The Role of Osteopathic Care in Gynaecology and Obstetrics: An Updated Systematic Review

Background: Many efforts are made to find safer and more feasible therapeutic strategies to improve gynaecological care. Non-pharmacological treatments, such as osteopathic interventions, could be used as complementary strategies to better manage different gynaecological conditions. This review aims...

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Main Authors: Nuria Ruffini, Giandomenico D’Alessandro, Annalisa Pimpinella, Matteo Galli, Tiziana Galeotti, Francesco Cerritelli, Marco Tramontano
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/10/8/1566
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author Nuria Ruffini
Giandomenico D’Alessandro
Annalisa Pimpinella
Matteo Galli
Tiziana Galeotti
Francesco Cerritelli
Marco Tramontano
author_facet Nuria Ruffini
Giandomenico D’Alessandro
Annalisa Pimpinella
Matteo Galli
Tiziana Galeotti
Francesco Cerritelli
Marco Tramontano
author_sort Nuria Ruffini
collection DOAJ
description Background: Many efforts are made to find safer and more feasible therapeutic strategies to improve gynaecological care. Non-pharmacological treatments, such as osteopathic interventions, could be used as complementary strategies to better manage different gynaecological conditions. This review aims to report the effectiveness of osteopathic treatment in the gynaecology and obstetrics field, updating the previous review published in 2016. The secondary aim was to elucidate the role of somatic dysfunction (SD) in osteopathic assessment and treatment procedures, as well as their health and economic implications. Methods: An electronic search was conducted in the following databases: Embase, MEDLINE (PubMed), and Science direct. All types of clinical studies published between May 2014 and December 2021 have been included: randomised controlled trial (RCT), controlled before/after, interrupted time series quasi RCT, case controls, case reports, case series, observational, clinical studies involving any type of osteopathic treatment, (standardised, semi-standardised or patients’ need-based treatment) performed alone or in combination with other treatments, were included). Results: A total of 76,750 were identified through database searching and other sources. After the removal of duplicates, 47,655 papers were screened based on title and abstract. A total of 131 full-text articles were consequently assessed for eligibility. Twenty-one new articles were included in the synthesis. A total of 2632 participants with a mean age of 28.9 ± 10.5 years were included in the review. Conclusions: Results showed an effectiveness of osteopathic care in gynaecology and obstetrics, but the studies were too heterogeneous to perform quantitative analysis and make clinical recommendations. Nevertheless, osteopathic care could be considered a safe complementary approach to traditional gynaecological care.
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spelling doaj.art-be127195b6c3443cbef2f78f38ef3b102023-11-30T21:30:27ZengMDPI AGHealthcare2227-90322022-08-01108156610.3390/healthcare10081566The Role of Osteopathic Care in Gynaecology and Obstetrics: An Updated Systematic ReviewNuria Ruffini0Giandomenico D’Alessandro1Annalisa Pimpinella2Matteo Galli3Tiziana Galeotti4Francesco Cerritelli5Marco Tramontano6National Centre Germany, Foundation COME Collaboration, 10825 Berlin, GermanyCentre pour l’Etude, la Recherche et la Diffusion Ostéopathiques “C.E.R.D.O.”, 00199 Rome, ItalyCentre pour l’Etude, la Recherche et la Diffusion Ostéopathiques “C.E.R.D.O.”, 00199 Rome, ItalyClinical-Based Human Research Department, Foundation COME Collaboration, 65121 Pescara, ItalyCentre pour l’Etude, la Recherche et la Diffusion Ostéopathiques “C.E.R.D.O.”, 00199 Rome, ItalyClinical-Based Human Research Department, Foundation COME Collaboration, 65121 Pescara, ItalyFondazione Santa Lucia IRCCS, 00179 Roma, ItalyBackground: Many efforts are made to find safer and more feasible therapeutic strategies to improve gynaecological care. Non-pharmacological treatments, such as osteopathic interventions, could be used as complementary strategies to better manage different gynaecological conditions. This review aims to report the effectiveness of osteopathic treatment in the gynaecology and obstetrics field, updating the previous review published in 2016. The secondary aim was to elucidate the role of somatic dysfunction (SD) in osteopathic assessment and treatment procedures, as well as their health and economic implications. Methods: An electronic search was conducted in the following databases: Embase, MEDLINE (PubMed), and Science direct. All types of clinical studies published between May 2014 and December 2021 have been included: randomised controlled trial (RCT), controlled before/after, interrupted time series quasi RCT, case controls, case reports, case series, observational, clinical studies involving any type of osteopathic treatment, (standardised, semi-standardised or patients’ need-based treatment) performed alone or in combination with other treatments, were included). Results: A total of 76,750 were identified through database searching and other sources. After the removal of duplicates, 47,655 papers were screened based on title and abstract. A total of 131 full-text articles were consequently assessed for eligibility. Twenty-one new articles were included in the synthesis. A total of 2632 participants with a mean age of 28.9 ± 10.5 years were included in the review. Conclusions: Results showed an effectiveness of osteopathic care in gynaecology and obstetrics, but the studies were too heterogeneous to perform quantitative analysis and make clinical recommendations. Nevertheless, osteopathic care could be considered a safe complementary approach to traditional gynaecological care.https://www.mdpi.com/2227-9032/10/8/1566osteopathic manipulative treatmentgynaecologyobstetricssomatic dysfunction
spellingShingle Nuria Ruffini
Giandomenico D’Alessandro
Annalisa Pimpinella
Matteo Galli
Tiziana Galeotti
Francesco Cerritelli
Marco Tramontano
The Role of Osteopathic Care in Gynaecology and Obstetrics: An Updated Systematic Review
Healthcare
osteopathic manipulative treatment
gynaecology
obstetrics
somatic dysfunction
title The Role of Osteopathic Care in Gynaecology and Obstetrics: An Updated Systematic Review
title_full The Role of Osteopathic Care in Gynaecology and Obstetrics: An Updated Systematic Review
title_fullStr The Role of Osteopathic Care in Gynaecology and Obstetrics: An Updated Systematic Review
title_full_unstemmed The Role of Osteopathic Care in Gynaecology and Obstetrics: An Updated Systematic Review
title_short The Role of Osteopathic Care in Gynaecology and Obstetrics: An Updated Systematic Review
title_sort role of osteopathic care in gynaecology and obstetrics an updated systematic review
topic osteopathic manipulative treatment
gynaecology
obstetrics
somatic dysfunction
url https://www.mdpi.com/2227-9032/10/8/1566
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