Chronic rhinosinusitis in adults: an osteopathic approach
Item
- Title
- Chronic rhinosinusitis in adults: an osteopathic approach
- Title
- A randomized, placebo controlled, double-blind clinical trial to the effect of three osteopathic treatments administered to adults with chronic rhinosinusitis
- Author(s)
- Nynke Babette van der Sloot
- Abstract
-
NAME: van der Sloot Nynke Babette. PROMOTOR: Volkaerts Tom. METHODOLOGICAL TUTOR: Quaghebeur Jörgen. YEAR: 2018.
TITLE: Chronic rhinosinusitis in adults: an osteopathic approach.
RESEARCH TITLE: A randomized, placebo controlled, double-blind clinical trial to the effect of three osteopathic treatments administered to adults with chronic rhinosinusitis.
BACKGROUND: Patients with chronic rhinosinusitis can suffer from nasal congestion, nasal discharge, facial pain and reduction of smell for a duration longer than 12 weeks. Chronic rhinosinusitis is often treated with antibiotics. Antimicrobial resistance in chronical sinonasal disease is increasing and highlight the importance to discover other effective treatments. The role of osteopathic care in chronic rhinosinusitis remains unclear. METHODS: Twenty one patients with chronic rhinosinusitis (male: 6 ; female: 15), 23-64 years of age (44 ±13), were randomly allocated to the experimental group or placebo intervention group. The experimental treatments consisted of stimulating lymphatic drainage, optimising the respiratory-circulatory system, balancing the autonomic nerve system and improving the mobility of the cranium and the musculoskeletal system. The placebo intervention was a hands on application without the intention to interfere. Measurements were done before and after the treatment sessions with the RSOM-31 and VAS. RESULTS: Four subscales of 31 of the RSOM-31 showed a substantial statistical improvement in the experimental group compared to the placebo group (interaction effects with p £ .05 analysed with 2 x 2 Mixed Repeated Measures). Nine subscales showed a significant average decrease in the experimental group for pre- to post measurements. The total RSOM-31 mean and VAS decrease were statistically significant for pre- post-test measurements in the experimental group (A 2 x 2 Mixed Repeated Measures Anova showed respectively p = .005 and p = .010). DISCUSSION: The average total symptom score of RSOM-31 for the experimental group decreased (Mpre = 2.20, Mpost = 1.50). A reduction in the average total symptom impact score >1 is considered clinically relevant. CONCLUSION: The results of this study suggests that osteopathy decreases the symptom burden of CRS. - Date Accepted
- 2018
- Date Submitted
- 24.7.2018 18:00:48
- Type
- osteo_thesis
- Language
- English
- Number of pages
- 1
- Submitted by:
- 4393
- Pub-Identifier
- 16187
- Keywords
- Osteopathy , chronic rhinosinusitis , RSOM 31 , Lymphatic system , the autonomic nerve system
- Recommended
- 0
- Item sets
- Thesis
Nynke Babette van der Sloot, “Chronic rhinosinusitis in adults: an osteopathic approach”, Osteopathic Research Web, accessed May 1, 2025, https://www.osteopathic-research.com/s/orw/item/2081