European Journal of Osteopathic Research, 2019/04, 1(1):28-37. doi: 10.35740/EJOR.2019.1.1.4, type of study: ,rct,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Free full text   (https://european-journal-of-osteopathic-research.com/v1/n1/osteopathic-treatment-of-the-genital-descensus/)

Keywords:

genital descensus [1]
pelvic organ prolapse [5]
postpartum [20]
pelvic floor muscle training [4]
biofeedback [17]
osteopathic manipulative treatment [3945]
OMT [3924]
women [607]
randomized controlled trial [947]

Abstract:

Background: Genital descensus (POP = Pelvic Organ Prolapse) is a common condition among women (postpartum) in all age groups. The standard treatment is still surgical correction followed by conservative therapies. An alternative method of treatment by osteopathy is still not widespread. Aims: There are treatment options analysed by osteopathy or PFMT (pelvic floor muscle training) with biofeedback/electrostimulation. The research question is: Is osteopathy in addition to the active practice by means of electrostimulation and biofeedback more successful than the practice using only the electrostimulations/biofeedback device. Methods: For this prospective, randomised controlled trial patients diagnosed with coxarthrosis were randomly allocated to an intervention group and a control group. The patients in the intervention group received osteopathic treatment on three occasions for nine weeks. The control group did not receive any treatment. At the beginning and the end of the study, all patients had to specify their level of pain in general, whether they felt pain at walking, when climbing stairs and when lying. In addition, patients were questioned about restrictions in their daily activities. Results: Both methods show a significant improvement (experimental group: p = <0.001; control group: p = 0.024) in the symptoms of genital prolapse of the bladder score. The difference in im-proving the symptoms in the experimental group is significantly higher (p = 0.005) compared to the control group. Within the secondary parameters is the improvement of gynaecological diagnosis and an enor-mous increase in muscle strength is clearly visible. Conclusions: Both methods represent an important alternative to surgical intervention. An osteo-pathic treatment is a very valuable add-on to standard conservative treatment.