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Eficácia da técnica osteopática visceral de motilidade na facilitação da colonoscopia
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Advisor(s)
Abstract(s)
A colonoscopia é considerada o gold standard para o diagnóstico das doenças do cólon. É dificultada por vários fatores, dentre os quais, as aderências. Aplicando técnicas osteopáticas viscerais é possível libertar aderências, melhorar a irrigação e funcionalidade dos órgãos. Este estudo propõe estudar a eficácia das técnicas osteopáticas viscerais na facilitação da colonoscopia. Uma Revisão Scoping permitiu aferir que as aderências provenientes de cirurgias abdominais ou pélvicas dificultam este exame, no entanto, não foi encontrada evidência que as técnicas osteopáticas viscerais pudessem facilitar a colonoscopia. Para estudar esta associação, foi realizado um Estudo Experimental Prospetivo Triplamente Oculto, com a aplicação de uma técnica osteopática visceral para o cólon, imediatamente antes da execução do exame, medindo o tempo de inserção do colonoscópio. Foram estudados 61 participantes distribuídos aleatoriamente por um grupo experimental grupo controlo. Foi considerado um alfa <0,05. Foi verificada a normalidade da amostra e realizado o teste t-Student para comparação das médias do tempo. Verificou-se uma redução do tempo da colonoscopia no grupo experimental, mas não estatisticamente significativa (p= 0,371) com d de Cohen de 0,243. No entanto, analisado o subgrupo de pacientes submetidos a cirurgia, verificou-se que a aplicação da técnica reduziu significativamente o tempo (p=0,33) com d de Cohen de 0,875. Estes resultados demonstram que a aplicação desta técnica poderá ser benéfica como preparação para a colonoscopia em indivíduos com histórico de cirurgias abdominias ou pélvicas prévias. São necessários estudos com amostras maiores para extrapolar estes dados.
ABSTRACT: Colonoscopy is considered the gold standard for diagnosing colon diseases. Various factors, including adhesions, hinder it. By applying visceral osteopathic techniques, it is possible to release adhesions and improve the irrigation and functionality of the organs. This study investigates the efficacy of visceral osteopathic techniques in facilitating colonoscopy. A Scoping Review revealed that adhesions resulting from abdominal or pelvic surgeries make this procedure difficult; however, no evidence was found to suggest that visceral osteopathic techniques could facilitate colonoscopy. To study this association, a Triple-Blinded Prospective Experimental Study was conducted, applying a visceral osteopathic technique to the colon immediately before the examination, and measuring the insertion time of the colonoscope. Sixty-one participants were randomly assigned to an experimental group and a control group. An alpha < 0.05 was considered. The sample's normality was verified, and a t-student test was performed to compare the mean insertion times. A reduction in the colonoscopy time was observed in the experimental group, but it was not statistically significant (p=0.371), with a Cohen's d of 0.243. However, upon analyzing the subgroup of patients who had undergone surgery, it was found that the application of the technique significantly reduced the time (p=0.33), with a Cohen's d of 0.875. These results demonstrate that the application of this technique could be beneficial as a preparation for colonoscopy in individuals with a history of previous abdominal or pelvic surgeries. Larger sample studies are necessary to extrapolate these findings.
ABSTRACT: Colonoscopy is considered the gold standard for diagnosing colon diseases. Various factors, including adhesions, hinder it. By applying visceral osteopathic techniques, it is possible to release adhesions and improve the irrigation and functionality of the organs. This study investigates the efficacy of visceral osteopathic techniques in facilitating colonoscopy. A Scoping Review revealed that adhesions resulting from abdominal or pelvic surgeries make this procedure difficult; however, no evidence was found to suggest that visceral osteopathic techniques could facilitate colonoscopy. To study this association, a Triple-Blinded Prospective Experimental Study was conducted, applying a visceral osteopathic technique to the colon immediately before the examination, and measuring the insertion time of the colonoscope. Sixty-one participants were randomly assigned to an experimental group and a control group. An alpha < 0.05 was considered. The sample's normality was verified, and a t-student test was performed to compare the mean insertion times. A reduction in the colonoscopy time was observed in the experimental group, but it was not statistically significant (p=0.371), with a Cohen's d of 0.243. However, upon analyzing the subgroup of patients who had undergone surgery, it was found that the application of the technique significantly reduced the time (p=0.33), with a Cohen's d of 0.875. These results demonstrate that the application of this technique could be beneficial as a preparation for colonoscopy in individuals with a history of previous abdominal or pelvic surgeries. Larger sample studies are necessary to extrapolate these findings.
Description
Mestrado em Gestão e Avaliação de Tecnologias da Saúde
Keywords
Colonoscopia Osteopatia visceral Motilidade Aderências Colonoscopy Visceral osteopathy Motility Adhesions MGATS
Citation
Costa AC. Eficácia da técnica osteopática visceral de motilidade na facilitação da colonoscopia [dissertation]. Lisboa: Escola Superior de Tecnologia da Saúde de Lisboa/Instituto Politécnico de Lisboa; Escola Superior de Saúde da Universidade do Algarve; 2024.
Publisher
Instituto Politécnico de Lisboa, Escola Superior de Tecnologia da Saúde de Lisboa