title: Use of spinal manipulative therapy in the treatment of duodenal ulcer: a pilot study.
abstract: OBJECTIVE
  To evaluate the effectiveness of spinal manipulative therapy (SMT) in the treatment of an internal organ disorder.
  
  
  METHODS
  Clinical trial.
  
  
  METHODS
  Medical hospital.
  
  
  METHODS
  Eleven adult men and women ranging in age from 18-44 yr with endoscopically confirmed diagnosis of ulcer disease took part in the study as an experimental group. The outcome of 24 cases of uncomplicated ulcerous disease treated by usual medical methods was analyzed as a control.
  
  
  METHODS
  The experimental group received spinal manipulative therapy (SMT) treatment from 5-22 days with a range of 3-14 procedures. The control group received traditional medical treatment (drug therapy and diet). The dietary regimen was standard for both groups.
  
  
  METHODS
  The effectiveness of the treatment was evaluated using clinical parameters and endoscopic examination performed weekly.
  
  
  RESULTS
  The use of SMT resulted in pain relief after 1-9 (avg. 3.8) days and clinical remission an average of 10 days earlier than traditional care.
  
  
  CONCLUSIONS
  Chiropractic practice often includes patients with gastrointestinal problems who report some relief of their symptoms after treatment; however, the physiological basis for these results has yet to be established. The normalization in segmental trophic innervation of the mucosal layer of the intestine, and positive reaction of the whole body, are under discussion as a possible mechanism for the treatment effect.
authors.affiliation: Division of Research, Cleveland Chiropractic College, Kansas City, MO 64131.
authors.forename: A A
authors.initials: AA
authors.lastname: Pikalov
authors.forename: V V
authors.initials: VV
authors.lastname: Kharin
mesh_terms: D000293:Adolescent; D000328:Adult; D004381:Duodenal Ulcer / Q000175:diagnosis / Q000628:therapy*; D016099:Endoscopy, Gastrointestinal; D005260:Female; D006801:Humans; D008297:Male; D008349:Manipulation, Orthopedic / Q000379:methods*; D010865:Pilot Projects; D016896:Treatment Outcome