Correlation of Somatic Dysfunction With Gastrointestinal Endoscopic Findings

NCT ID: NCT01394198

Last Updated: 2018-09-27

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 70 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2011-03-31
• Study Completion Date: 2013-11-30

Brief 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.

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.

Conditions

Segmental and Somatic Dysfunction; Pathological Conditions, Signs and Symptoms; Ectopic Intestinal Mucosa

Study Design

• Observational Model Type: OTHER
• Study Time Perspective: PROSPECTIVE

Eligibility Criteria

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

• Minimum Eligible Age: 21 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

A.T. Still University of Health Sciences

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Karen T Snider, D.O.

Role: PRINCIPAL_INVESTIGATOR

Kirksville College of Osteopathic Medicine; AT Still University

Locations

Kirksville College of Osteopathic Medicine Family Practice Clinic

Kirksville, Missouri, United States

Countries

United States

References

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.

Reference Type: DERIVED

PMID: 27214772 (View on PubMed)

Other Identifiers

101123-001

Identifier Type: -

Identifier Source: org_study_id