Irritable Bowel Syndrome–a Neurological Spine Problem
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2014, Vol 4, Issue 24
Abstract
Aim: To investigate if patients with Irritable bowel syndrome (IBS) have more findings in the physical examination indicating nerve involvement from spine segments Th7-L1 than people without gastrointestinal disorder. Study Design: Clinical randomized blinded case-control diagnostic study. Place and Duration of Study: Torvalla back and sports medical clinic and CeFAM at Karolinska Institutet, Stockholm, Sweden, Mars-May 2012. Methodology: Ten patients with IBS and six age-matched controls were randomly scheduled to a physical examination by two independent examiners who were blinded to the status of the person they examined. The physical examination followed a pre-determined protocol focused on neurological examination and palpation of the abdomen and the spine. Fischer´s exact test and Cohen’s kappa (K) test were used to analyze prevalence respectively inter-examiner reliability of examination findings. Results: Disturbed sensibility to pain in one or more of dermatomes T7-L1 was more prevalent in patients with IBS than controls (p=0.007 for both examiners). Tenderness on palpation of one or more of spinal processes T7-L1 was more prevalent in patients with IBS than controls (p=0.001 for examiner 1, p=0.008 for examiner 2). Inter-examiner reliability in the physical examination test for sensibility to pain and palpation of the abdomen was 100% (K=1.0). Conclusion: Patients with IBS have significantly more findings in the physical examination indicating nerve involvement from spine segments Th7-L1 than people without gastrointestinal disorder. Further work in larger cohorts and with added diagnostic methods is required to confirm our findings and if confirmed may open up for new treatment strategies of IBS.
Authors and Affiliations
B. C. Bertilson, A. Heidermark, M. Stockhaus
Keywords
Related Articles
- EP ID EP348976
- DOI 10.9734/BJMMR/2014/9746
- Views 66
- Downloads 0
Cancer Therapy by Nutritional Restrictions: Current Knowledge and Future Guidelines
Cancer therapy has been a major scientific and medical focus for decades, treatment of which has proven to be a challenging task, especially in the light of its escalating incidence all over the globe. The material and m...
Quality of Life in Critically Ill Patients: A Systematic Review
Objective: This paper aims to present a comprehensive literature review of Quality of Life (QOL) in patients who are suffering from serious medical illness as evidenced by receiving treatment in the intensive care settin...
Sedentary Behaviour and Life Satisfaction in High School Students
In the context of cultural and socio-economical changes, emerging from the dynamic development of technical civilization, a sedentary lifestyle is a phenomenon which is more and more common. The relationship between a se...
The Role of Antigravity Treadmill in Haemophilic Children Aged 8 to 11 Years with Unilateral Knee Haemarthrosis without Radiological Involvement
Background: Recurrent joint bleeding in children with hemophilia leads to joint damage with pain, loss of range of motion and function. Antigravity treadmill (AGT) allows unloading of the lower extremities during exercis...
Endocrown-A Unique Way of Retention-Case Report
All the teeth that have undergone root canal therapy require some form of restoration to enable them to function again. Endodontic treatment removes the vital contents of the canal, which subsequently leads to reduction...