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J Bodyw Mov Ther. 2019 Apr;23(2):262-269. doi: 10.1016/j.jbmt.2018.06.004. Epub 2018 Jun 28.

Effect of soft tissue mobilization techniques on adhesion-related pain and function in the abdomen: A systematic review.

Author information

1
Franklin Pierce University, 670 N. Commercial St. Suite 301, Manchester, NH, USA; Rocky Mountain University of Health Professions, Provo, UT, USA. Electronic address: wassermanj@franklinpierce.edu.
2
Orthopedic Physical Therapy, Nashua, NH, USA.
3
Bellin Hospital, Ashwaubenon, Wisconsin, USA.
4
Shenandoah University, Winchester, VA, USA.

Abstract

OBJECTIVE:

To systematically review the effects of soft tissue mobilization (STM) on both surgical and non-surgical abdominal adhesion-related symptoms.

STUDY DESIGN:

Systematic Review.

BACKGROUND:

It is known that abdominal adhesions can cause a variety of symptoms with one of the most common being abdominal pain. To date, there is no known systematic review that documents the effects of STM on adhesion-related abdominal symptoms.

METHODS AND MEASURES:

A systematic review of literature was indexed in the following databases: PubMed, Cochrane, Google Scholar, OVID, and EBSCO. The quality of the studies was assessed using the MINORS scale.

RESULTS:

Nine studies satisfied the eligibility criteria for this systematic review. The studies' population age ranged from 10.7 to 89.4 years. Four articles were nonrandomized and had scores ranging from 3 to 14 out of 16 total on the MINORS scale. Five articles were randomized controlled trials or comparative studies and scores ranged from 16 to 23 out of 24 total on the MINORS scale. There were five articles that used pain as an objective measure and all of them reported a decrease in pain after treatment. Two studies looked at quality of life and function and both saw objective improvements following abdominal adhesion treatment. Collectively, there were also improvements seen in scar mobility, infertility, posture, a reduction in medication, increased pressure tolerance and decreased postoperative ileus.

CONCLUSION:

The results of this review indicate preliminary strong evidence for the benefits of STM on symptoms relating to acute post-surgical adhesions, preliminary moderate evidence for the benefits of STM on symptoms relating to chronic non-surgical related adhesions (fertility and SBO) and moderate evidence for the benefits of STM on symptoms relating to chronic post-surgical adhesions.

KEYWORDS:

Abdominal scars; Adhesions; Massage; Myofascial release; Visceral mobilization

PMID:
31103106
DOI:
10.1016/j.jbmt.2018.06.004

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