Objectives of Study:
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a. To determine the validity of Integrated Visceral and Spinal Manipulation (InViSMa) intervention protocol for patients with functional dyspepsia (FD)
b. To determine the feasibility (study adherence, compliance, recruitment rates, participation retention) of 4-week InViSMa interventional program in patient with FD
c. To investigate the effects of 4-week InViSMa intervention program on abdominal pain, dyspepsia status, psychological status, sleep status and quality of life in patient with FD
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Description for medicine or protocol of treatment in detail:
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Research Procedure
- At the beginning of the study
The research team will briefly explain the research and will provide an opportunity to ask any questions you may have. If you are satisfied with the details of the research, then you can sign the Consent Form. A survey form containing details of your background and medical history will be completed (Form A). Next, you are asked to fill out a questionnaire that the research team gave you to assess your abdominal pain, dyspepsia status (such as burning sensation in the chest, bloating, nausea and vomiting), psychological status, sleep patterns and your quality of life, as long as you have functional dyspepsia.
Our research team will help you fill out a questionnaire that includes, abdominal pain questionnaire, dyspepsia status questionnaire, psychological questionnaire, sleep pattern questionnaire, and your quality of life questionnaire. You need to undergo physiotherapy treatment with the InViSMa approach to evaluate the quality and quantity; (1) abdominal pain, (2) dyspepsia status, (3) psychological status, (4) sleep patterns and (5) your quality of life, between before treatment (pre-test treatment) and after treatment (post-test treatment), for 4 weeks. Where every week, the research team will evaluate the changes you feel during treatment. With this procedure, you are expected to participate in this physiotherapy treatment program 3 times a week for 4 weeks, with a duration of 30 minutes per treatment session.
- 4 weeks of the study
For 4 weeks, researcher will gently apply the InViSMa treatment to you abdomen, at a dose of 3 times a week for 30 minutes. In the application of InViSMa, you are asked to participate in partially removing your clothes to the extent of your abdomen according to the area to be treated. At the end of each treatment session (1 treatment session 3 times a week), our research team will evaluate the results of the treatment given to you, by filling out (check-list) the questionnaire that you have agreed to, objectively according to the changes you feel.
Integrated visceral and spinal manipulation (InViSMa)
This treatment will be using in intervention group as a treatment in adults patient with functional dyspepsia for 4 weeks (3 times a week) with a duration 45 minutes per session. The first, patients underwent spinal manipulation techniques to the mid-cervical spine (the origin of the phrenic nerve, C3-C5), and the thoraco-lumbar spine (the origin of the lesser splanchnic nerve and the levels of the diaphragmatic insertion (T5-L2) for 15 minutes. The secondly, followed by visceral manipulation of the gastroduodenal in the three plane of motion (sagittal plane, frontal plane and transverse plane) for 30 minutes.
Integrated abdominal massage and spinal manipulation (InVaSMa)
This treatment will be using in intervention group as a treatment in adults patient with functional dyspepsia for 4 weeks (3 times a week) with a duration 45 minutes per session. The first, patients underwent spinal manipulation techniques to the mid-cervical spine (the origin of the phrenic nerve, C3-C5), and the thoraco-lumbar spine (the origin of the lesser splanchnic nerve and the levels of the diaphragmatic insertion (T5-L2) for 15 minutes. The secondly, followed by general abdominal massage for 30 minutes.
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Inclusion criteria
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- Having functional dyspepsia more than 3 months
- Symptoms including abdominal discomfort or pain, heartburn, bloating, nausea, and vomiting of acid fluids
- Problems with psychological distress, sleep disturbances, and impaired quality of life
- Ages range of 18 - 65 years old
- Currently unrelated medication were permitted onto the study provided that their medication remained
- Both males and females of any race
- Understand Indonesia language
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