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Comparison of Prevalence of Chapman’s Points In Subjects With Dysmenorrhea

Journal: Journal of Osteopathic Medicine Date: 2023/12, 123(12):Pages: A62. doi: Subito , type of study: observational study

Full text    (https://www.degruyter.com/document/doi/10.1515/jom-2023-2000/html)

Keywords:

Chapman&rsquo [2]
s points [2]
diagnosis [263]
dysmenorrhea [18]
female [379]
observational study [126]
women [333]

Abstract:

Statement of Significance: Chapman’s points are specific palpable areas which are tender to the touch indiciating “fascial congestions” displaying viscerosomatic reflexes of the body1. The phases of the menstrual cycle have varying hormonal fluctuations of estrogen and progesterone causing pain which can be severe in patients with dysmenorrhea. However, there is limited research about the prevalence of muscle tenderness/Chapman’s points throughout the phases of the cycle. To investigate the frequency of Chapman’s points in subjects with dysmenorrhea. Research Methods: Subjects with a diagnosis of dysmenorrhea were recruited for a study investigating the effects of Osteopathic Manipulative Treatment (OMT) on symptoms. Subjects received 6 OMT sessions over 3 weeks prior to their menstrual cycle. Two NMM/OMM board-certified osteopathic physicians screened the subjects for anterior or posterior Chapman’s points for the uterus, broad ligament, or ovaries. The presence of a Chapman’s point was confirmed by subject reported tenderness on palpation. Data Analysis: Chapman’s points were analyzed for 7 healthy female subjects, 127 unique tender points, using SPSS statistical software. Uterine points were found in 34.65% of subjects, broad ligament points were found in 33.86%, and ovarian points were found in 31.49% of subjects. The lowest frequency of Chapman’s points occurred during week 2 (3.88 points) and the highest frequency of points occurred during week 4 4.67 points). Although the means trended higher during week 4, there was not a statistically significant change. Conclusion: Uterine Chapman’s points proved most prevalent in subjects with dysmenorrhea. There was also an increase in the frequency of points during the course of the menstrual cycle towards the end of the luteal phase may be related to a progesterone peak. Limitations include small sample size and subjective scale of tenderness. Further research is needed to confirm the presence of Chapman’s points and effects of OMT on the points and clinical significance.


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