Correlation of Somatic Dysfunction With Gastrointestinal Endoscopic Findings
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.
Segmental and Somatic Dysfunction
Pathological Conditions, Signs and Symptoms
Ectopic Intestinal Mucosa
|Study Design:||Time Perspective: Prospective|
|Official Title:||Correlation of Somatic Dysfunction With Gastrointestinal Endoscopic Findings|
- Osteopathic structural exam findings of somatic dysfunction [ Time Frame: 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. ] [ Designated as safety issue: No ]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.
|Study Start Date:||March 2011|
|Study Completion Date:||November 2013|
|Primary Completion Date:||November 2013 (Final data collection date for primary outcome measure)|
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.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01394198
|United States, Missouri|
|Kirksville College of Osteopathic Medicine Family Practice Clinic|
|Kirksville, Missouri, United States, 63501|
|Principal Investigator:||Karen T Snider, D.O.||Kirksville College of Osteopathic Medicine; AT Still University|