Osteopathic manual treatment in women with endometriosis: A scoping review on clinical symptoms, fertility and quality of life

IF 1.1 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

International Journal of Osteopathic Medicine Pub Date : 2024-09-10 DOI:10.1016/j.ijosm.2024.100733

Magalie De Strooper , Len De Nys , Lieselot Theys , Alain Vermeersch , Jörgen Quaghebeur

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引用次数: 0

Abstract

Background

Endometriosis presents significant treatment challenges and economic burdens, necessitating the exploration of alternative therapies such as Osteopathic Manual Treatment (OMT) to potentially improve patient outcomes.

Objective

This scoping review aimed to systematically map existing research on the intervention effects of OMT's on clinical symptoms, fertility, and quality of life in women with endometriosis, and review the current quality of evidence regarding these outcomes.

Design

Databases, including PubMed, Web of Science, Cochrane Library, and others, were searched until July 31, 2024 following PRISMA-ScR guidelines. The methodological quality was evaluated using the Joanna Briggs Institute (JBI) and Newcastle-Ottawa Quality Assessment Scale (NOS).

Results

The review included thirteen studies revealing low-to-moderate quality evidence for OMT to increase pregnancy success rates and improve quality of life. There is limited evidence for improvements in clinical symptoms such as dyspareunia, and dysmenorrhea. Small sample sizes, methodological variability, and the lack of control groups in many studies limit the current evidence.

Conclusion

The synthesis discovered a body of evidence suggesting OMT's potential to improve a range of symptoms associated with endometriosis. However, the current evidence base has several methodological limitations, including small sample sizes, lack of control groups, and the predominance of observational study designs. These limitations mitigate the strength of the conclusions that can be drawn regarding OMT's efficacy; and highlights the imperative for well-designed randomized controlled trials that can offer more definitive evidence.

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子宫内膜异位症妇女的整骨疗法：关于临床症状、生育能力和生活质量的范围综述

背景子宫内膜异位症给治疗带来了巨大挑战和经济负担，因此有必要探索替代疗法，如整骨疗法（OMT），以改善患者的治疗效果。本范围综述旨在系统地梳理现有研究，了解整骨疗法对子宫内膜异位症女性患者的临床症状、生育能力和生活质量的干预效果，并对这些结果的现有证据质量进行审查。采用乔安娜-布里格斯研究所（Joanna Briggs Institute，JBI）和纽卡斯尔-渥太华质量评估量表（Newcastle-Ottawa Quality Assessment Scale，NOS）对方法学质量进行了评估。在改善临床症状（如排便困难和痛经）方面的证据有限。样本量小、方法多变以及许多研究缺乏对照组等因素限制了现有证据的有效性。然而，目前的证据基础在方法上存在一些局限性，包括样本量小、缺乏对照组以及观察性研究设计占主导地位。这些局限性削弱了就 OMT 的疗效得出结论的力度；同时也凸显了进行精心设计的随机对照试验以提供更确切证据的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Osteopathic Medicine 医学-医学：内科

CiteScore

2.20

自引率

36.80%

发文量

审稿时长

3 months

期刊介绍： The International Journal of Osteopathic Medicine is a peer-reviewed journal that provides for the publication of high quality research articles and review papers that are as broad as the many disciplines that influence and underpin the principles and practice of osteopathic medicine. Particular emphasis is given to basic science research, clinical epidemiology and health social science in relation to osteopathy and neuromusculoskeletal medicine. The Editorial Board encourages submission of articles based on both quantitative and qualitative research designs. The Editorial Board also aims to provide a forum for discourse and debate on any aspect of osteopathy and neuromusculoskeletal medicine with the aim of critically evaluating existing practices in regard to the diagnosis, treatment and management of patients with neuromusculoskeletal disorders and somatic dysfunction. All manuscripts submitted to the IJOM are subject to a blinded review process. The categories currently available for publication include reports of original research, review papers, commentaries and articles related to clinical practice, including case reports. Further details can be found in the IJOM Instructions for Authors. Manuscripts are accepted for publication with the understanding that no substantial part has been, or will be published elsewhere.