Cochrane · systematic review · CD004142

Exercise for dysmenorrhoea

Armour, M, Ee, CC, Naidoo, D, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

Gynaecology and FertilityAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
7
No studies
7
Included studies
NR
No studies 7 · 50%Ungraded 0 · 0%Very low 6 · 42.9%Low 1 · 7.1%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Exercise compared to no treatment for dysmenorrhoea

Population: young women with suspected primary dysmenorrhoea
7 questions
OutcomeEffectEvidenceStatus / GRADE
Menstrual pain intensity, measured by various outcome measures including VAS, MPQ and NRS at the end of the intervention Lower scores indicate less intense menstrual pain
Exercise vs no treatment
no estimate extracted9 studies · 632 participantsLow
Downgraded: risk of bias, inconsistency
Adverse events
Exercise vs no treatment
no estimate extracted1 study · 36 participantsVery low
Downgraded: risk of bias, imprecision
Overall menstrual symptoms , measured by the MMDQ at the end of the intervention. Lower scores indicates lower menstrual symptom severity
Exercise vs no treatment
no estimate extracted1 study · 120 participantsVery low
Downgraded: risk of bias, imprecision
Use of rescue analgesic medication ‐ not reported
Exercise vs no treatment
no estimate extractedNRNo studies
Restriction of daily life activities ‐ not reported
Exercise vs no treatment
no estimate extractedNRNo studies
Absence from work or school ‐ not reported
Exercise vs no treatment
no estimate extractedNRNo studies
Quality of life,
Exercise vs no treatment
no estimate extracted1 study · 55 participantsVery low
Downgraded: risk of bias, imprecision

Exercise compared to non‐steroidal anti‐inflammatory drugs (NSAIDs) for dysmenorrhoea

Population: young women with suspected primary dysmenorrhoea
7 questions
OutcomeEffectEvidenceStatus / GRADE
Menstrual pain intensity, measured by 100 mm VAS at the end of the intervention Higher scores indicate greater reductions in pain intensity from baseline
Exercise vs non‐steroidal anti‐inflammatory drugs (NSAIDs)
no estimate extracted1 study · 122 participantsVery low
Downgraded: risk of bias, imprecision
Adverse events ‐ not reported
Exercise vs non‐steroidal anti‐inflammatory drugs (NSAIDs)
no estimate extractedNRNo studies
Overall menstrual symptoms ‐ not reported
Exercise vs non‐steroidal anti‐inflammatory drugs (NSAIDs)
no estimate extractedNRNo studies
Use of rescue analgesic medication assessed by: number of women who took rescue/additional analgesics during the last cycle Greater numbers indicate more women needed additional analgesics
Exercise vs non‐steroidal anti‐inflammatory drugs (NSAIDs)
RR 1.77 [1.21, 2.6]1 study · 122 participantsVery low
Downgraded: risk of bias, imprecision
Restriction of daily life activities ‐ not reported
Exercise vs non‐steroidal anti‐inflammatory drugs (NSAIDs)
no estimate extractedNRNo studies
Absence from work or school
Exercise vs non‐steroidal anti‐inflammatory drugs (NSAIDs)
OR 1 [0.49, 2.03]1 study · 122 participantsVery low
Downgraded: risk of bias, imprecision
Quality of life ‐ not reported
Exercise vs non‐steroidal anti‐inflammatory drugs (NSAIDs)
no estimate extractedNRNo studies