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Assessment of Low Back and Pelvic Pain after applying the Pelvis Global Manipulation Technique in Patients with Primary Dysmenorrhea: A Pilot Study

Journal: European Journal Osteopathy & Related Clinical Research Date: 2012/04, 7(1):Pages: 29-38, type of study: randomized controlled trial

Free full text   (https://www.europeanjournalosteopathy.com/index.php?journal=osteopatia_cientifica&page=article&op=view&path%5B%5D=64)

Keywords:

dysmenorrhea [18]
female [379]
low back pain [413]
OMT [2951]
osteopathic manipulative treatment [2973]
pelvic pain [58]
pilot study [104]
randomized controlled trial [710]
sacroiliac joint [59]
women [333]

Abstract:

Introduction: Primary Dysmenorrhea (PD) is a common gynaecological disorder in women of childbearing age. The most common premenstrual symptom is pain in the lower abdomen, followed by low back and pelvic pain. Objectives: We aim to assess the effect of global pelvic manipulation (GPM) on low back pain in subjects with PD through the evaluation of the: (i) self-perceived low back-pelvic pain; (ii) pressure pain threshold (PPT) in right and left sacroiliac joints (SIJ), and (iii) endogenous response of the organism to pain following catecholamines and serotonin release. Material and Methods: A randomized, double-blind, controlled clinical trial was performed to evaluated the efficacy of the GPM in the treatment of women with PD. Twenty patients (n=20) with PD were screened, ten (n=10) belonged to the control group (CG) and ten (n=10) to the experimental group (EG). The low back-pelvic pain was measured using Visual Analogue Scale (VAS) scores, the PPT was determined with a digital algometer, and a blood test was performed to determine catecholamines (adrenaline, noradrenalin, and dopamine) and serotonin levels. Results: A significant improvement of the PPT of both SIJ (p = 0.001) was observed in the EG, although there were no differences in the self-perceived low back-pelvic pain (p = 0.129). There was a nonstatistically significant increase in serotonin (p=0.447) and dopamine (p = 0.255) levels, as well as a nonsignificantly decrease in plasma levels of adrenaline (p = 0.819) and noradrenalin (p=0.218) in the EG. Conclusions: The bilateral GPM technique improves the PPT in both SIJ in patients with PD, but it does not affect the self-perceived low back-pelvic pain. The GPM also increases serotonin levels, but not significantly, although no changes are detected in the catecholamines plasma levels.


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