000098369 001__ 98369
000098369 005__ 20230914083247.0
000098369 0247_ $$2doi$$a10.3390/jcm8101738
000098369 0248_ $$2sideral$$a122121
000098369 037__ $$aART-2019-122121
000098369 041__ $$aeng
000098369 100__ $$aEguaras, N.
000098369 245__ $$aEffects of Osteopathic Visceral Treatment in Patients with Gastroesophageal Reflux: A Randomized Controlled Trial
000098369 260__ $$c2019
000098369 5060_ $$aAccess copy available to the general public$$fUnrestricted
000098369 5203_ $$aOsteopathic manual treatment has been recommended as a non-pharmacological therapy for Gastroesophageal Reflux Disease (GERD). However, to date, no study has supported the effectiveness of this intervention with respect to the symptoms of the disease. Our goal was to assess the effect of an osteopathic manual technique for the lower esophageal sphincter on GERD symptoms, cervical mobility and on the C4 spinous process pressure pain threshold (PPTs). Methods: A randomized, double-blind placebo-controlled trial was performed. Sixty subjects suffering from GERD participated in this study and were randomly assigned to either an experimental group (EG) (n = 29), who received the osteopathic technique for the lower esophageal sphincter, or to a control group (CG) (n = 31), who received a manual contact, which mimicked the osteopathic technique without exerting any therapeutic force. Randomization was computer-generated, with allocation concealed by sequentially numbered, opaque, sealed envelopes. The GerdQ questionnaire was used to assess symptom changes the week after intervention. Cervical Range of Motion (CROM) and algometer were used to evaluate cervical mobility and PPTs before and after both treatments. Before-after between groups comparison (t-test) was used for statistical analysis of the outcome, with two measurement points (GerdQ), while repeated-measures ANOVA was used for those outcomes with four measurement points (CROM and PPT). Results: The application of the osteopathic manual treatment in subjects with GERD produced a significant improvement in symptoms one week after the intervention (p = 0.005) with a between-groups difference of 1.49 points in GerdQ score (95% CI: 0.47-2.49). PPT C4 improved in the EG after the treatment (p = 0.034; eta(2) = 0.048) (between-groups difference 8.78 Newton/cm(2); 95% CI: 0.48-17.09). CROM also increased in the EG compared to the CG (p < 0.001; eta(2) = 0.108) (between-groups difference 33.89 degrees; 95% CI: 15.17-52.61). Conclusions: The manual osteopathic technique produces an improvement in GERD symptoms one week after treatment, cervical mobility, and PPTs. This may mean that osteopathic treatment is useful for improving symptoms of GERD.
000098369 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000098369 590__ $$a3.303$$b2019
000098369 591__ $$aMEDICINE, GENERAL & INTERNAL$$b36 / 165 = 0.218$$c2019$$dQ1$$eT1
000098369 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000098369 700__ $$aRodriguez-Lopez, E.S.
000098369 700__ $$aLopez-Dicastillo, O.
000098369 700__ $$0(orcid)0000-0001-8836-2441$$aFranco-Sierra, M.A.$$uUniversidad de Zaragoza
000098369 700__ $$aRicard, F.
000098369 700__ $$aOliva-Pascual-Vaca, A.
000098369 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia
000098369 773__ $$g8, 10 (2019), 1738 [14 pp]$$pJ. clin.med.$$tJournal of Clinical Medicine$$x2077-0383
000098369 8564_ $$s579826$$uhttps://zaguan.unizar.es/record/98369/files/texto_completo.pdf$$yVersión publicada
000098369 8564_ $$s2466632$$uhttps://zaguan.unizar.es/record/98369/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000098369 909CO $$ooai:zaguan.unizar.es:98369$$particulos$$pdriver
000098369 951__ $$a2023-09-13-10:50:30
000098369 980__ $$aARTICLE