A Clinical Observation of Functional Abdominal Pain Syndrome in Patients Treated by Traditional Chinese Spinal Orthopedic Manipulation.

Liu-Xin QU; Li-Yang XING; Norman WANDA; Hong CHEN; Ming-Ju LI; Song GAO; Ping LI

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A Clinical Observation of Functional Abdominal Pain Syndrome in Patients Treated by Traditional Chinese Spinal Orthopedic Manipulation.

Author: Liu-Xin QU ¹ ; Li-Yang XING ² ; Norman WANDA ³ ; Hong CHEN ⁴ ; Ming-Ju LI ⁵ ; Song GAO ⁵ ; Ping LI ⁵
Author Information

1. Department of Chinese Orthopedics and Traumatology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China. quliuxin@aliyun.com.
2. Department of Acupuncture and Moxibustion, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China.
3. Acupuncturist at Gateway Sports Medicine, Portland, OR, 97216, USA.
4. Department of Gastroenterology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China.
5. Department of Chinese Orthopedics and Traumatology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China.
Publication Type:Journal Article
Keywords: Back-Shu acupoints; Jiaji (EX-B2); functional abdominal pain syndrome; orthopedic; spinal manipulation; visual analog scale
From: Chinese journal of integrative medicine 2018;24(2):140-146
CountryChina
Language:English
Abstract:
OBJECTIVETo evaluate the clinical effect of traditional Chinese spinal orthopedic manipulation (TCSOM) in treating patients with functional abdominal pain syndrome (FAPS) in comparison with Pinaverium Bromide (Dicetel, PBD), and to assess a possible cause for FAPS.
METHODSEighty patients with FAPS were randomly and equally assigned to the TCSOM group and PBD group according to the random number table. All patients in the TCSOM group were treated with a maximum of 5 times of spinal manipulations. Patients in the PBD group were instructed to take 50 mg 3 times a day, consistently for 2 weeks. The symptoms of pre- and post-treatment were assessed on a visual analog scale (VAS) pain score. A symptom improvement rating (SIR) was implemented to evaluate the effects of the treatments.
RESULTSThe symptoms of 27 cases of the TCSOM group were relieved soon after the first TCSOM treatment and 9 cases were significantly improved. The VAS pain scores in the TCSOM group were significantly lower than those in the PBD group after 2 weeks treatment. According to the SIR based on VAS, the TCSOM group included 30 cases with excellent results, 7 cases with good, and 3 cases with poor. Adverse events to the treatment were not reported. Based on VAS, the PBD group reported 8 cases with excellent results, 10 cases with good and 22 cases with poor. There was a significant difference between the two groups (P<0.01).
CONCLUSIONSThe displacement of intervertebral discs and/or vertebra in the thoracic or lumbar region seems to be a contributing factor in the symptoms of FAPS. TCSOM is an effective treatment for FAPS.