Osteopathic Manipulative Treatment of Primary Dysmenorrhea and Related Factors: A Randomized Controlled Trial
Journal Title: International Journal of Medical Research & Health Sciences (IJMRHS) - Year 2017, Vol 6, Issue 11
Abstract
Objectives: This study is aimed to evaluate if the osteopathic manipulative treatment (OMT) is effective in patients with primary dysmenorrhea (PD). Methods: Randomized single-blinded controlled trial with OMT group and lighttouch treatment (LTT) group. Recruited women were 18-40 years (mean age 27 years), with regular menstrual cycle, normal body mass index (BMI), and a medical diagnosis of PD. Intervention: Patients received fve OMT or fve LTT over a menstrual cycle. The primary outcomes were average menstrual pain assessed by the numeric rating scale (NRS), the duration of pain, and quality of life (QoL) assessed by the SF-12 Short Form Health Survey and Patient Global Impression Change (PGIC). The secondary outcomes were NSAIDs intake, hours of absence from school/work, and menstrual-related symptoms. Results: 31 subjects were enrolled, of which fve were excluded and the remaining 26 were randomized. Patients in OMT group had signifcant improvement in every outcome, including the average menstrual pain that decreased from 5.35 ± 0.28 to 1.98 ± 0.24 (-63.0%; p<0.001). The mean SF-12 physical component score (PCS) improved from 31.35 ± 1.70 to 49.56 ± 1.92 (+58.1%, p<0.001), the mean SF-12 mental component score (MCS) improved from 38.36 ± 1.16 to 52.04 ± 0.94 (+35.7%; p<0.001). LTT group showed no improvements. Conclusion: OMT was effective in reducing menstrual pain and improving Quality of Life of dysmenorrheic women.
Authors and Affiliations
Dario Zecchillo| Research Department, Istituto Superiore di Osteopatia (ISO), via Ernesto Breda 120 - 20126 Milan, Italy, Andrea Acquati| Research Department, Istituto Superiore di Osteopatia (ISO), via Ernesto Breda 120 - 20126 Milan, Italy, Alessandro Aquino| Research Department, Istituto Superiore di Osteopatia (ISO), via Ernesto Breda 120 - 20126 Milan, Italy, Gynecology and Obstetrics Department, Istituto Superiore di Osteopatia (ISO), via Ernesto Breda 120 - 20126 Milan, Italy, Viviana Pisa| Research Department, Istituto Superiore di Osteopatia (ISO), via Ernesto Breda 120 - 20126 Milan, Italy, Stefano Uberti| Research Department, Istituto Superiore di Osteopatia (ISO), via Ernesto Breda 120 - 20126 Milan, Italy, Silvia Ratti| Research Department, Istituto Superiore di Osteopatia (ISO), via Ernesto Breda 120 - 20126 Milan, Italy Corresponding e-mail: silvia.ratti@isoi.it
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