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Re-discovery of self: the impact of osteopathic treatment on women who suffer from perimenstrual low backache

Journal: Unpublished PhD thesis University of Exeter, Date: 2003/01, , type of study: mixed methods study

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Keywords:

biography [5]
female [379]
low back pain [413]
menstruation [8]
mixed method study [52]
OMT [2951]
osteopathic manipulative treatment [2973]
women [333]

Abstract:

A small scale randomized placebo-controlled trial (n=20), the preliminary study, indicated that the osteopathic treatment evaluated in this study relieved perimenstrual low backache. The Visual Analogue Scale (VAS) and the Oswestry Low Back Pain Disability Questionnaire (OLBPDQ) were used to measure levels of pain and disability before and after the preliminary study group was treated. Independent 't' tests were performed to analyse the data, and results were found to be statistically significant applying a two-tailed hypothesis (VAS,t=2.941, p=0.009, OLBPDQ, t=2.289, p=0.034). However, the sample was too small to establish generalisable results. In the qualitative main study, patients related that before treatment their biographies were significantly disrupted and their 'lives rotated around the problem' so that they 'struggled to retain control'. After treatment the women underwent a biographical transformation: they had regained control of their lives. The unifying theme from analysis of these changes was that participants had undergone a 're-discovery of self- their body and self were re-aligned', a state in which the body is largely unproblematic. The findings from the preliminary study indicate that osteopathic treatment can relieve the symptoms of perimenstrual low backache. However, further quantitative research is needed with a similar trial protocol, subject to some minor modifications, using a larger number of patients if generalisability is to be established. The main study identified important characteristics of the impact of the study condition on the lives of sufferers and also identified the impact of the particular osteopathic treatment given. This therapy is seen as encompassing the therapeutic engagement between the practitioner-researcher and the individual patient. The analysis of this engagement and its nature, revealed the primary of a patient-centred clinical approach with a biopsychosocial model for the study problem at its heart. The findings point to changes in practice, educational approaches and future research and offer guidelines for patients and practitioners in the management of perimenstrual low backache.


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