Exploring manual therapy in the management of irritable bowel syndrome in adults: A scoping review
Introduction: IBS is a prevalent gut-brain interaction disorder characterized by abdominal pain and altered bowel habits, significantly affecting quality of life (QoL). IBS contributes to substantial work absenteeism and economic burdens and often coexists with other somatic and psychiatric conditio...
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Elsevier
2025-05-01
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| Series: | Complementary Therapies in Medicine |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S0965229925000111 |
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| author | Natalia Płóciennik-Korycka Sara Maria Pani Bogumiła Bruc Paolo Contu Magdalena Wrzesińska |
| author_facet | Natalia Płóciennik-Korycka Sara Maria Pani Bogumiła Bruc Paolo Contu Magdalena Wrzesińska |
| author_sort | Natalia Płóciennik-Korycka |
| collection | DOAJ |
| description | Introduction: IBS is a prevalent gut-brain interaction disorder characterized by abdominal pain and altered bowel habits, significantly affecting quality of life (QoL). IBS contributes to substantial work absenteeism and economic burdens and often coexists with other somatic and psychiatric conditions, with psychological well-being being a critical determinant of QoL. IBS sufferers often turn to MT due to dissatisfaction with conventional treatments. However, no comprehensive review has assessed the evidence for MT in treating IBS. Objective: The objective of this review is to identify and map the available evidence on the effects of various manual therapy (MT) techniques on the biopsychosocial functioning, well-being, and QoL of individuals with irritable bowel syndrome (IBS). Methods: A comprehensive search was conducted in PubMed, Embase, and Scopus. Studies involving adults with IBS and investigating the effects of MT on biological, psychological, and social outcomes, well-being, or QoL were included. A scoping review was conducted following PRISMA-ScR guidelines. Study quality was assessed using The National Heart, Lung and Blood Institute (NHLBI) Study Quality Assessment Tools. The protocol for this review was registered with the Open Science Framework and is available at https://doi.org/10.17605/OSF.IO/QN4WU. Results: Of 730 records identified, 30 studies met the inclusion criteria (9 trials, 21 reviews). The interventions reviewed included osteopathic manipulative treatment (OMT), acupuncture, acupressure, reflexology, traditional Chinese spinal orthopaedic manipulation, and Tuina. The most frequently assessed outcomes were biological and psychological variables, as well as QoL, with well-being being the least commonly examined. Conclusions: Although the results suggest potential benefits of MT in IBS treatment, they should be interpreted with caution due to the lack of robust trials, inconsistent findings, and occasional adverse events. High-quality randomized controlled trials and standardized outcome measures are necessary to validate these therapies and improve IBS management. |
| format | Article |
| id | doaj-art-bbe472113819411dafb1af179e6faf6d |
| institution | Kabale University |
| issn | 0965-2299 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Complementary Therapies in Medicine |
| spelling | doaj-art-bbe472113819411dafb1af179e6faf6d2025-02-02T05:26:49ZengElsevierComplementary Therapies in Medicine0965-22992025-05-0189103136Exploring manual therapy in the management of irritable bowel syndrome in adults: A scoping reviewNatalia Płóciennik-Korycka0Sara Maria Pani1Bogumiła Bruc2Paolo Contu3Magdalena Wrzesińska4Department of Psychosocial Rehabilitation, Medical University of Lodz, Poland, Narutowicza 60, Lodz 90-136, Poland; Corresponding author.Department of Biomedical Sciences, Department of Medical Sciences and Public Health, University of Cagliari, Italy, educational axis E, SS 554 bivio Sestu, Monserrato, Cagliari 09042, ItalyInformation and Library Center, Medical University of Lodz, Poland, ul. Muszyńskiego 2, Lodz 90-151, PolandDepartment of Medical Sciences and Public Health, University of Cagliari, Italy, educational axis E, SS 554 bivio Sestu, Monserrato, Cagliari 09042, ItalyDepartment of Psychosocial Rehabilitation, Medical University of Lodz, Poland, Narutowicza 60, Lodz 90-136, PolandIntroduction: IBS is a prevalent gut-brain interaction disorder characterized by abdominal pain and altered bowel habits, significantly affecting quality of life (QoL). IBS contributes to substantial work absenteeism and economic burdens and often coexists with other somatic and psychiatric conditions, with psychological well-being being a critical determinant of QoL. IBS sufferers often turn to MT due to dissatisfaction with conventional treatments. However, no comprehensive review has assessed the evidence for MT in treating IBS. Objective: The objective of this review is to identify and map the available evidence on the effects of various manual therapy (MT) techniques on the biopsychosocial functioning, well-being, and QoL of individuals with irritable bowel syndrome (IBS). Methods: A comprehensive search was conducted in PubMed, Embase, and Scopus. Studies involving adults with IBS and investigating the effects of MT on biological, psychological, and social outcomes, well-being, or QoL were included. A scoping review was conducted following PRISMA-ScR guidelines. Study quality was assessed using The National Heart, Lung and Blood Institute (NHLBI) Study Quality Assessment Tools. The protocol for this review was registered with the Open Science Framework and is available at https://doi.org/10.17605/OSF.IO/QN4WU. Results: Of 730 records identified, 30 studies met the inclusion criteria (9 trials, 21 reviews). The interventions reviewed included osteopathic manipulative treatment (OMT), acupuncture, acupressure, reflexology, traditional Chinese spinal orthopaedic manipulation, and Tuina. The most frequently assessed outcomes were biological and psychological variables, as well as QoL, with well-being being the least commonly examined. Conclusions: Although the results suggest potential benefits of MT in IBS treatment, they should be interpreted with caution due to the lack of robust trials, inconsistent findings, and occasional adverse events. High-quality randomized controlled trials and standardized outcome measures are necessary to validate these therapies and improve IBS management.http://www.sciencedirect.com/science/article/pii/S0965229925000111Irritable bowel syndromeManual therapyPhysiotherapyOsteopathic manipulative treatment |
| spellingShingle | Natalia Płóciennik-Korycka Sara Maria Pani Bogumiła Bruc Paolo Contu Magdalena Wrzesińska Exploring manual therapy in the management of irritable bowel syndrome in adults: A scoping review Complementary Therapies in Medicine Irritable bowel syndrome Manual therapy Physiotherapy Osteopathic manipulative treatment |
| title | Exploring manual therapy in the management of irritable bowel syndrome in adults: A scoping review |
| title_full | Exploring manual therapy in the management of irritable bowel syndrome in adults: A scoping review |
| title_fullStr | Exploring manual therapy in the management of irritable bowel syndrome in adults: A scoping review |
| title_full_unstemmed | Exploring manual therapy in the management of irritable bowel syndrome in adults: A scoping review |
| title_short | Exploring manual therapy in the management of irritable bowel syndrome in adults: A scoping review |
| title_sort | exploring manual therapy in the management of irritable bowel syndrome in adults a scoping review |
| topic | Irritable bowel syndrome Manual therapy Physiotherapy Osteopathic manipulative treatment |
| url | http://www.sciencedirect.com/science/article/pii/S0965229925000111 |
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