![]() ![]() Post-menopause phase demonstrates the rest of women’s life after menopause. In this phase, many menopausal symptoms start to show up. Menopause is about experiencing a full year without a monthly menstrual cycle. Perimenopause phase represents the last few years before menopause when women start to have irregular menstrual cycles and hot flashes. ![]() Menopause has three phases: perimenopause, menopause, and postmenopause. It happens in elderly women between 40 and 50 s with a mean age of 51. Menopause is the time that marks passing 12 months after the last menstruation cycle. Using non-pharmaceutical interventions such as therapeutic and manual physiotherapy have an overall positive impact on reducing insomnia and depression in menopausal women. However, insufficient evidence was found regarding the effect of craniofacial massage, footbath, and acupressure on improving sleep quality and depression in menopausal women. Most of exercise and stretching interventions also showed improvement in sleep quality but inconsistent findings regarding depression. Reflexology, yoga, walking and aromatherapy massage showed an overall significant impact on decreasing insomnia and depression in menopausal women. Adding more studies from manual search, we finally included 31 papers including 7 physiotherapy modalities: exercise, reflexology, footbath, walking, therapeutic and aromatherapy massage, craniofacial message, and yoga. By using EndNote software, we excluded duplicates, unrelated, and non-full text papers. MethodologyĪfter identifying our inclusion/exclusion criteria, we conducted a database search in Ovid Embase, MIDRIS, PubMed, Cochrane, and ScienceOpen, where 4007 papers were identified. This systematic review aims to determine the effects of different therapeutic physiotherapy modalities on insomnia and depression in perimenopausal, menopausal, and post-menopausal women. Menopausal women often experience depression and insomnia that significantly impact their overall well-being and quality of life. ![]() Menopause is the time that marks passing 12 months after the last menstruation cycle in women between ages 40–50. ![]()
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