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Osteopathy improves the severity of irritable bowel syndrome: a pilot randomized sham-controlled study.
Eur J Gastroenterol Hepatol 2012; 24(8):944-9EJ

Abstract

BACKGROUND

Effective therapies for irritable bowel syndrome (IBS) are disappointing. Therefore, IBS patients have a growing interest for alternative medicines including osteopathy.

AIM

We aimed to evaluate the effect of osteopathy on the severity of IBS in a randomized sham-controlled trial.

METHODS

We prospectively assigned 30 patients with IBS (23F, 7M, mean age 45.8±16.4 years) fulfilling the Rome III criteria in a 2/1 ratio to receive either osteopathy or sham osteopathy. Two separate sessions were performed at a 7-day interval (days 0 and 7) with a further 3 weeks of follow-up (day 28). The primary outcome included at least a 25% improvement in the IBS severity score at day 7. The secondary outcomes included the impact of IBS on quality of life, psychological factors, and bowel habits.

RESULTS

The severity of IBS decreased in both groups at days 7 and 28. At day 7, this decrease was significantly more marked in patients receiving osteopathy compared with those receiving the sham procedure (-32.2±29.1 vs. -9.0±16.0, mean difference normalized to the baseline P=0.01). This difference did not persist at day 28 (P=0.4). Both anxiety and depression scores decreased without difference between groups. Stool frequency and consistency were not significantly modified.

CONCLUSION

Osteopathy improves the severity of IBS symptoms and its impact on quality of life. Osteopathy should therefore be considered for future research as an effective complementary alternative medicine in the management of IBS symptoms.

Authors+Show Affiliations

Osteopathic Center ATMAN, Sophia-Antipolis, France.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

22546751

Citation

Florance, Blanche-Maëlle, et al. "Osteopathy Improves the Severity of Irritable Bowel Syndrome: a Pilot Randomized Sham-controlled Study." European Journal of Gastroenterology & Hepatology, vol. 24, no. 8, 2012, pp. 944-9.
Florance BM, Frin G, Dainese R, et al. Osteopathy improves the severity of irritable bowel syndrome: a pilot randomized sham-controlled study. Eur J Gastroenterol Hepatol. 2012;24(8):944-9.
Florance, B. M., Frin, G., Dainese, R., Nébot-Vivinus, M. H., Marine Barjoan, E., Marjoux, S., ... Piche, T. (2012). Osteopathy improves the severity of irritable bowel syndrome: a pilot randomized sham-controlled study. European Journal of Gastroenterology & Hepatology, 24(8), pp. 944-9. doi:10.1097/MEG.0b013e3283543eb7.
Florance BM, et al. Osteopathy Improves the Severity of Irritable Bowel Syndrome: a Pilot Randomized Sham-controlled Study. Eur J Gastroenterol Hepatol. 2012;24(8):944-9. PubMed PMID: 22546751.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Osteopathy improves the severity of irritable bowel syndrome: a pilot randomized sham-controlled study. AU - Florance,Blanche-Maëlle, AU - Frin,Gregory, AU - Dainese,Raffaella, AU - Nébot-Vivinus,Marie-Hélène, AU - Marine Barjoan,Eugénia, AU - Marjoux,Sophie, AU - Laurens,Jean-Pierre, AU - Payrouse,Jean-Luc, AU - Hébuterne,Xavier, AU - Piche,Thierry, PY - 2012/5/2/entrez PY - 2012/5/2/pubmed PY - 2012/12/10/medline SP - 944 EP - 9 JF - European journal of gastroenterology & hepatology JO - Eur J Gastroenterol Hepatol VL - 24 IS - 8 N2 - BACKGROUND: Effective therapies for irritable bowel syndrome (IBS) are disappointing. Therefore, IBS patients have a growing interest for alternative medicines including osteopathy. AIM: We aimed to evaluate the effect of osteopathy on the severity of IBS in a randomized sham-controlled trial. METHODS: We prospectively assigned 30 patients with IBS (23F, 7M, mean age 45.8±16.4 years) fulfilling the Rome III criteria in a 2/1 ratio to receive either osteopathy or sham osteopathy. Two separate sessions were performed at a 7-day interval (days 0 and 7) with a further 3 weeks of follow-up (day 28). The primary outcome included at least a 25% improvement in the IBS severity score at day 7. The secondary outcomes included the impact of IBS on quality of life, psychological factors, and bowel habits. RESULTS: The severity of IBS decreased in both groups at days 7 and 28. At day 7, this decrease was significantly more marked in patients receiving osteopathy compared with those receiving the sham procedure (-32.2±29.1 vs. -9.0±16.0, mean difference normalized to the baseline P=0.01). This difference did not persist at day 28 (P=0.4). Both anxiety and depression scores decreased without difference between groups. Stool frequency and consistency were not significantly modified. CONCLUSION: Osteopathy improves the severity of IBS symptoms and its impact on quality of life. Osteopathy should therefore be considered for future research as an effective complementary alternative medicine in the management of IBS symptoms. SN - 1473-5687 UR - https://www.unboundmedicine.com/medline/citation/22546751/Osteopathy_improves_the_severity_of_irritable_bowel_syndrome:_a_pilot_randomized_sham_controlled_study_ L2 - http://Insights.ovid.com/pubmed?pmid=22546751 DB - PRIME DP - Unbound Medicine ER -