The Role of Osteopathic Care in Gynaecology and Obstetrics: An Updated Systematic Review.

Autor:	Ruffini N; National Centre Germany, Foundation COME Collaboration, 10825 Berlin, Germany.; Centre pour l'Etude, la Recherche et la Diffusion Ostéopathiques 'C.E.R.D.O.', 00199 Rome, Italy., D'Alessandro G; Centre pour l'Etude, la Recherche et la Diffusion Ostéopathiques 'C.E.R.D.O.', 00199 Rome, Italy.; Clinical-Based Human Research Department, Foundation COME Collaboration, 65121 Pescara, Italy., Pimpinella A; Centre pour l'Etude, la Recherche et la Diffusion Ostéopathiques 'C.E.R.D.O.', 00199 Rome, Italy., Galli M; Clinical-Based Human Research Department, Foundation COME Collaboration, 65121 Pescara, Italy.; Research Department, SOMA, Istituto Osteopatia Milano, 20126 Milan, Italy., Galeotti T; Centre pour l'Etude, la Recherche et la Diffusion Ostéopathiques 'C.E.R.D.O.', 00199 Rome, Italy., Cerritelli F; Clinical-Based Human Research Department, Foundation COME Collaboration, 65121 Pescara, Italy., Tramontano M; Fondazione Santa Lucia IRCCS, 00179 Roma, Italy.
Jazyk:	angličtina
Zdroj:	Healthcare (Basel, Switzerland) [Healthcare (Basel)] 2022 Aug 18; Vol. 10 (8). Date of Electronic Publication: 2022 Aug 18.
DOI:	10.3390/healthcare10081566
Abstrakt:	Background: Many efforts are made to find safer and more feasible therapeutic strategies to improve gynaecological care. Non-pharmacological treatments, such as osteopathic interventions, could be used as complementary strategies to better manage different gynaecological conditions. This review aims to report the effectiveness of osteopathic treatment in the gynaecology and obstetrics field, updating the previous review published in 2016. The secondary aim was to elucidate the role of somatic dysfunction (SD) in osteopathic assessment and treatment procedures, as well as their health and economic implications. Methods: An electronic search was conducted in the following databases: Embase, MEDLINE (PubMed), and Science direct. All types of clinical studies published between May 2014 and December 2021 have been included: randomised controlled trial (RCT), controlled before/after, interrupted time series quasi RCT, case controls, case reports, case series, observational, clinical studies involving any type of osteopathic treatment, (standardised, semi-standardised or patients' need-based treatment) performed alone or in combination with other treatments, were included). Results: A total of 76,750 were identified through database searching and other sources. After the removal of duplicates, 47,655 papers were screened based on title and abstract. A total of 131 full-text articles were consequently assessed for eligibility. Twenty-one new articles were included in the synthesis. A total of 2632 participants with a mean age of 28.9 ± 10.5 years were included in the review. Conclusions: Results showed an effectiveness of osteopathic care in gynaecology and obstetrics, but the studies were too heterogeneous to perform quantitative analysis and make clinical recommendations. Nevertheless, osteopathic care could be considered a safe complementary approach to traditional gynaecological care.
Databáze:	MEDLINE
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