Szafarowska Monika, Rosiński Marcin, Segiet-Święcicka Agnieszka, Jędrzejczyk Szymon, Jerzak Michał, Jerzak Małgorzata
Department of Gynaecology and Oncological Gynaecology, Military Institute of Medicine, Warsaw, Poland.
College of Rehabilitation, Warsaw, Poland.
Prz Menopauzalny. 2024 Mar;23(1):14-20. doi: 10.5114/pm.2024.136439. Epub 2024 Mar 22.
Polycystic ovary syndrome (PCOS) is a complex hormonal condition associated with psychological, reproductive, and metabolic features. Low-grade inflammation is a recognised factor causing metabolic and reproductive disorders in PCOS, which is why anti-inflammation approaches in PCOS treatment, especially during the COVID pandemic, are considered. A promising therapeutic option is osteopathic manipulative treatment (OMT), which activates the cholinergic anti-inflammatory pathway and can inhibit proinflammatory cytokines, such as TNF, IL-1β, and TNF-β. In our paper we analysed the influence of OMT in women with PCOS.
Seventy-three patients, aged 29-46 years, with a history of reproductive failure, who underwent a physiotherapeutic treatment were evaluated. Six months after the end of a physiotherapy session, a follow-up questionnaire was performed.
The results show that most women (83.6%) were satisfied with the therapeutic process, and that the sessions met the patient's expectations. Reducing the level of anxiety related to infertility treatment and pregnancy was declared by 60 (82.2%) women, an improvement in well-being was declared by 72 (97.3%) ( = 0.04), and increasing awareness of the body after physiotherapy sessions was declared by 70 (95.9%) women.
The physiotherapeutic sessions improved infertility treatment, enhanced quality of life, and had a positive effect on overall health in PCOS women.
多囊卵巢综合征（PCOS）是一种复杂的激素紊乱疾病，与心理、生殖和代谢特征相关。低度炎症是导致PCOS患者出现代谢和生殖障碍的一个公认因素，这就是为什么在PCOS治疗中，尤其是在新冠疫情期间，抗炎方法受到关注。一种有前景的治疗选择是整骨手法治疗（OMT），它能激活胆碱能抗炎途径，并可抑制促炎细胞因子，如肿瘤坏死因子（TNF）、白细胞介素-1β（IL-1β）和肿瘤坏死因子-β（TNF-β）。在我们的论文中，我们分析了OMT对PCOS女性的影响。
对73名年龄在29至46岁之间、有生殖失败史且接受过物理治疗的患者进行了评估。物理治疗疗程结束6个月后，进行了一次随访问卷调查。
结果显示，大多数女性（83.6%）对治疗过程感到满意，且治疗疗程达到了患者的期望。60名（82.2%）女性表示与不孕治疗和怀孕相关的焦虑水平有所降低，72名（97.3%）女性表示幸福感有所改善（P = 0.04），70名（95.9%）女性表示物理治疗疗程后对身体的感知有所增强。
物理治疗疗程改善了不孕治疗效果，提高了生活质量，并对PCOS女性的整体健康产生了积极影响。
