Evaluation of the effectiveness of osteopathic treatment for hyperkinetic biliary dyskinesia against the background of psychoemotional stress

This study evaluated the effectiveness of osteopathic therapy for hyperkinetic biliary dyskinesia against the background of psychoemotional stress in women of reproductive age. A prospective comparative analysis was conducted involving 30 patients randomized to the main group receiving complex treatment with the inclusion of osteopathic methods, and the control group treated with conventional pharmacotherapy and diet therapy. The therapeutic effect was assessed using functional ultrasound examination of gallbladder motility, analysis of vegetative status according to the Kerdo index and psychoemotional state according to the WAM scale. The findings demonstrate that osteopathic treatment improves the gallbladder contractile function and promotes the normalization of vegetative balance. The osteopathy action mechanisms involve the correction of somatic dysfunctions of the internal organs, craniosacral system and spine, which contributes to the restoration of neurovegetative regulation and a decrease in the impact of stress factors on biliary motility. The absence of side effects confirms the safety and good tolerance of this approach. The findings highlight the promise of including osteopathic methods in the complex treatment of biliary dyskinesia, especially in patients with a pronounced psychoemotional component. Further multicenter studies with an enlarged sample size and long follow-up period, as well as the development of standardized osteopathic therapy protocols, are needed to confirm and expand the findings. The integration of multidisciplinary approaches combining osteopathic treatment, diet therapy and psychotherapeutic techniques appears to be a promising strategy for improving outcomes in functional biliary disorders.