Correlation of Somatic Dysfunction With Gastrointestinal Endoscopic Findings

NCT01394198 — Completed, 70 participants, A.T. Still University of Health Sciences

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RegistryNCT01394198
StatusCompleted
Study typeObservational
Enrollment70 (Actual)
SponsorA.T. Still University of Health Sciences (Other)
ConditionsSegmental and Somatic Dysfunction, Pathological Conditions, Signs and Symptoms, Ectopic Intestinal Mucosa
Datesstart 2011-03-01, primary completion 2013-11-01, completion 2013-11-01, first posted 2011-07-14, last updated 2018-09-27
Locations1 site in United States

Related Papers Related Patents Related Grants Related Experts
All trials for Segmental and Somatic Dysfunction All trials for Pathological Conditions, Signs and Symptoms

-Summary

The purpose of this study is to correlate the link between palpatory findings of somatic dysfunction and gastrointestinal endoscopic evidence of changes in mucosa. The investigators' hypothesis is that there is a direct connection between somatic palpatory changes and intestinal mucosal changes via a somatovisceral/viscerosomatic mechanism.

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+Detailed description

The study protocol is limited to an extra physical examination (the focused structural exam) prior to a scheduled routine or diagnostic endoscopy. Immediately prior to the scheduled endoscopy, subjects enrolled in the study will be palpated by a Neuromuscular Medicine (NMM)/Osteopathic Manipulative Medicine (OMM) specialist for spinal tenderness, tissue texture changes and asymmetry or restricted range of motion as well as tenderness of Chapman points. The entire spine from the occipitoatlantal joint to the sacrum will be evaluated along with specific intercostal abdominal and lower extremity areas. The positive structural examination findings of spinal tenderness, tissue texture changes and asymmetry or restricted range of motion will be compared to the visual and pathological findings recorded in the operative report of the endoscopy procedure and the pathological report of any biopsies obtained during the endoscopic procedure.

+Outcome measures

Primary outcomes

  • Osteopathic structural exam findings of somatic dysfunction [Structural exam will be conducted prior to the scheduled endoscopy on the same day. The results will be recorded on a somatic dysfunction findings worksheet during the exam. This exam will only occur one time on the day of the endoscopy.]: A musculoskeletal exam will be done by a Neuromuscular Medicine (NMM)/Osteopathic Manipulative Medicine (OMM) specialist for spinal tenderness, tissue texture changes, asymmetry, and restricted range of motion as well as tenderness of Chapman Points. The entire spine from the occipitoatlantal joint to the sacrum will be evaluated along with specific intercostal abdominal and lower extremity areas. The exam will identify whether tenderness, tissue texture changes, asymmetry, and range of motion restrictions exist at each of the vertebral segments.

+Eligibility

Sex: All, ages: 21 Years to any

Inclusion Criteria:

* Patients already scheduled for upper or lower endoscopy at Kirksville Family Medicine Clinic
* Must be 21 years of age or older
* Subjects must be able to lie in the prone position for 30 minutes

Exclusion Criteria:

* Subjects cannot have history of spinal fractures or surgical intervention of the spine that could alter the palpatory findings of the spinal and paraspinal regions
* Subjects who are wards of the state or are unable to sign the consent form on their own behalf will be excluded
* Subjects will be excluded if they are unable to lie prone for 30 minutes
* Subjects will be excluded if they are not already scheduled for an endoscopy

+Locations (1)

FacilityCityCountryStatus
Kirksville College of Osteopathic Medicine Family Practice ClinicKirksville, MissouriUnited States

+Publications

  • Results publication: Snider KT, Schneider RP, Snider EJ, Danto JB, Lehnardt CW, Ngo CS, Johnson JC, Sheneman TA. Correlation of Somatic Dysfunction With Gastrointestinal Endoscopic Findings: An Observational Study. J Am Osteopath Assoc. 2016 Jun 1;116(6):358-69. doi: 10.7556/jaoa.2016.076. PMID 27214772

+Investigators

  • Karen T Snider, D.O., Principal investigator, Kirksville College of Osteopathic Medicine; AT Still University