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The effectiveness of osteopathic treatment in women with endometriosis-related pain

Journal: Unpublished MSc thesis Wiener Schule für Osteopathie, Date: 2011/06, Pages: 78, type of study: clinical trial

Free full text   (https://www.osteopathicresearch.org/s/orw/item/2887)

Keywords:

endometriosis [15]
chronic pelvic pain [22]
quality of life [86]
OMT [2951]
osteopathic manipulative treatment [2973]
clinical trial [612]
WSO [433]

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. 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 present study indicates that osteopathic treatment can be an acceptable tool in the treatment of endometriosis-related pain. Nevertheless, due to known and unknown factors it cannot constitute a universal statement. More research to understand the connection between pain in endometriosis patients and osteopathy is needed.


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