Osteopathic Research Web

Treatment of irritable bowel syndrome with osteopathy

Item

Title

Treatment of irritable bowel syndrome with osteopathy

Description

Hintergrund: Das IBS ist häufig für Betroffene und deren Therapeuten frustrierend. Es gibt keinen Goldstandard in der Therapie. Es werden Medikamente eingesetzt, Probiotika, Psychotherapie und CAM. Osteopathische Studien haben bisher den kombinierten Ansatz von Osteopathie und Allopathie nicht untersucht.
Ziel: In dieser Studie soll untersucht werden, ob Osteopathie mit Allopathie der Allopathie alleine überlegen ist.
Methode: Es wurde ein „within-subject-design“ gewählt. 20 Probanden (11 weiblich, 9 männlich; Altersschnitt 53,4 ± 11,4 Jahre) mit einem nach den ROM-III-Kriterien diagnostiziertem IBS durchliefen ein vierwöchiges Zeitfenster für Osteopathie. Die Probanden wurden an fünf Zeitpunkten (T0-T4) nach ihren Funktionellen Beschwerden anhand von fünfpunktigen Likert-Skalen, Schmerzen und Wohlbefinden anhand von VAS, Lebensqualität anhand des GIQLI-Fragebogens, Medikamentenkonsum und dem Einhalten einer Diät befragt.
Ergebnisse: 19 Probanden schlossen die Studie ab. Die Intensität des Bauchschmerzes ließ signifikant nach und zwar sowohl am Ende des Osteopathie-Zeitfensters (p=0,001), als auch beim follow-up (p=0,009).Die Häufigkeit des Bauchschmerzes ließ ebenfalls signifikant nach und zwar sowohl am Ende des Osteopathie-Zeitfensters (p=0,006), als auch beim follow-up (p=0,022).Die Gesamtheit der Funktionellen Beschwerden ließ signifikant nach und zwar sowohl am Ende des Osteopathie-Zeitfensters  (p0,001), bei T4 jedoch nicht mehr (p=0,181).Das
Wohlbefinden war bei T3 und T4 hochsignifikant besser (p=0,002 und p=0,005).Die Einnahme von Medikamenten erbrachte kein statistisch verwertbares Ergebnis.
Schlussfolgerungen: Osteopathie ist in Verbindung mit Allopathie erfolgreicher als Allopathie alleine. Die osteopathischen Befunde stimmen gut mit der Veränderung von Symptomen überein, osteopathische Modelle können dies gut erklären. Das Zeitfenster für Osteopathie sollte sechs bis acht Wochen lang sein. Der IBS-QOL sollte künftig benützt werden. Weitere Therapiekombinationen von Osteopathie mit Psychotherapie, Probiotika oder CAM sollten erforscht werden.

Type

osteo_thesis

Medium

Scheuchl Frank.pdf

Date Accepted

2011

Abstract

[_H2_]Study Design[_/H2_]
[_P_]A within-subject design was selected.[_/P_]
[_H2_]Outline/Problem Definition[_/H2_]
[_P_]IBS is often frustrating for patients and therapists. There is no gold standard in therapy. Drugs, probiotics, psychotherapy and CAM are used. Osteopathic studies have not yet investigated the combined approach of osteopathy and allopathy.[_/P_]
[_H2_]Research Question & Objective[_/H2_]
[_P_]This study will investigate whether osteopathic in combination with allopathy is superior to allopathy alone.[_/P_]
[_H2_]Hypothesis[_/H2_]
[_P_]1. Osteopathy plus allopahty is not superiror in the treatment of IBS compared to allopathy allone in terms of pain.
2. Osteopathy plus allopahty is not superiror in the treatment of IBS compared to allopathy allone in terms of functional symptoms.
3. Osteopathy plus allopahty is not superiror in the treatment of IBS compared to allopathy allone in terms of quality of life.[_/P_]
[_H2_]Methodology[_/H2_]
[_P_]20 appropriate subjects with a medical diagnosis for IBS according to Rome III Criteria were recruited. It was asked on five dates (T0 to T4) in a questionnaire using 5-point Likert scales about intensity of functional symptoms (diarrhea, constipation, massive straining at defecation, urgency to defecate, feeling of incomplete defecation, mucus, flatulence), using visual analogue scales (VAS) about abdominal pain and overall well-being, using yes/no question about maintaining a diet, using table about type and amount of drugs taken and using the [_/P_]
[_H2_]Results[_/H2_]
[_P_]One subject was lost at follow-up. Thus, 19 subjects were used for comparison between T0 and T4 and 20 for comparison between T0 and T3.
The intensity of abdominal pain decreased significantly, namely both at the end of the osteopathic time window (p = 0.001) and during follow-up (p = 0.009).
The frequency of abdominal pain also decreased significantly, namely both at the end of the osteopathic time window (p = 0.006) and during follow-up (p = 0.022).
The totality of functional symptoms decreased significantly namely both at the end of the osteopathic time window (p <0.001) and during follow-up (p = 0.001).
In detail, significant improvements appeared in T3 and T4 for diarrhea (p = 0.006 and p = 0.010), straining at defecation (p = 0.012 and p = 0.031), mucous discharge (p = 0.023 and p = 0.029), and for flatulence ( p = 0.002 and p = 0.001). Urgency to defecate
(p = 0.015 and p = 0.054) was close to the border of significance.
Complaints, which still were significantly better at T3 and were not significantly better only at T4, appeared in constipation (p = 0.013 and p = 0.305) in the case of incomplete defecation (p = 0.025 and p = 0.087) and the absolute urge to defecate
(p = 0.015 and p = 0.054).
Quality of life, as measured by means of the GIQLI, was significantly better at T3
(p <0.001), but no more at T4 (p = 0,181).
Well-being was highly significantly better at T3 and T4 (p = 0.002 and p = 0.005).
Taking drugs did not yield a statistically useful result.[_/P_]
[_H2_]Critical Reflection/Perspectives/Conclusions[_/H2_]
[_P_]The results of this study show that it is possible to successfully integrate osteopathy into a present medicinal regime. However, the four-week time frame with three to five treatments obviously was too short as the determined values again deteriorated at follow-up. In this study, the GIQLI was not suitable for measuring the quality of life, future studies should use the IBS-QOL.
Remarkably often, findings at the middle and lower thoracic spine and the sacrum appeared.
A [_/P_]
[_H2_]Additional Information[_/H2_]
[_P_][_/P_]

Subject

Irritable Bowel Syndrome, osteopathy, allopathy

Date Submitted

13.6.2011 21:17:01

Language

German

status

0

Alternative Title

Die Behandlung des Reizdarmsyndroms mit Osteopathie

number of pages

207

identifier

781

Creator

Scheuchl Frank Georg

Identifier

14988

presented at

Wiener Schule für Osteopathie

Source

39

Item sets

Thesis

Media

Scheuchl Frank.pdf

Scheuchl Frank Georg, “Treatment of irritable bowel syndrome with osteopathy”, Osteopathic Research Web, accessed May 15, 2024, https://www.osteopathicresearch.org/s/orw/item/2891