"An osteopathic understanding of the interconnection between Irritable Bowel Syndrome and the enteric nervous system in a psychosomatic presentation: a literature review."
Item
- Title
- "An osteopathic understanding of the interconnection between Irritable Bowel Syndrome and the enteric nervous system in a psychosomatic presentation: a literature review."
- Author(s)
- Petit, I
- Abstract
- Backqround: Irritable bowel syndrome is dramatically prevalent in clinic, and yet the aetiopathophysiology of this condition is still poorly understood. The multicausality of IBS and the amalgamation of symptoms related to this condition often leads to misdiagnosis and poor patient management. Objective: In respect to the high incidence of psychosomatic IBS patients, a particular emphasis on the relationship between psyche and soma will be undertaken. This particular focus aims at assessing the possibilities and limitations of osteopathic treatment in the management of IBS. The proposal of a new study design aimed at offering tangible and longitudinal data will be offered. Design: Literature review of RCTs and lower quality research projects. Methods: Online resources from PubMed, Cochrane Library, Google scholar, science.-direct and Swetswise. /nclusion criteria: Osteopathic treatment of IBS patients, psychometric aspect of OMT, Brain Gut axis involvement, full text. Exclusion criteria: Too technical for the scope of this study, foreign Results: A limited number of studies demonstrate positive effects of OMT on IBS sufferers. Surprisingly, very little researches has been done concerning the psychometrics of OMT and the brain-gut axis involvement. Discussion: Advanced research on the brain-gut-axis offer a better understanding of IBS and a sustainable baseline in the prospect of future study designs. This data should be integrated in osteopathic research by evaluating the potential effect of OMT on biological markers such as serotonin, CRH, ACTH, or endocannabinoid. These findings could offer the medical community a clearer understanding of the effect of OMT on psychosomatic IBS symptoms. Conclusion: OMT can be safely performed on IBS sufferers if a detailed case history is undertaken, and GIT pathologies ruled out. The psycho-emotional effects of osteopathy are still poorly described, and in the case of serious psychological issues, the osteopaths should mention alternative routes of treatment when necessary. However, assessing a multifactorial condition such as IBS in a purely quantitative manner doesn't seem appropriate. A mixed methods design in the prospect of future research studies would possibly be more representative of the biopsychosocial model of IBS.
- presented at
- European School of Osteopathy
- Date Accepted
- 2015
- Date Submitted
- 2.12.2016 16:55:00
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 15913
- Inst-Identifier
- 1229
- Keywords
- behaviour, brain-gut axis, canabinoid receptors, Enteric Nervous System, ENS, Hypersensitivity, IBS, Irritable Bowel Syndrome, Osteopathy, Psychosomatic, serotonin.
- Recommended
- 0
- Item sets
- Thesis
Petit, I, “"An osteopathic understanding of the interconnection between Irritable Bowel Syndrome and the enteric nervous system in a psychosomatic presentation: a literature review."”, Osteopathic Research Web, accessed April 29, 2024, https://www.osteopathic-research.com/s/orw/item/568