探索手工治疗在成人肠易激综合征的管理：一个范围回顾。

IF 3.3 3区医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary therapies in medicine Pub Date : 2025-01-27 DOI:10.1016/j.ctim.2025.103136

Natalia Płóciennik-Korycka , Sara Maria Pani , Bogumiła Bruc , Paolo Contu , Magdalena Wrzesińska

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引用次数: 0

摘要

IBS是一种常见的肠脑相互作用障碍，其特征是腹痛和排便习惯改变，显著影响生活质量（QoL）。肠易激综合症导致大量缺勤和经济负担，并经常与其他身体和精神疾病共存，心理健康是生活质量的关键决定因素。肠易激综合征患者往往转向MT由于对传统治疗的不满。然而，尚无全面的综述评估MT治疗IBS的证据。目的：本综述的目的是识别和绘制关于各种手工治疗（MT）技术对肠易激综合征（IBS）患者的生物心理社会功能、幸福感和生活质量影响的现有证据。方法：在PubMed、Embase、Scopus中进行综合检索。纳入了涉及成人肠易激综合征的研究，并调查了MT对生物、心理和社会结果、幸福感或生活质量的影响。根据PRISMA-ScR指南进行了范围审查。研究质量采用国家心肺血液研究所（NHLBI）研究质量评估工具进行评估。本综述的方案已在开放科学框架（Open Science Framework）注册，可在https://doi.org/10.17605/OSF.IO/QN4WU.Results上查阅：在确定的730条记录中，有30项研究符合纳入标准（9项试验，21篇综述）。干预措施包括骨科手法治疗（OMT）、针灸、指压、反射疗法、中医脊柱矫形手法和推拿。最常被评估的结果是生物和心理变量，以及生活质量，而幸福感是最不常被检查的。结论：尽管结果表明MT在IBS治疗中的潜在益处，但由于缺乏强有力的试验，不一致的发现和偶尔的不良事件，应谨慎解释。高质量的随机对照试验和标准化的结果测量是验证这些疗法和改善IBS管理的必要条件。

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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Exploring manual therapy in the management of irritable bowel syndrome in adults: A scoping review

Introduction

IBS is a prevalent gut-brain interaction disorder characterized by abdominal pain and altered bowel habits, significantly affecting quality of life (QoL). IBS contributes to substantial work absenteeism and economic burdens and often coexists with other somatic and psychiatric conditions, with psychological well-being being a critical determinant of QoL. IBS sufferers often turn to MT due to dissatisfaction with conventional treatments. However, no comprehensive review has assessed the evidence for MT in treating IBS.

Objective

The objective of this review is to identify and map the available evidence on the effects of various manual therapy (MT) techniques on the biopsychosocial functioning, well-being, and QoL of individuals with irritable bowel syndrome (IBS).

Methods

A comprehensive search was conducted in PubMed, Embase, and Scopus. Studies involving adults with IBS and investigating the effects of MT on biological, psychological, and social outcomes, well-being, or QoL were included. A scoping review was conducted following PRISMA-ScR guidelines. Study quality was assessed using The National Heart, Lung and Blood Institute (NHLBI) Study Quality Assessment Tools. The protocol for this review was registered with the Open Science Framework and is available at https://doi.org/10.17605/OSF.IO/QN4WU.

Results

Of 730 records identified, 30 studies met the inclusion criteria (9 trials, 21 reviews). The interventions reviewed included osteopathic manipulative treatment (OMT), acupuncture, acupressure, reflexology, traditional Chinese spinal orthopaedic manipulation, and Tuina. The most frequently assessed outcomes were biological and psychological variables, as well as QoL, with well-being being the least commonly examined.

Conclusions

Although the results suggest potential benefits of MT in IBS treatment, they should be interpreted with caution due to the lack of robust trials, inconsistent findings, and occasional adverse events. High-quality randomized controlled trials and standardized outcome measures are necessary to validate these therapies and improve IBS management.

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来源期刊

Complementary therapies in medicine 医学-全科医学与补充医学

CiteScore

8.60

自引率

2.80%

发文量

101

审稿时长

112 days

期刊介绍： Complementary Therapies in Medicine is an international, peer-reviewed journal that has considerable appeal to anyone who seeks objective and critical information on complementary therapies or who wishes to deepen their understanding of these approaches. It will be of particular interest to healthcare practitioners including family practitioners, complementary therapists, nurses, and physiotherapists; to academics including social scientists and CAM researchers; to healthcare managers; and to patients. Complementary Therapies in Medicine aims to publish valid, relevant and rigorous research and serious discussion articles with the main purpose of improving healthcare.