Department of Physiotherapy, University of Valencia, Valencia, Spain.
Pain Med. 2023 Dec 1;24(12):1386-1395. doi: 10.1093/pm/pnad104.
Primary dysmenorrhea (PD) is 1 of the most prevalent gynecologic conditions. The main aim of this umbrella review was to assess the effects of therapeutic exercise (TE) on PD.
A systematic search was carried out in PubMed, Embase, SPORTDiscus, CINAHL, and PEDro (December 10, 2022). The outcome measures assessed were menstrual pain intensity, menstrual pain duration, and quality of life. Methodological quality was analyzed using the AMSTAR and ROBIS scales, and the strength of evidence was established according to the advisory committee grading criteria guidelines.
Nine systematic reviews were included. The results showed that TE, regardless of the exercise model and intensity, has a clinical effect in improving menstrual pain intensity in women with PD with moderate quality of evidence. In addition, the results showed that TE has a clinical effect in improving the duration of menstrual pain in women with PD with a limited quality of evidence. However, the results are controversial on the improvement of quality of life in women with PD with a limited quality of evidence.
TE seems an effective option to implement in women with PD to improve the intensity and duration of menstrual pain. We cannot draw robust results for quality of life due to the low number of primary studies. More research in this field can help us establish more robust conclusions, as well as to assess whether there is one exercise model or intensity of training that is more effective than others.PROSPERO number: This review was previously registered in PROSPERO (CRD42022371428).
原发性痛经（PD）是最常见的妇科疾病之一。本综述的主要目的是评估治疗性运动（TE）对 PD 的影响。
系统检索了 PubMed、Embase、SPORTDiscus、CINAHL 和 PEDro（2022 年 12 月 10 日）。评估的结局指标为月经疼痛强度、月经疼痛持续时间和生活质量。使用 AMSTAR 和 ROBIS 量表分析方法学质量，并根据咨询委员会分级标准指南确定证据强度。
纳入了 9 项系统评价。结果表明，无论运动模式和强度如何，TE 对 PD 妇女的月经疼痛强度均具有临床改善作用，具有中等质量证据。此外，结果表明 TE 对 PD 妇女的月经疼痛持续时间具有临床改善作用，具有有限质量证据。然而，由于初级研究数量有限，对于改善 PD 妇女生活质量的结果存在争议，具有有限质量证据。
TE 似乎是 PD 妇女改善月经疼痛强度和持续时间的有效选择。由于初级研究数量较少，我们无法得出关于生活质量的可靠结果。该领域的更多研究可以帮助我们得出更可靠的结论，并评估是否有一种运动模式或训练强度比其他更有效。PROSPERO 编号：本综述先前在 PROSPERO（CRD42022371428）中进行了注册。
