Original title: (Osteopathic treatment of irritable bowel syndrome - A review)


Osteopathische Medizin, 2016/12, 17(4):22-26. doi: 10.1016/S1615-9071(16)30083-1, type of study: ,rev,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Full text    (https://www.sciencedirect.com/science/article/pii/S1615907116300831?via%3Dihub)

Keywords:

irritable bowel syndrome [42]
abdominal pain [23]
gastrointestinal disorders [10]
irritable colon [3]
IBS [36]
osteopathic manipulative treatment [3945]
OMT [3924]
quality of life [126]
obstipation [4]
diarrhea [6]
review [753]

Abstract:

Background: Irritable bowel syndrome (IBS) is a complex, chronically and functional gastrointestinal disease. Case studies of osteopathic interventions demonstrate positive effects. Objectives: The purpose was to evaluate the effects of osteopathic treatment for adult patients with IBS in comparison with control interventions. The osteopathic treatment strategies were also investigated. Methods: A systematic sensitive literature search was performed using electronic medical and osteopathic databases. Randomized controlled studies with adult IBS patients who received an osteopathic treatment were included. Primary outcomes were quality of life, abdominal pain and IBS symptoms. Secondary outcome was the influence on psychological comorbidities. Results: 4 RCTs with a low to medium risk of bias indicate positive and in a majority of cases significant short and medium-termed effects on quality of life, abdominal pain and partly on IBS symptoms. Additionally one study indicates an influence on psychological comorbidities. Partly there are significant group differences. The osteopathic treatment consisted of local visceral mobilization techniques and treatment of different parts of the autonomic nervous system. Conclusion: Osteopathy improves quality of life, abdominal pain and IBS symptoms.