慢性功能性便秘妇女的疼痛阈值、腰骨盆活动度和姿势的成骨疗法腹部手动干预的有效性。

María José Martínez-Ochoa, Juan Carlos Fernández-Domínguez, Jose Miguel Morales-Asencio, Javier González-Iglesias, François Ricard, Ángel Oliva-Pascual-Vaca
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引用次数: 9

摘要

目的:评估骨科腹部人工干预(AMI)对慢性功能性便秘女性的压痛阈值(PPTs)、活动度、髋关节柔韧性和姿势的影响。设计:随机、双盲、安慰剂对照试验。环境/地点:研究对象通过转诊从马德里(西班牙)市不同的胃肠病学门诊诊所招募。研究对象:根据罗马第三次会议指南,62例慢性功能性便秘患者。干预措施:实验组(n = 31)行骨科AMI,对照组(n = 31)行假手术。结果测量:在干预前和干预后立即测量不同水平的PPTs,包括椎体水平C7, T3, T10, T11和T12,躯干屈曲活动范围(ROM),髋关节柔韧性和姿势。根据分析变量的分布正态性,使用独立样本的学生t检验或非参数U-Mann-Whitney检验来比较干预前后值之间的差异。结果:在组间比较中,T11 (p = 0.011)和T12 (p = 0.001)的PPT以及躯干屈曲ROM (p)的差异均有统计学意义(p)。结论:应用成骨性AMI具有良好的耐受性,并改善了肠神经支配相关区域的疼痛敏感性,以及腰椎屈曲。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness of an Osteopathic Abdominal Manual Intervention in Pain Thresholds, Lumbopelvic Mobility, and Posture in Women with Chronic Functional Constipation.

Objectives: To assess the effect of an osteopathic abdominal manual intervention (AMI) on pressure pain thresholds (PPTs), mobility, hip flexibility, and posture in women with chronic functional constipation.

Design: Randomized, double-blind placebo-controlled trial.

Setting/location: Subjects were recruited for the study by referral from different gastroenterology outpatient clinics in the city of Madrid (Spain).

Subjects: Sixty-two patients suffering from chronic functional constipation according to the guidelines of the Congress of Rome III.

Interventions: The experimental group (n = 31) received an osteopathic AMI, and the control group (n = 31) received a sham procedure.

Outcome measures: PPTs at different levels, including vertebral levels C7, T3, T10, T11, and T12, trunk flexion range of motion (ROM), hip flexibility, and posture, were measured before and immediately after the intervention. A comparison between the difference between the pre- and postintervention values using the Student's t test for independent samples or nonparametric U-Mann-Whitney test depending on the distribution normality of the analyzed variables was perfomed.

Results: In the intergroup comparison, statistically significant differences were found in PPT at T11 (p = 0.011) and T12 (p = 0.001) and also in the trunk flexion ROM (p < 0.05). Moreover, women showed no adverse effects with acceptable pain tolerance to the intervention.

Conclusion: The application of an osteopathic AMI is well tolerated and improves pain sensitivity in areas related to intestinal innervation, as well as lumbar flexion.

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