Review Article

Acupuncture or Acupressure at the Sanyinjiao (SP6) Acupoint for the Treatment of Primary Dysmenorrhea: A Meta-Analysis

Table 2

Characteristics of acupressure trials identified in the literature search.

First author, year (location)Number of participants InterventionControlAssessmentOutcomes

Mirbagher-Ajorpaz, 2011 [21] (Iran) 30Acupressure at SP6 for 20 min applied by researcher Light touch at SP6 for 20 min applied by researcherDysmenorrhea severity measured using VAS before and immediately, 30 min, and 1, 2, and 3 h after treatment There were significant differences in VAS scores between the acupressure and control groups immediately, 1, 2, and 3 h after intervention (3.50 versus 5.06, 3.30 versus 4.86, 2.40 versus 5.00, and 1.66 versus 4.80, resp., all )

Kashefi, 2010 [22] (Iran)86Acupressure at SP6 for 30 min applied by researcher during the first 24 h of menstrual cycle for 2 cyclesAcupressure at a nonacupoint 30 min applied by the researcher during the first 24 h of menstrual cycle for 2 cyclesDysmenorrhea severity assessed by VAS before and immediately, 30 min, and 1, 2, and 3 h after interventionFor the first cycle, there were significant differences in VAS scores between the acupressure and control groups 30 min, 1, 2, and 3 h after intervention (4.90 versus 6.06, 4.38 versus 6.23, 4.55 versus 6.34, and 5.34 versus 6.81, resp., all ).
For the second cycle, there were significant differences in VAS scores between the acupressure and control groups immediately, 30 min, 1, 2, and 3 h after intervention (5 versus 6.16, 4.86 versus 6.04, 4.72 versus 6.04, 4.72 versus 6.04, 4.60 versus 6.58, and 5.67 versus 7.06, resp., all )

Wong, 2010 [23] (China)46Acupressure at SP6 for 20 min applied by researcher at initial intervention 20 min acupressure self-treatment upon waking and at bedtime during the first 3 days of the next 3 menstrual cyclesRest for 20 min at initial intervention 20 min rest upon waking and at bedtime during the first 3 days of the next 3 menstrual cyclesDysmenorrhea severity assessed immediately after first treatment and after 3 months using VAS, SF-MPQ, and SF-MDQThere were significant differences in VAS scores and SF-MPQ between the acupressure and control groups immediately after initial intervention (VAS: 4.11 versus 5.81, ; SF-MPQ: 5.26 versus 7.38, )
There were significant differences in VAS scores of SF-MPQ and SF-MDQ between the acupressure and control groups after 3 months of self-care (VAS: 2.79 versus 4.30, ; SF-MPQ: 3.53 versus 5.81, ; SF-MDQ: 23.96 versus 26.61, )

Chen, 2004 [24] (Taiwan)69Acupressure at SP6 for 20 min applied by researcher at initial intervention 20 min acupressure self-treatment during next menstrual cycleRest for 20 min at initial intervention 20 min rest during next menstrual cycleDysmenorrhea severity assessed using VAS for pain and VAS for anxietyThere were differences in VAS pain and anxiety scores between the acupressure and control groups after the initial intervention (pain: 3.88 versus 4.79; anxiety: 3.13 versus 3.74)
There were differences in VAS pain scores between the acupressure and control groups after self-treatment (2.92 versus 3.04)

VAS: visual analogue scale; SF-MPQ: Short-Form McGill Pain Questionnaire; SF-MDQ: Short-Form Menstrual Distress Questionnaire.