https://www.osteopathicresearch.com/api/items/4368
type: Item
id: 4368
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title: Osteopathic treatment in patients with chronic pelvic pain
created: 2026-05-21T14:07:24+00:00
modified: 2026-05-21T14:07:24+00:00
primary media: https://www.osteopathicresearch.com/api/media/4369
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item set: https://www.osteopathicresearch.com/api/item_sets/1498
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description: Ziel: Nachweis des Effekts osteopathischer Techniken auf chronische Beckenschmerzen bei Patientinnen und Patienten mit Beschwerden am Urogenitalsystem am Beispiel von interstitieller Zystitis, Endometriose, chronischer Prostatitis und Dysmenorrhoe sowie mit Beckenbodendysfunktionen und/oder Reizdarmsyndrom Studiendesign: systematisches Review Methodik: Sechs Datenbanken und vier Zeitschriften wurden nach geeigneten Studien durchsucht. Die Suche schloss deutsche und englische Publikationen mit ein. Alle ausgewählten Studien wurden in Bezug auf die methodische Qualität mit Hilfe der Downs & Black Checkliste bewertet. Ergebnisse: Zwölf Studien die bis April 2021 publiziert wurden, wurden in diesem Review inkludiert. In sieben von zwölf Studien kann eine Verbesserung der abhängigen Variable Schmerz zu Gunsten osteopathischer oder manueller Maßnahmen festgestellt werden. Es gibt eine Tendenz, dass die meisten Dysfunktionen bei Patienten/innen mit chronischen Beckenschmerzen im Bereich des Beckens, Beckenbodens sowie der Viszera im kleinen Becken gefunden werden. Diese könnten mit Gelenksmanipulationen, Soft Tissue Techniken, sowie internen Techniken behandelt werden und zu verminderten Schmerzen führen. Nichtsdestotrotz muss erwähnt werden, dass auch in den Kontrollgruppen teilweise signifikante Verbesserungen der Schmerzsymptomatik festgestellt wurden. Diskussion & Konklusion: Die Mehrheit der Studien haben nur eine moderate Qualität gemessen mit der Downs & Black Checkliste. Die Ergebnisse zeigen, dass Osteopathie bei chronischen Beckenschmerzen bis jetzt gute Erfolge bei der Schmerzlinderung erzielt. Diese müssen aber vorsichtig betrachtet werden, da in diesem Review viele unterschiedliche Krankheitsbilder inkludiert wurden und es daher schwer ist, die Ergebnisse zu verallgemeinern. Schlüsselwörter: chronische Beckenschmerzen- osteopathische Behandlung- manuelle Therapie @de
alternative: Osteopathie bei chronischen Beckenschmerzen @de
creator: Marina Krenn
abstract: Aim: To systematically investigate the effect of osteopathic treatment in patients with chronic pelvic pain with complaints of the urogenital system using the examples of interstitial cystitis, endometriosis, chronic prostatitis and dysmenorrhea as well as pelvic floor dysfunctions and/or irritable bowel syndrome Study design: systematic review Methods: Six databases and four journals were screened for eligible studies based on pre-defined inclusion criteria. The search included German and English publications. The methodological quality of all selected studies was evaluated on the basis of the Downs & Black Checklist. Results: Twelve studies were included in this review. In seven out of twelve, an improvement in the dependent variable pain was found in favor of osteopathic treatment. There is a tendency that most of the dysfunctions found in patients with chronic pelvic pain are located in the area of the pelvis, pelvic floor and viscera in the small pelvis. Authors mention that these dysfunctions could be treated with joint manipulations, soft tissue techniques as well as internal techniques. Nevertheless, it must be declared that significant improvements in pain symptoms were also found in the control groups. Discussion & Conclusion: The majority of the included studies were only of moderate quality as measured by the Downs & Black Checklist. The results show that osteopathic treatment has already achieved good results in relieving pain in patients with chronic pelvic pain. However, this must be seen critically as many different disorders were included in this review and therefore it is difficult to generalize the results. Keywords: chronic pelvic pain- osteopathic treatment- manual therapy
date accepted: 2021-11-13 11:19:32
date submitted: 2026-05-21
type: osteo_thesis
language: German
owner: Marina Krenn
presented at: https://www.osteopathicresearch.com/api/items/108
subject: chronic pelvic pain, chronische Beckenschmerzen, Endometriose, interstitielle Zystitis, chronische Prostatitis, Dysmenorrhoe, Reizdarmsyndrom, osteopathische Behandlung

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display title: Wiener Schule für Osteopathie

https://www.osteopathicresearch.com/api/items/4203
type: Item
id: 4203
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owner: https://www.osteopathicresearch.com/api/users/1
title: The effectiveness of osteopathic treatment on the pain perception of women with endometriosis-associated pain
created: 2025-11-07T15:07:35+00:00
modified: 2025-11-07T15:07:35+00:00
item set: https://www.osteopathicresearch.com/api/item_sets/1498
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description: Ziel: Ziel der Studie war es, die Wirksamkeit osteopathischer Behandlungen auf endometrioseassoziierte Schmerzkomponenten zu untersuchen. Studiendesign: Multizentrische, pragmatische, randomisierte, kontrollierte Studie mit Interventions- und Kontrollgruppe im Waiting-List-Design. Methoden: Endometrioseassoziierte Schmerzen wurden vor und nach vier osteopathischen Behandlungen mittels validierten Fragebögen erhoben: PainDETECT (PD-Q), Pain Sensitivity Questionnaire (PSQ), Fibromyalgia Survey Questionnaire (FSQ), die Pain Catastrophizing Scale (PCS), Beck Depression Inventory (BDI) und State-Trait Anxiety Inventory-Trait (STAI-T). Zusätzlich wurden Angaben zu Dysmenorrhoe, Dyschezie, Dysurie und Dyspareunie sowie zu zyklischen und azyklischen Schmerzen erfasst. Ein patientengeführtes Schmerztagebuch dokumentierte die tägliche Schmerzintensität. Ergebnisse: Die Differentialanalyse vor und nach der Intervention ergab in der Interventionsgruppe eine hochsignifikante Reduktion der Schmerzkatastrophierung (p=.002) sowie eine signifikante Abnahme der maximalen Schmerzintensität außerhalb der Menstruation (p=.033). In allen Fragebögen, mit Ausnahme des PSQ-moderate, zeigte sich die Interventionsgruppe der Kontrollgruppe überlegen. Dysmenorrhoe, Dyschezie und Dysurie verbesserten sich deutlicher in der Interventionsgruppe. Schmerzmittel während der Periode wurden signifikant seltener eingenommen (p=.041). Der PD-Q-Score sank vom Ausgangszeitpunkt bis zum Follow-Up (Interventionsgruppe p=.022; Kontrollgruppe p=.064). Der Anteil der Patientinnen mit unklarem neuropathischen Schmerzprofil (nicht eindeutig) reduzierte sich zugunsten eines niedrigeren neuropathischen Schmerzprofils (unwahrscheinlich). Diskussion: Die Ergebnisse der Studie belegen den positiven Effekt osteopathischer Behandlungen auf endometrioseassoziierte Schmerzkomponenten und bestätigen die Relevanz biopsychosozialer Faktoren. Schlüsselwörter: Endometriose, Osteopathie, PCQ, Dysmenorrhoe, PainDETECT @de
alternative: Die Wirksamkeit einer osteopathischen Behandlung auf das Schmerzempfinden von Frauen mit endometrioseassoziierten Schmerzen @de
creator: Almut Boltz
abstract: Aim: This study aimed to evaluate the effectiveness of osteopathic treatment on endometriosis-associated pain components. Study design: Multicenter, pragmatic, randomized, controlled trial with intervention and control groups in a waiting-list design. Methods: Endometriosis-associated pain was assessed before and after four osteopathic treatments using validated questionnaires: PainDETECT (PD-Q), Pain Sensitivity Questionnaire (PSQ), Fibromyalgia Survey Questionnaire (FSQ), Pain Catastrophizing Scale (PCS), Beck Depression Inventory (BDI) and STAI-T Anxiety Inventory-Trait (STAI-T). Additional data were collected on dysmenorrhea, dyschezia, dysuria and dyspareunia, as well as cyclic and acyclic pain. A patient-maintained pain diary documented daily pain intensity. Results: Differential analysis before and after the intervention revealed a highly significant reduction in pain catastrophizing in the intervention group (p=.002), and a significant decrease in maximum pain intensity outside menstruation (p=.033). Apart from the PSQ-moderate, all questionnaire outcome showed superior improvements in the intervention group compared to the control group. Improvements in dysmenorrhea, dyschezia and dysuria were superior in the intervention group. The use of analgesics during menstruation was significantly less frequent in the intervention group (p=.041). The PD-Q score decreased from baseline to follow-up in both groups (intervention group p=.022; control group p=.064). The proportion of patients with an unclear neuropathic pain profile (unclear) shifted toward a lower-risk profile for neuropathic pain (unlikely). Discussion: The results support a beneficial effect of osteopathic treatments on components of endometriosis-associated pain and confirm the relevance of biopsychosocial factors in treatment response. Keywords: Endometriosis, osteopathic treatments, PCQ, dysmenorrhea, PainDETECT
date accepted: 2025-06-14 18:37:44
date submitted: 2025-11-07
type: osteo_thesis
language: German
num pages: 1
owner: Almut Boltz
presented at: https://www.osteopathicresearch.com/api/items/108
subject: Endometriose, Osteopathie, PCQ, Dysmenorrhoe, PainDetect

https://www.osteopathicresearch.com/api/items/4063
type: Item
id: 4063
is public: true
owner: https://www.osteopathicresearch.com/api/users/1
title: efficacy of osteopathic techniques in endometriosis
created: 2023-11-08T15:02:08+00:00
modified: 2023-11-08T15:02:08+00:00
item set: https://www.osteopathicresearch.com/api/item_sets/1498
site: https://www.osteopathicresearch.com/api/sites/1
description: Hintergrund: Endometriose betrifft circa 10 bis 15 % aller Frauen und geht oft mit starken Schmerzen und Einbußen in puncto Lebensqualität einher. Da die schulmedizinische Versorgung immer noch häufig unzufriedenstellende Ergebnisse liefert, gilt es therapeutische Alternativen zu finden. Osteopathie könnte solch eine Alternative darstellen. Methodik: Deshalb wurde im Rahmen eines Systematic Reviews von November 2022 bis März 2023 eine strukturierte Literaturrecherche in bekannten medizinischen Datenbanken durchgeführt. Die relevanten Studien wurden dann anhand der Downs and Black Checkliste qualitativ beurteilt und diskutiert. Ergebnisse: Die Literaturrecherche ergab neun einschließbare Studien. Darunter drei RCTs und fünf Pilotstudien im with-in subject Design. Hauptmessparameter waren die Schmerzintensität und die Veränderungen hinsichtlich der Lebensqualität. Eine Studie untersuchte die Sexualfunktion und eine weitere die Effekte auf die Fruchtbarkeit. In acht von neun Studien konnte die osteopathische Behandlung statistisch signifikante Ergebnisse erzielen. Die Studienqualität wurde bei drei Studien mit schwach, bei zwei mit mittelmäßig und bei vier Arbeiten mit gut bewertet. Diskussion: Aufgrund qualitativer Mängel und sehr verschiedener Messinstrumente, Behandlungsdosierungen und Techniken, sollten die positiven Ergebnisse vorsichtig interpretiert werden. Qualitätsabzüge gab es vor allem aufgrund kleiner Probandinnenzahlen, fehlender Kontrollgruppen und einer nicht vorhandenen Randomisierung und/oder Verblindung. Schlussfolgerung: Die Ergebnisse dieses Systematic Reviews zeigen einen positiven Trend zugunsten der Osteopathie. Aufgrund sehr unterschiedlicher Methodik kann jedoch keine generelle Empfehlung bezüglich optimalem Behandlungsverlauf, Technikauswahl etc. ausgesprochen werden. Es braucht größere, randomisierte und doppelblindierte Studie, um Aussagen über die Effektstärke und die klinische Relevanz zu treffen. @de
alternative: Wirksamkeit osteopathischer Techniken bei Endometriose @de
creator: Silvia Schiche
abstract: Background: Approximately 10 to 15 % of all women suffer from endometriosis. This disease is often associated with severe pain and loss of quality of life. Since conventional medical care still often delivers unsatisfactory results, it is important to find therapeutic alternatives. Osteopathy could represent such an alternative.Methods: Therefore, a structured literature search was carried out in medical databases as part of a systematic review from November 2022 to March 2023. The relevant studies were then assessed qualitatively using the Downs and Black checklist and discussed.Results: The literature search resulted in nine relevant studies. Including three RCTs and five pilot studies in with-in subject design. Measurements primarily related to pain intensity and/or changes in quality of life. One study examined sexual function and another examined the effects on fertility. In eigth out of nine studies, osteopathic treatment was able to achieve statistically significant results. The study quality had to be rated with poor in three studies, moderate in two, and good in two cases.Discussion: Since some of the studies have significant qualitative deficiencies and many different measuring instruments, treatment doses and techniques were used, the positive results should be interpreted with caution. There were quality deductions mainly due to the very small number of subjects, missing control groups and non-existent randomization and/or blinding. Conclusion: The results of this systematic review show a clear positive trend in favor of osteopathy; especially in relation to pain reduction. Due to very different methods, however, no general recommendation regarding the optimal course of treatment, choice of technique, etc. can be made. In the future, larger, randomized and double-blind studies are necessary to be able to make statements about the effect size and clinical relevance. Keywords: endometriosis, osteopathy, pain
date accepted: 2023-06-14 19:44:07
date submitted: 2023-11-08
type: osteo_thesis
language: German
owner: Silvia Schiche
presented at: https://www.osteopathicresearch.com/api/items/108
subject: Endometriose, Osteopathie, Schmerz

https://www.osteopathicresearch.com/api/items/3103
type: Item
id: 3103
is public: true
owner: https://www.osteopathicresearch.com/api/users/2
title: Effects of Osteopathic Treatments in Comparison to a Relaxation-Method on the Quality of Life of Endometriosis Patients
created: 2021-02-01T11:28:13+00:00
modified: 2021-02-02T20:28:30+00:00
primary media: https://www.osteopathicresearch.com/api/media/3891
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description: Einleitung: Im Rahmen der Komplementären und Alternativen Medizin (CAM) wurde eine erste Empfehlung für die Aufnahme der Osteopathie in die multimodale Langzeitbehandlung der Endometriose ausgesprochen, aber weitere Hinweise auf Evidenz gefordert. Studiendesign: Eine prospektive, randomisierte und kontrollierte Methodenstudie wurde bei 21 Patientinnen mit Chronischem Unterbauchschmerz und diagnostizierter, voroperierter Endometriose durchgeführt. Dabei kamen einerseits Osteopathische Behandlungen und andererseits Entspannungsverfahren zur Anwendung - je 2mal zu je 45 Minuten in drei Monatszyklen. Methoden: Überprüfung der Lebensqualitätsveränderung fand im monatlichen Abstand primär per WHO-QOL BREF und Endometriosis-Health-Profile (EHP-30) statt und wurde zweimal nachbeobachtet. Sekundär wurden Messungen des körperlichen und psychischen Wohlbefindens prä-und postinterventionell mittels VAS durchgeführt. Ergebnisse: Die WHO-QOL BREF Differenzberechnungen von der Baseline bis zur letzten Nachuntersuchung ergaben im univariaten Gruppenvergleich eine statistisch auffällige Lebensqualitätssteigerung (p= 0,014) unter den Teilnehmerinnen der Osteopathiegruppe. Die körperliche und psychische Gesundheit stiegen ebenfalls im gesamten Studienverlauf. Die Ergebnisse des EHP-30 verbesserten sich bis zum Ende des Follow-Ups mit einer statistischen Auffälligkeit von p= 0,048 im Bereich des emotionalen Wohlbefindens in der Osteopathiegruppe. Es kam bei der VAS-Erhebung vor und nach jeder Intervention, zu einer signifikanten Verbesserung der Werte bezüglich körperlichem Wohlbefinden in der Osteopathiegruppe (p= 0,024). Das psychische Wohlbefinden zeigte bei fünf von sechs Behandlungen stärkere Steigerungen für die Osteopathie. Konklusion: Die Studie konnte trotz kleiner Fallzahl weitere Hinweise auf die positive Wirkung von Osteopathie auf die gesundheitsbezogenen Lebensqualität erbringen. Diese fielen deutlicher aus als beim verglichenen Entspannungsverfahren.
type: osteo_thesis
date accepted: 2020
abstract: Introduction: within the field of complementary and alternative medicine (CAM) a first recommendation was expressed to integrate osteopathy into the multi-disciplinary long-term treatment of endometriosis. However, it was emphasized that further evidence was required. Study design: prospective, randomized and controlled methodological study among 21 female patients with chronic pelvic pain (CPP) and diagnosed, previously-operated endometriosis. In three monthly cycles two 45-minute treatments - either osteopathy or relaxation - were delivered. Methods: evaluation of changes in the quality of life (QoL) at monthly intervals primarily with the WHO-QOL-BREF and Endometriosis-Health-Profile (EHP-30) with two follow-ups. In addition, VAS-assessment of the physical and mental wellbeing before/after each intervention. Results: In the univariate group comparison the WHO-QOL-BREF-based difference from baseline to last follow-up produced a statistically noticeable QoL-improvement (p=0.014) for the participants of the osteopathy group (OG). Physical and mental health also improved over the entire study period. Results of the EHP-30 improved until the end of the follow-up, with a statistically noticeable outcome (p=0.048) regarding mental wellbeing in the OG. Also the VAS assessment before/after each intervention showed a significant improvement of the physical wellbeing in the OG (p=0.024). Regarding the mental wellbeing a greater improvement could be observed through osteopathy in five of six treatments. Conclusion: Despite the small sample size the study was able to gather further evidence of osteopathy's positive effects on health-related QoL. These effects were stronger than those of the compared relaxation-method.
subject: Endometriose, Osteopathie, Lebensqualität, WHO-QOL, EHP-30
date submitted: 25.10.2020 15:04:51
language: German
status: 0
alternative: Auswirkungen von osteopathischen Behandlungen im Vergleich zur Anwendung eines Entspannungsverfahrens auf die Lebensqualität von Endometriose-Patientinnen
identifier: 781
creator: Ingeborg Kremen-Pilz
identifier: 16732
presented at: https://www.osteopathicresearch.com/api/items/108
source: 19779

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https://www.osteopathicresearch.com/api/items/2887
type: Item
id: 2887
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title: The effectiveness of osteopathic treatment in women with endometriosis-related pain
created: 2021-01-31T20:25:29+00:00
modified: 2021-02-02T20:28:28+00:00
primary media: https://www.osteopathicresearch.com/api/media/3542
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description: Hintergrund: Endometriose ist eine chronische Erkrankung bei der sich Gebärmutter-schleimhaut ausserhalb der Gebärmutter ansiedelt. Unterbauchschmerzen und Subfertilität können die Folge sein. Bis heute bestehen Lücken im Verständnis der Pathophysiologie und der medizinischen Behandlung. Osteopathie wird bei gynäkologischen Krankheitsbildern angewendet und Osteopathen/innen sind mit den Symptomen der Endometriose konfrontiert. Die vorliegende Studie untersucht die Effektivität einer osteopathischen Behandlung bei endometriose-bedingten Unterbauchschmerzen. Stichprobe: 20 Frauen zwischen 27 und 48 Jahren wurden für diese Studie rekrutiert, 5 Frauen wurden aufgrund der Ausschlusskriterien nicht in die Studiengruppe aufgenommen. Alle Frauen hatten seit mindestens 6 Monaten Unterbauchschmerzen und sind durch eine Bauchspiegelung mit Endometriose diagnostiziert worden. Methodologie: I n dieser nicht randomisierten, nicht-blinden prospektiven Studie mit within-subject design wurden die Probandinnen nach einer achtwöchigen Wartezeit viermal osteopathisch behandelt. Die Messvariablen (VAS und der endometriose-spezifische Quality of Life Fragebogen EHP 5) wurden in beiden Studienphasen jeweils zweimal ermittelt. Die Behandlung bestand aus osteopathischen Techniken, die individuell an die Probandin adaptiert wurden. Ergebnisse: Eine signifikante Verringerung der Messvariable chronischer Unterbauchschmerz konnte am Ende der Interventionsphase gemessen werden (p=0,007). Die Ergebnisse der zweiten Messvariablen zeigten signifikante Verbesserungen in 5 von 11 Bereichen des EHP-5. Eine Regressionsanalyse veranschaulicht, dass die Variable Schmerz bei Frauen, die in der behandlungsfreien Zeit einen ausgeprägten Kontrollverlust aufgrund ihrer Erkrankung angaben, besonders gut mit Osteopathie zu beeinflussen war. Schlussfolgerung: Da die vorliegende Studie eine signifikante Verringerung des Schmerzes und ebenfalls eine Verbesserung der Lebensqualität in einigen Bereichen vorweist, ka…
type: osteo_thesis
medium: Schneider-Milo Ute.pdf
date accepted: 2011
abstract: Study Design Non-randomized, non-blinded within-subject-design. This design compares the changes in parameters in a phase without treatment to those during a phase with treatment.[_/P_] Outline/Problem Definition Endometriosis, a chronic disease characterized by endometrial tissue located outside the uterus is associated with chronic pelvic pain and infertility. Osteopathic treatment is commonly used in gynaecological disorders and osteopaths are confronted with the symptoms of endometriosis. Research Question & Objective The present study aims to investigate the effectiveness of osteopathy as a complementary treatment for women with endometriosis-related pain. Hypothesis It is possible through an osteopathic intervention to decrease pelvic pain in women with endometriosis and increase their health-related quality of life. Methodology Twenty women aged between twenty-seven and forty-eight were recruited for this study; five women were excluded. All had been experiencing chronic pelvic pain for at least six months and had been diagnosed with endometriosis by laparoscopy. The subjects received four osteopathic treatments after a baseline phase of eight weeks. Baseline scores were collected twice to compare pre and post treatment results. The materials included a Visual Analogue Scale (VAS) and a validated disease-specific quality of life questionnaire called EHP-5. The intervention consisted of a collection of osteopathic techniques adapted to the individual needs of the patient. Results A significant decrease of the primary outcome measure chronic pelvic pain could be observed by the end of the treatment phase compared to the baseline phase (p=0.007). The results of the secondary outcome measure showed significant changes within five out of eleven domains of the EHP-5. A linear regression demonstrated that the osteopathic treatment showed the best results in women who reported a severe loss of control at baseline. Critical Reflection/Perspectives/Conclusions The pres…
subject: endometriosis, chronic pelvic pain, health-related quality of life, osteopathy
date submitted: 28.6.2011 13:40:54
language: English
status: 0
num pages: 78
identifier: 781
creator: Schneider-Milo Ute
identifier: 14993
presented at: https://www.osteopathicresearch.com/api/items/108

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https://www.osteopathicresearch.com/api/items/2485
type: Item
id: 2485
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resource template: https://www.osteopathicresearch.com/api/resource_templates/3
title: Do osteopathic treatments influence the symptom-pattern in women suffering from Endometriosis positively? A randomized controlled trial
created: 2021-01-28T12:07:45+00:00
modified: 2021-02-02T20:28:25+00:00
item set: https://www.osteopathicresearch.com/api/item_sets/1498
site: https://www.osteopathicresearch.com/api/sites/1
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alternative: Haben osteopathische Behandlungen einen positiven Einfluss auf das Symptombild von Frauen, die an Endometriose erkrankt sind? Eine randomisierte kontrollierte Studie
creator: Koop Dick S
abstract: Objective: Evaluating the hypothesis that osteopathic treatments of women suffering from endometriosis lead to pain reduction and improvement of quality of life. Design: Randomized controlled trial. Setting: Two osteopaths, both trained at the “Schule für Klassische Osteopathische Medizin (SKOM)” carried out the study. The treatments took place at private osteopathic clinics in Hamburg, Berlin, Kassel and Osnabrück. Patients: The study was conducted with 27 female patients, randomly assigned to an osteopathic intervention group (n = 14) and a control group (n = 13). A histological confirmed endometrioses was crucial. Furthermore they had to experience discomfort on a periodical basis. Intervention: The women of the intervention group received four osteopathic treatments in approximately 3-weeks intervals; the women of the control group did not receive any treatments for 10 weeks. A follow-up after five months was planned. Outcome parameter: Primary outcome parameter was pain sensation, validated via the Pain-Sensation-Scale (SES). Secondary parameters were health-related Quality of Life, validated via the SF36; frequency of pain and intake of analgesics (diary) and osteopathic dysfunctions. Results: For both global scales of the SES (affective and sensorial perception of pain) statistically significant between-group difference and the intra-group longitudinal changes could not be demonstrated. The most obvious improvement was found for the affective sensation of pain, diminishing from 35.9 to 31.6 (-4.3; 95% CI: -9.4 to 0.8; p=0.09). This figure dropped further up to the time of the follow-up. At the end of the study period the difference reached the significance limit (-2.7; 95% CI: -4.7 to -0.7; p=0.01). The SF-36 physical health score (KSK) in the study period improved only slightly, the mental health score (PSK), on the other hand, improved 10.1 (95% CI: 1.6 to 18.5; p=0.02). During the follow-up period the KSK showed further improvement, the PSK was basically c…
description: Studienziel: Evaluation der Hypothese, die osteopathische Behandlung von Frauen, die an Endometriose leiden, kann zu Schmerzreduktion und Verbesserung der Lebensqualität beitragen. Studiendesign: Randomisierte kontrollierte klinische Studie. Setting: Die Studie wurde von zwei an der Schule für klassische Osteopathische Medizin (SKOM) ausgebildeten Osteopathen in privaten Praxisräumen in Hamburg, Berlin, Kassel und Osnabrück durchgeführt. Patienten: An der Studie nahmen insgesamt 27 Patientinnen (im Mittel 35 ± 4,8 Jahre alt) mit histologisch gesichertem Endometriosebefund und regelmäßigen Beschwerden teil. Über eine externe Randomisierung wurden 14 Frauen der Interventionsgruppe zugeteilt und 13 der Kontrollgruppe. Intervention: Die Frauen der Interventionsgruppe erhielten 4 osteopathische Behandlungen im Abstand von je 3 Wochen, die Patientinnen der Kontrollgruppe blieben für einen 10-wöchigen Zeitraum unbehandelt. Ein Follow-up nach 5 Monaten wurde in die Studiendurchführung eingeplant. Zielparameter: Primärer Zielparameter war die Schmerzempfindung, erfasst über die Schmerzempfindungsskala SES. Als sekundäre Zielparameter fungierten Lebensqualität (SF-36), Schmerzfrequenz und Schmerzmittelkonsum (Tagebuch) sowie die Erfassung der osteopathischen Dysfunktionen. Ergebnisse: Der Inter- und Intragruppenvergleich bezüglich des primären Zielparameters Schmerzempfindung zeigt für die beiden Globalskalen der SES (affektiver und sensorischer Schmerz) keine statistisch signifikante Verbesserung. Die SES Globalskala „affektiver Schmerz“ verbessert sich am deutlichsten, mit einer Verringerung von 35,9 auf 31,6 (-4,3; 95% CI: -9,4 bis 0,8; p=0,09). Dieser Wert fiel bis zum Follow-up, die Differenz zum Endwert der Studienzeit erreichte die statistische Signifikanzgrenze (-2,7; 95% CI: -4,7 bis -0,7; p=0,01). Die körperliche Summenskala (KSK) des SF-36 verbesserte sich nur geringfügig, die psychische Summenskala (PSK) hingegen um 10,1 (95% CI: 1,6 bis 18,5; p=0,02). Bezogen auf…
presented at: https://www.osteopathicresearch.com/api/items/1492
date accepted: 2009
date submitted: 1.10.2009 00:00:00
type: randomized_controlled_trial
language: German
num pages: 0
owner: 102
identifier: 14605
identifier: 1231
subject: Endometriosis,Osteopathic Treatment
status: 0

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https://www.osteopathicresearch.com/api/items/1492
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url: /s/orw/item/1492
display title: Akademie für Osteopathie (AFO), Deutschland

https://www.osteopathicresearch.com/api/items/1794
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id: 1794
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title: A qualitative study of osteopaths’ beliefs about pain management for patients with symptomatic endometriosis
created: 2021-01-27T17:48:26+00:00
modified: 2021-01-27T22:19:50+00:00
item set: https://www.osteopathicresearch.com/api/item_sets/1498
site: https://www.osteopathicresearch.com/api/sites/1
alternative: A qualitative study of osteopaths’ beliefs about pain management for patients with symptomatic endometriosis
creator: Callan Nuala
abstract: Background: Two million UK females of reproductive age live with endometriosis (NHS, 2010). Current research fails to identify definitively the onset, aetiology or progression of endometriosis, hence no cure has been found. This condition commonly presents to osteopaths as pain (Stone, 2007) but there is limited research regarding how osteopathic treatment may help patients living with symptomatic endometriosis (Tettambel, 2005). Objectives: The study explored osteopaths’ beliefs and experiences of treating patients with symptomatic endometriosis to identify whether patients appear to benefit from osteopathic treatment. Method: Eight semi-structured interviews were conducted with a purposive sample of osteopaths Interviews were analysed using content analysis consistent with elements of grounded theory. Results: Eight main themes emerged; osteopaths’ interests, sites of pain, types of pain, aims of treatment, osteopathic techniques used, treatment thought to reduce symptoms/increase symptoms and contraindications. Conclusions: This sample of osteopaths believed endometriosis was oestrogen dependent. The 1-4 grading of endometriosis was crucial to understand the effect of osteopathic treatment. It was concluded that osteopathic treatment in grade 1-2 endometriosis could help to reduce symptoms but 3-4 required Gonadotrophin Releasing Hormone (GnRH) inhibition or surgical intervention.
description: Background: Two million UK females of reproductive age live with endometriosis (NHS, 2010). Current research fails to identify definitively the onset, aetiology or progression of endometriosis, hence no cure has been found. This condition commonly presents to osteopaths as pain (Stone, 2007) but there is limited research regarding how osteopathic treatment may help patients living with symptomatic endometriosis (Tettambel, 2005). Objectives: The study explored osteopaths’ beliefs and experiences of treating patients with symptomatic endometriosis to identify whether patients appear to benefit from osteopathic treatment. Method: Eight semi-structured interviews were conducted with a purposive sample of osteopaths Interviews were analysed using content analysis consistent with elements of grounded theory. Results: Eight main themes emerged; osteopaths’ interests, sites of pain, types of pain, aims of treatment, osteopathic techniques used, treatment thought to reduce symptoms/increase symptoms and contraindications. Conclusions: This sample of osteopaths believed endometriosis was oestrogen dependent. The 1-4 grading of endometriosis was crucial to understand the effect of osteopathic treatment. It was concluded that osteopathic treatment in grade 1-2 endometriosis could help to reduce symptoms but 3-4 required Gonadotrophin Releasing Hormone (GnRH) inhibition or surgical intervention.
presented at: https://www.osteopathicresearch.com/api/items/1472
date accepted: 2011
date submitted: 3.2.2012 00:00:00
type: osteo_thesis
language: English
identifier: 15042
identifier: 780
subject: Endometriosis, Endometriosis Treatment, Osteopathic Treatment of Endometriosis, Endometriosis and Pain Management
status: 0

https://www.osteopathicresearch.com/api/items/1472
type: resource:item
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is public: true
value resource id: 1472
value resource name: items
url: /s/orw/item/1472
display title: British School of Osteopathy

https://www.osteopathicresearch.com/api/items/1189
type: Item
id: 1189
is public: true
owner: https://www.osteopathicresearch.com/api/users/2
resource template: https://www.osteopathicresearch.com/api/resource_templates/3
title: Approaches to hysterectomy
created: 2021-01-24T21:47:35+00:00
modified: 2021-02-02T20:28:15+00:00
item set: https://www.osteopathicresearch.com/api/item_sets/1498
site: https://www.osteopathicresearch.com/api/sites/1
site: https://www.osteopathicresearch.com/api/sites/2
creator: Aujla Jaskiran
abstract: BackgroundHysterectomy is the most common non-obstetric operation performed in the United States. Benign conditions account for over three quarters of the hysterectomies performed worldwide. There is little information from clinical trials on the effectiveness of the procedure for relieving symptoms and improving quality of life. Concerns about the appropriateness of the surgery have been heightened by reports of problems following the surgery, including changes in urinary function and depression. Method A sixteen point retrospective questionnaire was designed in order to ascertain hysterectomised women's demographic details. One hundred participants took part in the study. They were all patients at BCOM. The aim of the study was to ascertain if they had tried or would have liked to try natural alternatives to their surgery. Results Twenty-two women had tried natural alternatives, the remaining seventy-eight would all have liked to try alternatives, but were unaware of any. Of the 22 participants who tried natural alternatives, the majority (20), were largely educated above the age of 18. The main indications for hysterectomy were Leiomyomata, menstrual problems, Endometriosis and prolapse. Leiomyomata were found to be the most important indication in nulliparous women whilst prolapse was found to be the main indication in women with three or more children. Black women had their hysterectomies at the youngest age whilst Asian women were the oldest women to have hysterectomies. As well as symptoms, such as pain and heavy bleeding, disappearing post-hysterectomy a variety of new problems arose after surgery including incontinence and hot flashes. Conclusion The ultimate judge of whether hysterectomy is successful is to ascertain whether participants would have the surgery again. Many factors may influence this decision, route and type of hysterectomy as well as partner supportiveness. Almost one fifth of participants would not undergo this procedure again. This shows …
presented at: https://www.osteopathicresearch.com/api/items/1485
date accepted: 0
date submitted: 1.1.1970 00:00:00
type: osteo_thesis
language: English
owner: 62
identifier: 13568
identifier: 1076
status: 0

https://www.osteopathicresearch.com/api/sites/2
id: 2

https://www.osteopathicresearch.com/api/items/1485
type: resource:item
property id: 74
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is public: true
value resource id: 1485
value resource name: items
url: /s/orw/item/1485
display title: British College of Osteopathic Medicine

https://www.osteopathicresearch.com/api/items/688
type: Item
id: 688
is public: true
owner: https://www.osteopathicresearch.com/api/users/2
resource template: https://www.osteopathicresearch.com/api/resource_templates/3
title: Can osteopathic treatment promote hormonal balance in woman with endometriosis?
created: 2021-01-24T21:47:21+00:00
modified: 2021-02-02T20:28:11+00:00
item set: https://www.osteopathicresearch.com/api/item_sets/1498
site: https://www.osteopathicresearch.com/api/sites/1
site: https://www.osteopathicresearch.com/api/sites/2
creator: Vandewiele, F
abstract: Introduction: In light of the recent radical change toward evidence based practice approach. Manual therapy is being evermore questioned. Osteopathy, therefore must establish justification primarily through physiological rational and controlled studies, rather than relying on empirical data. In the following study, key concepts of the efficacy of osteopathic treatment with regards to endometriosis will be discussed and assessed, with respect to recent research and osteopathic precepts. It is hoped the outcome of this review will turn on or not the evidence that there is a disconnection between the precepts or paradigm of osteopathic understanding of the adaptive body and the main stream.Method: The nature of the project involved data reading, gathering, and synthesis of as much evidence based research information the author could get to optimize research and come up with the subsequent analysis. The author analyzed 123 articles (published or not) through electronic search via Greenwich University or internet (Google) and 42 different books from libraries. Given the vast scope of the subject as, it made the electronic searches limited in time therefore earlier references were also included, as far as 1958 and 1899 for Osteopathy, detailing more historic roots to construct opinion.
presented at: https://www.osteopathicresearch.com/api/items/1490
date accepted: 2013
date submitted: 20.1.2015 16:42:59
type: osteo_thesis
language: English
owner: 62
identifier: 15476
identifier: 1229
subject: Endometriosis.
status: 0

https://www.osteopathicresearch.com/api/items/1490
type: resource:item
property id: 74
property label: presented at
is public: true
value resource id: 1490
value resource name: items
url: /s/orw/item/1490
display title: European School of Osteopathy

https://www.osteopathicresearch.com/api/items/633
type: Item
id: 633
is public: true
owner: https://www.osteopathicresearch.com/api/users/2
resource template: https://www.osteopathicresearch.com/api/resource_templates/3
title: Investigating the possible relationship between post-surgical adhesions, reported pain and scar tissue quality following Caesarean section using transabdominal ultrasound.
created: 2021-01-24T21:47:19+00:00
modified: 2021-05-06T19:05:55+00:00
item set: https://www.osteopathicresearch.com/api/item_sets/1498
site: https://www.osteopathicresearch.com/api/sites/1
site: https://www.osteopathicresearch.com/api/sites/2
creator: Spens, K
abstract: Title: Investigating the possible relationship between post-surgical adhesions, reported pain and scar tissue quality following Caesarean Section (SC) surgery using Trans-abdominal Ultrasound (TAUS). Introduction: CS is increasingly popular worldwide, despite the many complications it poses for the patient. The relationship between scar tissue quality, impact on patient quality of life and symptoms following CS, in combination with TAUS assessment of adhesions is poorly understood. Method: In this Causative study, CS scars in women with a history of transverse lower-segment CS were measured using TAUS. The relationship between visceral slide (VS) and adhesion criteria (ADH) on TAUS, tissue quality results from Patient and Observer Scar Assessment Scale (POSAS) and clinical symptoms recorded from a Numerical Rating Scale (NRS) Questionnaire were evaluated. Women with existing Gynaecological conditions including, Endometriosis, Fibroids, Polyps and Malignancy were excluded from the study.as were pregnant women. TAUS VS was calculated as <1cm movement for adhesions and ADH findings were classified into categories; 0-3 (low adhesions) and 4-6 (high adhesions). The relationship between NRS, POSAS and TAUS findings were calculated using Fishers Exact. NRS and POSAS were calculated for correlation using Spearman Correlation Coefficient.Results: 32 women were assessed by TAUS in two groups; 22 participants with a history of 1-3 CS (mean 1.14). 10 participants with a history of 1-2 vaginal deliveries (mean 0.82), were included in the control population for comparison. Reduced VS was found to have an association with increased pelvic pain (p<0.043) and increased CS scar pain (p<0.004). The null hypothesis that there is not an association between adhesion presence and pain levels was disproved.Conclusion: TAUS in the detection of post-operative adhesions showed positive associations to pelvic pain (NRS) and scar pain (POSAS). The study design requires minor modification for va…
presented at: https://www.osteopathicresearch.com/api/items/1490
date accepted: 2014
date submitted: 20.1.2015 16:43:40
type: osteo_thesis
language: English
owner: 62
identifier: 15531
identifier: 1229
subject: Scar, Sonography, POSAS.
status: 0