The effectiveness of the osteopathic correction in the complex treatment of adult patients with gastroesophageal reflux disease

Introduction. Gastroesophageal reflux disease (GERD) is now widespread throughout the world, with clear evidence of incidence increase in many countries. The importance of GERD is caused by the fact that it leads to a significant decrease in the patient′s life quality, the appearance of extraesophageal symptoms (chest pain, persistent cough) and the risk of such complications as bleeding from ulcers and erosions, the development of peptic strictures, and esophageal adenocarcinoma. After stopping the medicine treatment, the relapse quickly occurs and it is the main risk factor for the development of Barrett′s esophagus — a precancerous pathology of the esophagus. Therefore, the search for additional, non-drug methods of treatment for increasing the standard therapy effectiveness is in demand. Osteopathic correction of somatic dysfunction can be one of these methods. To date, there is some evidence of the osteopathic correction effectiveness in children with GERD.
The goal of research — to study the effectiveness of osteopathic correction in the complex treatment of adult patients with GERD.
Materials and methods. The study involved 20 people, divided by simple randomization into two equal groups: control and main. The control group received standard treatment, the main group received additional osteopathic correction. At the beginning and at the end of the study, there were assessed the osteopathic status of patients and the severity of the disease using the GerdQ questionnaire. The obtained data were processed by methods of nonparametric statistics.
Results. The inclusion of osteopathic correction in the complex treatment of patients with GERD is accompanied by a statistically significant decrease in the number of local and regional somatic dysfunctions (SD), a significant redistribution of the dominant SD structure, and a decrease in the severity of previously dominant SD in the neck and thoracic region. Compared with patients who did not receive osteopathic correction, there is a statistically significantly more pronounced decrease in the severity of GERD clinical symptoms.
Conclusion. Despite the relatively small number of patients who participated in the study, the obtained results make it possible to recommend the inclusion of osteopathic correction in the complex therapy of patients with GERD.

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