The Effect of Visceral Manipulation on Abdominal Pain and Quality of Life in Adult Patients with Functional Dyspepsia: A Pilot Study.
DOI:
https://doi.org/10.70672/trasn504Keywords:
Abdominal pain, functional dyspepsia, pilot study, quality of life, visceral manipulation.Abstract
Background: A pilot study was conducted to determine the effect size of visceral manipulation (VM) sessions on abdominal pain and quality of life in adult individuals with functional dyspepsia (FD).
Methods: Twenty-nine subjects diagnosed with FD participated in a pre-post-study design. The participants were subjected to a two-week treatment regime involving VM intervention sessions. Each session lasted for 30 minutes and was conducted five times a week. Data were collected using the Abdominal Pain Index (API) and Short-Form Nepean Dyspepsia Index (SF-NDI) instruments. The Friedman test was used for analysis. with a significance level set at p < 0.05. This study was approval by the Health Research Ethics Committee of the Health Polytechnic, Ministry of Health, East Kalimantan, Indonesia (Ethics No. DP.04.03/7.1/12146/2023).
Results: Among FD patients, there was a significant reduction in abdominal pain, pain time, duration, and intensity before and after the VM intervention (all p < 0.05). The quality of life also improved in the following domains: anxiety, activity limitation, eating and drinking, knowledge, and work/study (all p < 0.05).
Conclusion: After 2 weeks of VM intervention in FD patients, we found a significant reduction in abdominal pain and improved in quality of life. Although the small sample size limits the generalizability of the findings, the observed improvement in abdominal pain and quality of life may hold clinical relevance for this population.
References
[1]. Seiji F,Hiroshi Y, Shuhei A, Kazutoshi H, Go I, Hiroto N, et al. New classification rome IV functional dyspepsia and subtypes. Translational Gastroenterology and Hepatology. 2018;3(70): 252. doi: 10.21037/tgh.2018.09.12
[2]. Talley NJ. Functional dyspepsia: advances in diagnosis and therapy. Journal of Gut and Liver. 2017;349-57. doi: 10.5009/gnl16055
[3]. Kim YS, Kim N. Functional dyspepsia: a narrative review with a focus on sex-gender differences. Journal of Neurogastroenterology and Motility. 2020;323-34. doi: 10.5056/jnm20026
[4]. Chuah KH, Mahadeva S. Functional dyspepsia. Clinical and Basic Neurogastroenterology and Motility. 2020;281-92. doi:10.1016/B978-0-12-813037-7.00019-4
[5]. Permana MD, Renaldi K. Management of gastric motility disorder. The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy. 2018;19(1): 25-36. doi: 10.24871/191201825-36
[6]. Putri AN, Maria I, Mulyadi D. The relationship between individual characteristics, diet, and stress with the incidence of dyspepsia in 2018 students of the Jambi University Medical Study Program. Journal of Medical Studies. 2022;2(1):36-47. doi: https://doi.org/10.22437/joms.v2i1.18091
[7]. Yui M, Arini WM, Rahmatina H. Karakteristik penderita dispepsia fungsional yang mengalami kekambuhan di bagian ilmu penyakit dalam RSUP dr. M Djamil Padang. Jurnal Kesehatan Andalas. 2015;4(2): 490-96. doi: http://dx.doi.org/10.25077/jka.v4i2.279
[8]. Ford AC, Mahadeva S, Carbone MF, Lacy BE, Talley NJ. Functional dyspepsia. Journal of Functional Gastrointestinal Disorders. 2020;1689-1702. doi: 10.1016/S0140-6736(20)30469-4
[9]. Nicholas AS, Nicholas EA. Atlas of Osteopathic Techniques. Third Edition. Wolters Kluwer. 2016.
[10]. Bortoli ND, Tolone S, Frazzoni M, Martinucci I, Sgherri G, et al. Gastroesophageal reflux disease, functional dyspepsia and irritable bowel syndrome: Common overlapping gastrointestinal disorders. Annals of Gastroenterology. 2018;31(6): 639-48. doi: 10.20524/aog.2018.0314
[11]. Chiarioni G, Pesce M, Fantin A, Sarnelli G. Complementary and alternative treatment in functional dyspepsia. United European Gastroenterology Journal. 2018;6(1): 5–12. doi: 10.1177/2050640617724061
[12]. Kane TD. Proton pump inhibitors for functional dyspepsia. Journal of the Society of Gastroenterology Nurses and Associates. 2019;508-9. doi: 10.1097/SGA.0000000000000486
[13]. Gurevich M, Gurevich V. Effective treatment of drug refractory functional dyspepsia using scenar therapy: a case report. Journal of Pharmacology and Clinical Research. 2017;5: 001-3. doi: 10.19080/JPCR.2017.04.555647
[14]. Azizan, A., & Justine, M. (2015). Elders’ Exercise and Behavioral Program: Effects on Balance and Fear of Falls. Physical & Occupational Therapy in Geriatrics, 33(4), 346–362. https://doi.org/10.3109/02703181.2015.1093060
[15]. Azizan, A. (2024b). Exercise and frailty in later life: A systematic review and bibliometric analysis of research themes and scientific collaborations. International Journal of Population Studies, 0(0), 3282. https://doi.org/10.36922/ijps.3282
[16]. Wang YP, Herndon CC, Lu CL. Non-pharmacological approach in the management of functional dyspepsia. Journal of Neurogastroenterology and Motility. 2020;26(1):6-15. doi: 10.5056/jnm19005
[17]. Maeng TH, Lee JS. Effectiveness of abdominal manipulation therapy in functional dyspepsia patients. Journal of Korean Medicine Rehabilitation. 2015;113-21. doi: 10.18325/jkmr.2015.25.4.113
[18]. Santos LV, Cordoba LL, Lopes JB, Oliveira CS, Grecco LA, et al. Active visceral manipulation associated with conventional physiotherapy in people with chronic low back pain and visceral dysfunction: A preliminary, randomized, controlled, double-blind clinical trial. Journal of Chiropractic Medicine. 2019;18(2): 79-89. doi: 10.1016/j.jcm.2018.11.005
[19]. Silva AC, Gonzalez DAB, Oliveira FHM, Andrade AO, Gomes CAF, Lanza FC, et al. Effect of osteopathic visceral manipulation on pain, cervical range of motion, and upper trapezius muscle activity in patients with chronic nonspecific neck pain and functional dyspepsia: a randomized, double-blind, placebo-controlled pilot study. Evidence-Based Complementary and Alternative Medicine. 2018;1-9. doi: 10.1155/2018/4929271
[20]. Fernandes WV, Politti F, Blanco CR, Lucareli PRG, Paula CIF, et al. Effect of osteopathic visceral manipulation for individuals with functional constipation and chronic nonspecific low back pain: Randomized controlled trial. Journal of Bodywork and Movement Therapies. 2023;34: 96-103. doi: 10.1016/j.jbmt.2023.04.006
[21]. Laird KT, Sherman AL, Smith CA, Walker LS. Validation of the Abdominal Pain Index using a revised scoring method. Journal of Pediatric Psychology. 2015;40(5):517-25. doi: 10.1093/jpepsy/jsu118
[22]. Hoseini S, Jafari M, Soleimani ZA, Bagajan KQ, Sadeghi M, Zolfaghari S. Psychometric properties of the Abdominal Pain Index (API) in the iranian adolescent population. Pain Research and Management. 2020;2020:2632139. doi: 10.1155/2020/2632139
[23]. Goyal O, Goyal P, Kishore H, Kaur J, Kumar P, et al. Quality of life in indian patients with functional dyspepsia: Translation and validation of the hindi version of short-form nepean dyspepsia index. Indian Journal of Gastroenterology. 2022;41(4): 378-88. doi: 10.1007/s12664-021-01233-0
[24]. Silva AC, Oliveira CS, Gonzalez DAB, Fumagalli MA, Politti F. Visceral manipulation decreases pain, increases cervical mobility and electromyographic activity of the upper trapezius muscle in non-specific neck pain subjects with functional dyspepsia: Two case reports. Journal of Bodywork and Movement Therapies. 2019;12(2): 25-30. doi:10.3822/ijtmb.v12i2.399
[25]. Eguaras N, López R, Sonsoles E, Dicastillo L, Sierra F, et all. Effects of osteopathic visceral treatment in patients with gastroesophageal reflux: A randomized controlled trial. Journal of Clinical Medicine. 2019;8(10): 1738. doi: 10.3390/jcm8101738
[26]. Ghillodia A, Ghandi BK. Effect of visceral manipulation on pain, mobility and functional disability in subjects with right shoulder adhesive capsulitis. Journal of Physiotherapy Research. 2020;10(4): 715-23. doi: 10.17267/2238-2704rpf.v10i4.3292
[27]. Altinbilek T, Murat S, Yildirim E, Filiz B, Unlu S, et al. Evaluation of effectiveness of osteophatic visceral manipulation in patients with chronic mechanical low back pain: A multi-center, single-blind, randomized-controlled study. Turkish Journal of Physical Medicine and Rehabilitation. 2023;69(4): 500-09. doi: 10.5606/tftrd.2023.12541
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Asian Journal of Medicine & Health Sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Journal of Engineering Technology (JET) is an open-access journal that follows the Creative Commons Attribution-Non-commercial 4.0 International License (CC BY-NC 4.0)
