Effect of osteopathic manipulative treatment on primary pelvic pain - A systematic review with meta-analysis

IF 1.5 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

International Journal of Osteopathic Medicine Pub Date : 2025-12-01 Epub Date: 2025-09-08 DOI:10.1016/j.ijosm.2025.100786

Júlia G. Parada , Elirez B. da Silva , Ana Paula Fernandes , Guilhermo B. Portugal

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引用次数: 0

Abstract

Objective

Evaluate the effectiveness of osteopathic manipulative treatment on primary pelvic pain.

Methods

In May 2024, a systematic review was carried out in the MEDLINE, BVS, SciELO, PEDro, SCOPUS, Web of Science, Science Direct, CINAHL, Cochrane and Osteopathic Research databases. The inclusion criteria followed the PICOS strategy, including patients with cyclical or chronic primary pelvic pain, who underwent pragmatic OMT in comparison to another type of therapeutic resource and/or placebo, with pain measured as an outcome. For this review, only randomized controlled clinical trials evaluating the effect of osteopathic manipulative treatment on primary pelvic pain were selected.

Results

1157 studies were found; 5 studies were selected for this systematic review. Among them, 2 were women with primary dysmenorrhea, 2 with people with irritable bowel syndrome and 1 with men with chronic prostatitis. We analyzed the methodological quality and the risk of bias through the Jadad Scale and the Revised Cochrane risk-of-bias tool for randomized trials - RoB 2 respectively. We used the Grading of Recommendations Assessment, Development and Evaluation Approach - GRADE tool to assess the level of evidence. The meta-analysis of five studies, with six comparisons, showed that of the 204 participants, 109 who received OMT significantly decreased primary pelvic pain by -1.09 [95%CI = -1.79 to - 0.39] (p =0021).

Conclusion

Considering the results found in this meta-analysis, it is possible to conclude that osteopathic manipulative treatment can be effective in reducing cyclical or chronic primary pelvic pain and may be a new conservative treatment option. However, further studies are needed to improve the level of evidence.

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整骨疗法手法治疗原发性骨盆疼痛的效果——一项系统综述和荟萃分析

目的评价整骨手法治疗原发性盆腔疼痛的疗效。方法于2024年5月对MEDLINE、BVS、SciELO、PEDro、SCOPUS、Web of Science、Science Direct、CINAHL、Cochrane和Osteopathic Research数据库进行系统评价。纳入标准遵循PICOS策略，包括周期性或慢性原发性骨盆疼痛患者，与其他类型的治疗资源和/或安慰剂相比，接受实用OMT治疗的患者，以疼痛测量为结果。在本综述中，仅选择了评估骨科手法治疗原发性骨盆疼痛效果的随机对照临床试验。结果共发现1157项研究；本系统综述选取了5项研究。其中，女性原发性痛经2例，肠易激综合征2例，男性慢性前列腺炎1例。我们分别通过Jadad量表和经修订的Cochrane随机试验风险偏倚工具RoB 2来分析方法学质量和偏倚风险。我们使用分级推荐评估、发展和评价方法- GRADE工具来评估证据的水平。五项研究的荟萃分析，包括六项比较，显示在204名参与者中，109名接受OMT的患者原发性盆腔疼痛明显减轻了-1.09 [95%CI = -1.79至- 0.39]（p =0021）。考虑到本荟萃分析的结果，我们可以得出这样的结论：骨科手法治疗可以有效地减少周期性或慢性原发性盆腔疼痛，可能是一种新的保守治疗选择。然而，需要进一步的研究来提高证据水平。

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.