premenstrual dysphoric disorder: a systematic review", Archives of Women's Mental Health, Vol.12, No.2, pp.85-96, Apr. 2009. DOI: https://doi.org/10.1007/s00737-009-0052-y.
  12. S. Y. Kim, H. J. Park, H. Lee, "Acupuncture for premenstrual syndrome: a systematic review and meta-analysis of randomized controlled trials", BJOG : an International Journal of Obstetrics and Gynaecology, Vol.118, No.8, pp.899-915, Jul. 2011. DOI: https://doi.org/10.1111/j.1471-0528.2011.02994.x
  13. G. Dante, F. Facchinetti, "Herbal treatment for alleviating premenstrual symptoms: a systematic review", Journal of Psychosomatic Obstetrics and Gynaecology, Vol.32, No.1, pp.42-51, Mar. 2011. DOI: https://doi.org/10.3109/0167482X.2010.538102
  14. A. M. Whelan, T. M. Jurgens, H. Naylor, "Herbs, vitamins and minerals in the treatment of premenstrual syndrome: a systematic review", The Canadian Journal of Clinical Pharmacology, Vol.16, No.3, pp.e407-e429, Fal. 2009.
  15. J. H. Kim, M. K. Park, M. R. Oh, "Meta-analysis of complementary and alternative intervention on menstrual distress", Korean Journal of Women Health Nursing, Vol.19, No.1, pp.23-35, Jan. 2013. DOI: https://doi.org/10.4069/kjwhn.2013.19.1.23
  16. K. R. Wren, C. L. Norred, Real world nursing survival guide: complementary and alternative therapies, p.5-320, Elsevier-Health Science Division, 2002.
  17. S. M. Yoo, "Effect size calculation in meta-analysis for program evaluation", Journal of the Korean Data Analysis Society, Vol.19, No.1, pp.197-208, 2017;19(1):197-208. https://doi.org/10.37727/jkdas.2017.19.1.197
  18. J. P. T. Higgins, S. Green, Cochrane handbook for systematic reviews of intervention, p.5-226, The Cochrane Collaboration, 2008.
  19. A. J. Sutton, S. J. Duval, R. L. Tweedie, K. R. Abrams, D. R. Jones, "Empirical assessment of effect of publication bias on meta-analyses", BMJ: British Medical Journal, Vol.320, No.7249, pp.1574-1577, Jun. 2000. DOI: https://doi.org/10.1136/bmj.320.7249.1574
  20. S. Azima, H. R. Bakhshayesh, M. Kaviani, K. Abbasnia, M. Sayadi, "Comparison of the effect of massage therapy and isometric exercises on primary dysmenorrhea: a randomized controlled clinical trial", Journal Pediatric and Adolescent Gynecology, Vol.28, No.6, pp.486-491. Dec. 2015. DOI: https://doi.org/10.1016/j.jpag.2015.02.003
  21. H. G. Baik, The effectiveness of foot-reflexo- massage to premenstrual syndrome and dysmenorrhea, Master's thesis, Seoul National University. Seoul, Korea, pp.1-48, 1999.
  22. F. Bazarganipour, S-A. Taghavi, H. Allan, N. Hosseini, A. Khosravi, R. Asadi, S. Salari, R. Dehghani, Z. Jamshidi, M. Resaei, M. Saberian, F. Javedan, Z. Salari, F. Miri, "A randomized controlled clinical trial evaluating quality of life when using a simple acupressure protocol in women with primary dysmenorrhea", Complimentary Therapies in Medicine, Vol.34, pp.10-15, Jul. 2017. DOI: https://doi.org/10.1016/j.ctim.2017.07.004
  23. B. M. Behbahani, L. Ansaripour, M. Akbarzadeh, N. Zare, M. J. Hadianfard, "Comparison of the effects of acupressure and self-care behaviors training on the intensity of primary dysmenorrhea based on McGill pain questionnaire among Shiraz University students", Journal of Research in Medical Sciences, Vol.2, pp.104, Nov. 2016. DOI: https://doi.org/10.4103/1735-1995.193176
  24. N. H. Cha, S. R. Sok, "Effects of auricular acupressure therapy on primary dysmenorrhea for female high school students in South Korea", Journal of Nursing Scholarship, Vol.48, No.5, pp.508-516. Sep. 2016. DOI: https://doi.org/10.1111/jnu.12238
  25. H. M. Chen, H. H. Wang, M. H. Chiu, H. M. Hu, "Effects of acupressure on menstrual distress and low back pain in dysmenorrheic young adult women: an experimental study", Pain Management Nursing, Vol.1, No3, pp.188-197. Jun. 2015. DOI: https://doi.org/10.1016/j.pmn.2014.06.002
  26. S. B. Chang, E. M. Jun, "Effects of SP-6 acupressure on dysmenorrhea, cortisol, epinephrine and norepinephrine in the college students", Journal of Korean Academy of Nursing, Vol.33, No.7, pp.1038-1046. Dec. 2003. DOI: https://doi.org/10.4040/jkan.2003.33.7.1038
  27. E. M. Jun, "Effects of SP-6 acupressure on dysmenorrhea and skin temperature at CV2 acupoint of low abdomen in the female college students", Korean Journal of Women Health Nursing, Vol.9, No2, pp.128-137. Jun. 2003. DOI: https://doi.org/10.4069/kjwhn.2003.9.2.128
  28. H. J. Jung, I. S. Jang, S. M. Park, "Effects of the auriculotherapy on menstrual cramps, dysmenorrhea and skin resistance variability (SRV) of the female university students", Journal of the Korea Contents Association, Vol.12, No.9, pp.217-225. Sep. 2012. DOI: https://doi.org/10.5392/JKCA.2012.12.09.217
  29. H. M. Jung, J. S. Song, "The ear acupressure therapy on prementrual syndrome and dysmenorrhea on female college students", Journal of The Korea Society of Computer and Information, Vol.18, No.5, pp.87-94. May. 2013. DOI: https://doi.org/10.9708/jksci.2013.18.5.087
  30. F. Kashefi, S. Ziyadlou, M. Khajehei, A. R. Ashraf, A. R. Fadaee, P. Jafari, "Effect of acupressure at the Sanyinjiao point primary dysmenorrhea: a randomized controlled trial", Complementary Therapies in Clinical Practice, Vol.16, No.4, pp.198-202. Nov. 2010. DOI: https://doi.org/10.1016/j.ctcp.2010.04.003
  31. Y. S. Kim, M. Z. Kim, I. S. Jung, "The effect of self-foot reflexology on the relief premenstrual syndrome and dysmenorrhea in high school girls", Journal of Korean Academy of Nursing, Vol.34, No.5, pp.801-808. Aug. 2004. DOI: https://doi.org/10.4040/jkan.2004.34.5.801
  32. J. S. Kim, Y. J. Jo, S. K. Hwang, "The effects of abdominal meridian massage on menstrual cramps and dysmenorrhea in full-time employed women", Journal of Korean Academy of Nursing, Vol.35, No. 7, pp.1325-1332. Dec. 2005. DOI: https://doi.org/10.4040/jkan.2005.35.7.1325
  33. I. K. Kim, J. H. Kim, "Effects of SP-6 Seoam pellet therapy on menstrual pain, menstrual distress and difficulty of ADL in female university students", Journal of Korean Public Health Nursing, Vol.28, No.2, pp.187-199. Aug. 2014. DOI: https://doi.org/10.5932/JKPHN.2014.28.2.187
  34. K. H. Kim, Effect of self acupuncture therapy at the Sanyinjio (SP6) on dysmenorrhea of female college students, Master's thesis, Kyungpook National University, Daegu, Korean, pp.1-30, 2013.
  35. N. Y. Kim, M. A. Kim, S. E. Choi, "Effects of auricular acupressure on menstrual pain, difficulties in daily life, negative feelings and autonomic nervous responses in female college students", Journal of Korean Biological Nursing Science, Vol.17, No.2, pp.159-168. May. 2015. DOI: https://doi.org/10.7586/jkbns.2015.17.2.159
  36. S. Y. Kim, H. Y. Lee, "Effect of the auricular acupressure therapy on dysmenorrhea of puberty girls", Korean Journal of Women Health Nursing, Vol.16, No.1, pp.20-28. Mar. 2010. DOI: https://doi.org/10.4069/kjwhn.2010.16.1.20
  37. N. Mirbagher-Ajorpaz, M. Adib-Hajbaqhery, F. Mosaebi, "The effects of acupressure on primary dysmenorrhea: a randomized controlled trial", Complementary Therapies Clinical Practice, Vol.17, No.1, pp.33-36. Feb. 2011. DOI: https://doi.org/10.1016/j.ctcp.2010.06.005
  38. S. Molins-Cubero, C. Rodríguez-Blanco, A. Oliva-Pascual-Vaca, A. M. Heredia-Rizo, J. J. Boscá-Gandía, F. Ricard, "Change in pain perception after pelvis manipulation in women with primary dysmenorrhea: a randomized controlled trial", Pain Medicine, 15(1), 1455-1463. Sep. 2014. DOI: https://doi.org/10.1111/pme.12404
  39. S. O. Ro, H. Y. Lee, J. Lee, M. Kim, "Effects of auricular acupressure on menstrual pain, dysmenorrhea, and academic stress in women college students", Korean Journal of Adult Nursing, Vol.25, No.3, pp.356-364. Jun. 2013. DOI: https://doi.org/10.7475/kjan.2013.25.3.356
  40. S. Y. Park, "Effect of the auriculotherapy on dysmenorrhea in school-aged girls", Korean Journal of Adult Nursing, Vol.22, No.5, pp.529-536. Jan. 2010.
  41. E. K. Shin, The effects of auricular acupressure therapy on menstrual pain and dysmenorrhea of high school girls, Master's thesis, Chung-Ang University, Seoul, Korean, pp.1-48, 2013
  42. C. L. Wong, K. Y. Lai, H. M. Tse, "Effects of SP6 acupressure on pain and menstrual distress in young women with dysmenorrhea", Complementary Therapies in Clinical Practice, Vol.16, No.1, pp.64-69. May. 2010. DOI: https://doi.org/10.1016/j.ctcp.2009.10.002
  43. M. L. Yeh, Y. L. Hung, H. H. Chen, Y. J. Wang, "Auricular acupressure for pain relief in adolescents with dysmenorrhea: a placebo-controlled study", The Journal of Alternative and Complementary Medicine, 19(4), 313-318. Apr. 2013. DOI: https://doi.org/10.1089/acm.2011.0665
  44. Z. Pouresmail, R. Ibrahimzadeh, "Effects of acupressure and ibuprofen on the severity of primary dysmenorrhea", Journal of Traditional Chinese Medicine, Vol.22, No.3, pp.205-210. Sep. 2002.
  45. S. Koleini, M. Valiani, "Comparing the effect of auriculotherapy and vitamin B6 on the symptoms of premenstrual syndrome among the students who lived in the dorm of Isfahan University of medical sciences", Iranian Journal of Nursing and Midwifery Research, Vol.22, No.5, pp.354-358. Oct. 2017. DOI: https://doi.org/10.4103/ijnmr.IJNMR_120_16
  46. E. J. Oh, O. J. Jang, H. J. Jeong, H. J. Lee, E. J. Kim, "The effect of auricular acupressure therapy on dysmenorrhea for women working in the hospital", Journal of Korean Clinical Nursing Research, Vol.14, No.1, pp.113-123. Apr. 2008
  47. T. Olsen, W. Flocco, "Randomized controlled study of premenstrual symptoms treated with ear, hand, and foot reflexology", Obstetrics & Gyneology, Vol.82, No.6, pp.906-911. Dec. 1993.
  48. M. J. Walsh, B. I. Polus, "A randomized, placebo-controlled clinical trial on the efficacy of chiropractic therapy on premenstrual syndrome", Journal of Manipulative and Physiological Therapeutics, Vol.22, No.9, pp.582-585. Dec. 1999. https://doi.org/10.1016/S0161-4754(99)70018-7
  49. N. C. Wang, M. C. Hsu, L. W. Chien, C. H. Kao, C. F. Liu, "Effects of auricular acupressure on menstrual symptoms and nitric oxide for women with primary dysmenorrhea", The Journal of Alternative and Complementary Medicine, Vol.15, No.3, pp.235-242. Mar. 2009. DOI: https://doi.org/10.1089/acm.2008.0164.