Osteopathic Manual Treatment can lessen pain in women with deep dyspareunia

Item

Title
Osteopathic Manual Treatment can lessen pain in women with deep dyspareunia
Title
El Tratamiento Manual Osteopático disminuye el dolor en las mujeres que sufren dispareunia profunda
Author(s)
Triay Salamanca, Sílvia
Abstract
This experimental study evaluates the influence of Osteopathic ManualTreatment (OMT) in women suffering deep dyspareunia, that is to say, genitalpain during sexual intercourse. Cases with gastrointestinal and/or genitourinarypathologies, or with psychological important affectations wereexcluded from the sample; so only women with muscle skeletal and/or softtissues dysfunctions were included in the study.The most common mechanical reasons of dyspareunia, are the dysfunctionslocated at the cervix, at the pelvic floor, ligaments injuries, and nervousimpingements due to scars and/or adherences.This research, consists of a study group and a control group of 7 women eachone, aged between 25 and 45 years old. The study group received 4treatments sessions, with a period of time of 2 weeks between them. At eachsession OMT was applied with a global approach, in which Thoraco-lumbarjunction (T/L) was taken into consideration, for its neurological implicationwith the female genital system; the uterine neck and the ligaments thatdetermine the functioning of the cervix and therefore of the uterus. Thefibrous center of the perineum (FCP) was also considered for its contribution inthe functioning of the pelvic floor and finally, the cervical area (C0-C3) wasevaluated due to its mechanical and neurological relation with the cranium.The control group received 3 sessions of placebo treatment, with a period oftime of one week between them; which consisted of the application of 10minutes of ultrasound in the supra-pubic zone with intensity equal to 0.The total percentage of improvement of the OMT group was 71,42 %, whereasin the group that received the treatment placebo, the above mentionedpercentage of improvement was 28,57 %. This result shows that in the groupof intervention the improvement was more than double than at the controlgroup; though due to the size of the sample, it was not possible to determinethe statistical significance of the study. The differences found between theOMT group and the group control allows us to suppose that a positive effect ofthe treatment exists.At the discussion there is noticed the importance of restoring the segmentalinformation at the spinal cord level, as well as those somatic dysfunctions atthe cervix and of the pelvic floor, for hereby, regulating and restoring themechanical, neurological, vascular and visceral function. As conclusion, thepresent study suggests that the global approach of OMT can influencepositively the improvement of the deep dyspareunia, however there is a needof future research to validate the above mentioned affirmation.
Date Accepted
2010
Date Submitted
10.2.2012 09:54:23
Type
osteo_thesis
Language
Spanish
Number of pages
63
Submitted by:
84
Pub-Identifier
15136
Inst-Identifier
1049
Keywords
Osteopathic Manual Treatment, dyspareunia
Recommended
0
Medium
silvia_triay.pdf.pdf
Item sets
Thesis

Triay Salamanca, Sílvia, “Osteopathic Manual Treatment can lessen pain in women with deep dyspareunia”, Osteopathic Research Web, accessed May 5, 2024, https://www.osteopathicresearch.com/s/orw/item/2384