The Effects of Abdominal Massage on Functional (Primary) Chronic Constipation
Ключови думи
Резюме
Описание
Constipation is a subjective symptom that defines as inadequate defecation including several symptoms as follows: the sensation of incomplete bowel evacuation, hard stool, straining, and difficulty in defecation. The general prevalence of constipation in adults is 16%. The pre-defined risk factors are women gender, advanced age, non-white ethnicity, low socio-economic level, decreased physical activity underlying diseases, and medications. Chronic constipation affects quality of life and causes problems such as anxiety, depression, somatization, sleep disorders, sexual dysfunctions, school/work absenteeism. In the following periods, it causes serious comorbidities including dyspnea, gastro-esophageal reflux, hypertension, thyroid diseases, vaginitis, dyspareunia, diabetes, and fibromyalgia.
In the treatment of chronic constipation, conservative approaches (lifestyle change and physiotherapy applications) are used at the first phase. If conservative approaches are not helpful for patients pharmacological and surgical treatment can be performed based on the characteristics of patients, respectively. Pharmacological treatments aim to increase the frequency of spontaneous bowel movements, to reduce abdominal pain and swelling, and to improve stool consistency. However, side effects such as abdominal bloating, abdominal cramping, abdominal pain, stomach gas, nausea, diarrhea, headache and dyspnea are reported by patients in the following period. Furthermore, medications for constipation management are not cost-effective. Therefore, the level of evidence on conservative approaches with low cost, non-invasive and no-side effects in constipation treatment should be increased.
Physiotherapy approaches to alleviate chronic constipation symptoms include such as defecation training, abdominal massage, connective tissue massage, electrical stimulation, Kinesio-taping, anorectal biofeedback, and exercise training. Abdominal massage application in constipation is used in constipation management since the early 1870s and it is popular in recent years. The benefits of abdominal massage are known as follows: reduction in the abdominal muscle tension, improvement of local circulation, and stimulation of peristaltic movements. The technique of abdominal massage consists of 5 stages as follows: abdominal muscle stroking, colon stroking, colon kneading, colon stroking, and abdominal muscle stroking.
Дати
| Последна проверка: | 01/31/2019 |
| Първо изпратено: | 12/02/2018 |
| Очаквано записване подадено: | 12/02/2018 |
| Първо публикувано: | 12/04/2018 |
| Изпратена последна актуализация: | 02/19/2019 |
| Последна актуализация публикувана: | 02/20/2019 |
| Действителна начална дата на проучването: | 11/30/2018 |
| Приблизителна дата на първично завършване: | 09/30/2019 |
| Очаквана дата на завършване на проучването: | 09/30/2019 |
Състояние или заболяване
Интервенция / лечение
Other: Standard bowel management
Other: Abdominal Massage
Other: Placebo Ultrasound
Фаза
Групи за ръце
| Arm | Интервенция / лечение |
|---|---|
| Experimental: Abdominal Massage | Other: Abdominal Massage Abdominal massage will be performed three days a week for four weeks. Each session will last around 15-20 minutes. |
| Placebo Comparator: Placebo Ultrasound | Other: Placebo Ultrasound Placebo ultrasound (US) will be applied to the abdominal region for four weeks, 2 days of the week and 15 minutes per day. |
Критерии за допустимост
| Възрасти, отговарящи на условията за проучване | 18 Years Да се 18 Years |
| Полове, допустими за проучване | All |
| Приема здрави доброволци | Да |
| Критерии | Inclusion Criteria: - Age between 18 and 65 years. - Diagnosed with chronic constipation according to Rome IV criteria Exclusion Criteria: - A recent history of abdominal surgery - Intestinal obstruction, ileus, colon cancer - Enteric neuropathic patients: Diabetic intestinal neuropathy, Hirschsprung's disease, Megacolon, Megarectum, Pseudointegration obstruction - Umbilical hernia - Metabolic diseases: Cancer, Chronic renal failure, Severe cardiovascular disease, Hepatic failure, Hepatosplenomegaly, Abdominal aortic aneurysm - Neurological diseases: Parkinson, Spinal cord injury, Multiple sclerosis, Cerebro-vascular event, - Paraplegia Mental problem to prevent co-operative treatment - Pregnancy and lactation |
Резултат
Първични изходни мерки
1. Severity of constipation [Change in severity of constipation from baseline at 4 weeks]
Вторични изходни мерки
1. Patient Assessment of Constipation Quality of life [Change in quality of life from baseline at 4 weeks]
2. Stool consistency [Change from baseline stool consistency at 4 weeks]
3. Symptoms of constipation [Change from baseline symptoms of constipation at 4 weeks]
4. Abdominal pain, abdominal bloating severity and the effect of life [Change from baseline symptoms of constipation at 4 weeks]
5. Physical activity levels [Change from baseline symptoms of constipation at 4 weeks]
6. Patient global change scale [Change from baseline patient global change at 4 weeks]
