“A reporting of withdrawals, degree of reporting accuracy,

“A comparison of the results of Manual Therapy treatment and Psychiatric intervention in women diagnosed with Post Natal Depression.”

 

The Title of the review is based and formulated following the PICO method (NICE, 2012; Higgins and Green, 2009; Huang et al., 2006).

The population (P) is the ensemble of woman in the post-partum period that have been diagnosed by professional health care with depression. The intervention (I) is the use of manual therapy that we define by Osteopathy, chiropractic and physiotherapy. The (C) comparison is the use of traditional medicine and the psychiatric approach. The primary outcome (O)is the conclusion of different studies selected for the systematic review.

 

The hypothetical complications encountered with the review result would be the heterogeneity in the measurement of the different outcomes of the preferred studies used for the systematic review, their design and the quality of their assessment. To reduce those challenges a heterogeneity analysis will be included to help to decide if there will be a need for meta-analysis. (Higgins and Green, 2009; CRD, 2009). The quality of the studies will be assessed analysing different features such as concealment of random allocation, accurate reporting of withdrawals, degree of reporting accuracy, appropriateness of statistical analysis, and blinding in the assessment of outcomes. In theory, studies in which these features are poorly achieved are more likely to result in biased outcomes. (Russell R, Chung M, Balk EM, et al., 2009).

The systematic review’s objective is the appraisal of the literature relating to the evaluation of outcomes in Postpartum Depression.  To draw the best conclusions possible, it will be based on the most objective and highest quality papers such as Radom Control Trial, Control Clinical Trial and Cohorte studies. Having achieve these objectives we will be able to have a better understanding on the effectiveness of the postpartum depression management with manual therapy. 

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