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Osteopathic intervention for chronic pain, remaining thoracic stiffness and breathing impairment after thoracoabdominal oesophagus resection: A single subject design study
Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg; Department of Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden.ORCID iD: 0000-0002-8500-2245
Scandinavian College of Osteopathy, Gothenburg, Sweden; University of Wales, Cardiff, UK.
Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg; Department of Surgery, Östra Sjukhuset, Sahlgrenska University Hospital, Gothenburg, Sweden.
Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg; Department of Surgery, Sahlgrenska University Hospital; Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden.
2013 (English)In: International Journal of Osteopathic Medicine, ISSN 1746-0689, E-ISSN 1878-0164, Vol. 16, no 2, 68-80 p.Article in journal (Refereed) Published
Abstract [en]

Background

Thoracic surgery can cause negative effects such as chronic pain, impaired thorax movement and/or impaired breathing. There are indications that manual therapies, such as osteopathy, may be beneficial for these conditions.

Objective

To investigate effects of osteopathic intervention on chronic pain and remaining limitations to thoracic range of motion and breathing in patients who had undergone thoracoabdominal resection of the oesophagus.

Design

In a single-subject research design (Aa-B-Ab), 8 participants with chronic postoperative thoracic pain, stiffness and/or breathing impairment after standardized oesophagus resection were given 10 sessions of osteopathic treatment of 45 min. Expiratory vital capacity, thorax mobility, pain experience, and subjective perception of treatment were measured on three occasions during each phase. The two-standard deviation band method was used to indicate significant change.

Results

A significantly increased range of motion in the thorax was observed in thoracic excursion and in lateral flexion. A positive change in pain was also noted. The results in expiratory vital capacity were contradictory. The participants were generally positive toward the treatment given.

Conclusion

Osteopathic intervention may affect thoracic impairment and pain among people with chronic pain and impaired thoracic range of motion after thoracoabdominal resection of the oesophagus

Place, publisher, year, edition, pages
Elsevier, 2013. Vol. 16, no 2, 68-80 p.
Keyword [en]
Osteopathic manipulative treatment; Thoracotomy; Postoperative pain; Range of motion; Dyspnoea
National Category
Anesthesiology and Intensive Care
Identifiers
URN: urn:nbn:se:liu:diva-127378DOI: 10.1016/j.ijosm.2012.10.003OAI: oai:DiVA.org:liu-127378DiVA: diva2:922632
Available from: 2016-04-24 Created: 2016-04-24 Last updated: 2016-05-03Bibliographically approved

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Bjerså, Kristofer
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