Osteopathic treatment of the genital descensus and its accompanying symptoms in women. A comparative pi-lot study of osteopathy and electrostimulation /biofeedback for the pelvic floor
| Autor: | Tim M Berra, Daniela Bogner |
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| Rok vydání: | 2019 |
| Předmět: |
Alternative methods
medicine.medical_specialty Pelvic organ 030219 obstetrics & reproductive medicine Pelvic floor business.industry Standard treatment medicine.medical_treatment 030232 urology & nephrology Biofeedback Pelvic Floor Muscle 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Osteopathy medicine Physical therapy Sex organ business |
| Zdroj: | European Journal of Osteopathic Research. 1:28-37 |
| ISSN: | 2699-2027 |
| DOI: | 10.35740/ejor.2019.1.1.4 |
| Popis: | Background: Genital descensus (POP = Pelvic Organ Prolapse) is a common condition among women (postpartum) in all age groups. The standard treatment is still surgical cor-rection followed by conservative therapies. An alternative method of treatment by osteopa-thy 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 suc-cessful than the practice using only the electrostimulations/biofeedback device? Methods: Clinical comparative study of 30 women. Throughout the observation period, all participants should get a biofeedback device. Half the women will also receive an osteo-pathic treatment. The primary target parameter of the score from the bladder SPSQ ques-tionnaire will be evaluated. As secondary parameters, a further 4 scores from the question-naire, a gynaecological diagnosis and the electromyogram of the biofeedback device are determined. Results: Both methods show a significant improvement (experimental group: p < 0.001; con-trol group: p = 0.024) in the symptoms of genital prolapse of the bladder score. The differ-ence in improving 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 enormous increase in muscle strength is visible. Conclusions: Both methods represent a relevant alternative to surgical intervention. Osteo-pathic treatment is a very valuable add-on to standard conservative treatment. Keywords: genital descensus, pelvic organ prolapse, pelvic floor muscle training, biofeed-back, osteopathy |
| Databáze: | OpenAIRE |
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