A Clinical Observation of Functional Abdominal Pain Syndrome in Patients Treated by Traditional Chinese Spinal Orthopedic Manipulation.
OBJECTIVE
To evaluate the clinical effect of traditional Chinese spinal orthopedic manipulation (TCSOM) in treating patients with functional abdominal pain syndrome (FAPS) in comparison with Pinaverium Bromide (Dicetel, PBD), and to assess a possible cause for FAPS.


METHODS
Eighty patients with FAPS were randomly and equally assigned to the TCSOM group and PBD group according to the random number table. All patients in the TCSOM group were treated with a maximum of 5 times of spinal manipulations. Patients in the PBD group were instructed to take 50 mg 3 times a day, consistently for 2 weeks. The symptoms of pre- and post-treatment were assessed on a visual analog scale (VAS) pain score. A symptom improvement rating (SIR) was implemented to evaluate the effects of the treatments.


RESULTS
The symptoms of 27 cases of the TCSOM group were relieved soon after the first TCSOM treatment and 9 cases were significantly improved. The VAS pain scores in the TCSOM group were significantly lower than those in the PBD group after 2 weeks treatment. According to the SIR based on VAS, the TCSOM group included 30 cases with excellent results, 7 cases with good, and 3 cases with poor. Adverse events to the treatment were not reported. Based on VAS, the PBD group reported 8 cases with excellent results, 10 cases with good and 22 cases with poor. There was a significant difference between the two groups (P<0.01).


CONCLUSIONS
The displacement of intervertebral discs and/or vertebra in the thoracic or lumbar region seems to be a contributing factor in the symptoms of FAPS. TCSOM is an effective treatment for FAPS.
Department of Chinese Orthopedics and Traumatology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China. quliuxin@aliyun.com.
Liu-Xin
LX
Qu
Department of Acupuncture and Moxibustion, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China.
Li-Yang
LY
Xing
Acupuncturist at Gateway Sports Medicine, Portland, OR, 97216, USA.
Norman
N
Wanda
Department of Gastroenterology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China.
Hong
H
Chen
Department of Chinese Orthopedics and Traumatology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China.
Ming-Ju
MJ
Li
Department of Chinese Orthopedics and Traumatology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China.
Song
S
Gao
Department of Chinese Orthopedics and Traumatology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China.
Ping
P
Li
D015746:Abdominal Pain / Q000628:therapy*; D006801:Humans; D008349:Manipulation, Orthopedic / Q000009:adverse effects; D008516:Medicine, Chinese Traditional / Q000009:adverse effects; D013131:Spine / Q000473:pathology*; D013577:Syndrome; D064232:Visual Analog Scale
Back-Shu acupoints; Jiaji (EX-B2); functional abdominal pain syndrome; orthopedic; spinal manipulation; visual analog scale
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