Could Osteopathy Play a Role in the Management of Polycystic Ovary Syndrome (PCOS)?

Item

Title
Could Osteopathy Play a Role in the Management of Polycystic Ovary Syndrome (PCOS)?
Title
Could Osteopathy Play a Role in the Management of Polycystic Ovary Syndrome (PCOS)?
Author(s)
Skilton Ross
Abstract
Background: Polycystic Ovary Syndrome (PCOS) is a common disorder affecting 5-10% of reproductive age females. Chronic activation of the sympathetic nervous system (SNS), hypothalamic-pituitary-ovarian (HPO) and hypothalamic-pituitary-adrenal (HPA) axes may play a common role in pathogenesis and various associated risks. Objectives: To investigate whether osteopathy could be a plausible and beneficial adjunct to current medical management. Methods: A narrative review was conducted, investigating PCOS pathophysiology and the improvement in affected body systems using manual therapy in the non-PCOS population. Results: 30 articles were evaluated. Key themes identified included PCOS and the autonomic nervous system (ANS), PCOS and the neuroendocrine system (NES), and potential osteopathic influence on the ANS and NES. Conclusions: Evidence suggested that ANS and NES changes could be influenced by osteopathic management by addressing the psychosocial aspects of the patient, providing advice on lifestyle changes and employing manual therapy. Direct experimental evidence for specific osteopathic techniques in PCOS patients is lacking and specific research in this area is needed before a definitive conclusion can be reached.
Abstract
Background: Polycystic Ovary Syndrome (PCOS) is a common disorder affecting 5-10% of reproductive age females. Chronic activation of the sympathetic nervous system (SNS), hypothalamic-pituitary-ovarian (HPO) and hypothalamic-pituitary-adrenal (HPA) axes may play a common role in pathogenesis and various associated risks. Objectives: To investigate whether osteopathy could be a plausible and beneficial adjunct to current medical management. Methods: A narrative review was conducted, investigating PCOS pathophysiology and the improvement in affected body systems using manual therapy in the non-PCOS population. Results: 30 articles were evaluated. Key themes identified included PCOS and the autonomic nervous system (ANS), PCOS and the neuroendocrine system (NES), and potential osteopathic influence on the ANS and NES. Conclusions: Evidence suggested that ANS and NES changes could be influenced by osteopathic management by addressing the psychosocial aspects of the patient, providing advice on lifestyle changes and employing manual therapy. Direct experimental evidence for specific osteopathic techniques in PCOS patients is lacking and specific research in this area is needed before a definitive conclusion can be reached.
Date Accepted
2011
Date Submitted
3.2.2012 00:00:00
Type
osteo_thesis
Language
English
Pub-Identifier
15105
Inst-Identifier
780
Keywords
Polycystic ovary syndrome (PCOS), autonomic, neuroendocrine, hypothalamic-pituitary-adrenal axis (HPA axis), hypothalamic-pituitary-ovarian axis (HPO axis), sympathetic nervous system (SNS)
Recommended
0
Item sets
Thesis

Skilton Ross, “Could Osteopathy Play a Role in the Management of Polycystic Ovary Syndrome (PCOS)?”, Osteopathic Research Web, accessed April 30, 2024, https://www.osteopathicresearch.com/s/orw/item/1735