Osteopathic Research Web

RESEARCH AS TO THE EFFECT OF INTERNAL MANUAL TECHNIQUES AS PART OF AN OSTEOPATHIC TREATMENT ON PAIN INTENSITY IN PRIMARY DYSMENORRHEA: A SINGLE BLIND RANDOMIZED PLACEBO CONTROLLED CLINICAL INVESTIGATION

Item

Title

RESEARCH AS TO THE EFFECT OF INTERNAL MANUAL TECHNIQUES AS PART OF AN OSTEOPATHIC TREATMENT ON PAIN INTENSITY IN PRIMARY DYSMENORRHEA: A SINGLE BLIND RANDOMIZED PLACEBO CONTROLLED CLINICAL INVESTIGATION

Abstract

Abstract
AUTHOR: Vanexem Liesbeth TUTOR: Leduc Michel METHODOLOGICAL TUTOR: Quaghebeur Jörgen YEAR: 2017
TITLE: Research as to the effect of internal manual techniques as part of an osteopathic treatment on pain intensity in primary dysmenorrhea.
RESEARCH TITLE: Research as to the effect of internal manual techniques as part of an osteopathic treatment on pain intensity in primary dysmenorrhea: A single blind randomized placebo controlled clinical investigation.
BACKGROUND: Primary dysmenorrhea (PD) is a prevalent and a debilitating condition. Prostaglandins (PG) are considered to be the main cause of painful menstrual cramps. OBJECTIVE: To investigate the effectiveness of osteopathic treatment on women with PD. METHOD: Three osteopathic treatments based on osteopathic principles were given at intervals of 21-28 days in the osteopathic group (O). The placebo group (P) received an intervention with sham Microcurrent. A visual analogue scale (VAS) was used to evaluate the pain intensity (PI) immediately, one day after treatment, and at the start of the second and third menstrual cycle. RESULTS: Twenty three women were randomized into an O and a P. The O (N=12; 26.92 ± 5.66 years of age) was significant older compared to the P (N=11; 21.36 ± 2.42 years of age) (MW-U p: .0094) The body mass index (BMI) was 21.95 ± 2.61. The power of analysis: 75.5%. The Wilcoxon test showed no significance for both immediately after (IE, p= .18) and one day after (STE, p= .09) the treatment. However, a significant medium (MTE, p= .0006) and long term (LTE, p= .02) effect of the osteopathic treatment over sham intervention was demonstrated. This was confirmed using a linear mixed model. DISCUSSION: Mixed model analysis showed that the difference in age between O and P had no influence on the treatment results. BMI proved to be a significant explanatory variable: the higher the BMI, the higher the value on the VAS-score (linear mixed model, respective Wald test statistic; p= .034). The results of the IE and STE could not be interpreted due to poor power levels. The results of the MTE and LTE supported the hypothesis that patients experience less pain after an osteopathic treatment. CONCLUSION: Significant positive treatment effects on both the medium and the long term, as a result of osteopathic treatment, has been shown for pain intensity. These results were confirmed using a linear mixed model.
 
Keywords: primary dysmenorrhea, dysmenorrhea, menstrual pain, osteopathic treatment, visual analogue scale

presented at

FICO

Date Accepted

0

Date Submitted

17.9.2017 18:32:35

Type

osteo_thesis

Language

English

Submitted by:

4282

Pub-Identifier

16005

Inst-Identifier

1169

Recommended

1

Item sets

Thesis

“RESEARCH AS TO THE EFFECT OF INTERNAL MANUAL TECHNIQUES AS PART OF AN OSTEOPATHIC TREATMENT ON PAIN INTENSITY IN PRIMARY DYSMENORRHEA: A SINGLE BLIND RANDOMIZED PLACEBO CONTROLLED CLINICAL INVESTIGATION”, Osteopathic Research Web, accessed May 6, 2024, https://www.osteopathicresearch.com/s/orw/item/1714