Effectiveness of Pelvic Physiotherapy in Children With Functional Constipation Compared With Standard Medical Care
| Autor: | Marc A. Benninga, Esther M.J. Bols, Rob A. de Bie, Wim A. Verwijs, Marieke L. van Engelenburg van Lonkhuyzen |
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| Přispěvatelé: | RS: CAPHRI - R3 - Functioning, Participating and Rehabilitation, Epidemiologie, ARD - Amsterdam Reproduction and Development, Paediatric Gastroenterology, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Male
FLOOR MUSCLE-ACTIVITY Relaxation Therapy THERAPY law.invention 0302 clinical medicine Quality of life Randomized controlled trial law Pediatrician EPIDEMIOLOGY Single-Blind Method Child Defecation Postural Balance Pelvic floor Toilet Training Gastroenterology Strengths and Difficulties Questionnaire RANDOMIZED CONTROLLED-TRIAL Combined Modality Therapy Exercise Therapy medicine.anatomical_structure Laxatives Child Preschool SLOW-TRANSIT CONSTIPATION DYSSYNERGIC DEFECATION Female 030211 gastroenterology & hepatology medicine.medical_specialty Adolescent DISORDERS Breathing Exercises Pelvis 03 medical and health sciences Patient Education as Topic 030225 pediatrics medicine Humans ATTITUDES Physical Therapy Modalities Hepatology business.industry Odds ratio Pelvic Floor medicine.disease Confidence interval BIOFEEDBACK Musculoskeletal CHILDHOOD CONSTIPATION Quality of Life Physical therapy Functional constipation business Constipation |
| Zdroj: | Gastroenterology, 152(1), 82-91. Elsevier Saunders Gastroenterology, 152(1), 82-91. W.B. Saunders Ltd |
| ISSN: | 1528-0012 0016-5085 |
| Popis: | BACKGROUND & AIMS: Functional constipation (FC) is a common childhood problem often related to pelvic floor muscle dysfunction. We compared the effectiveness of pelvic physiotherapy (PPT) vs standard medical care (SMC) in children with FC. METHODS: We performed a multicenter randomized controlled trial of 53 children (age, 5-16 y) with FC according to the Rome III criteria, at hospitals in The Netherlands from December 2009 to May 2014. Group allocation was concealed using a central computer system. SMC consisted of education, toilet training, and laxatives (n = 26), whereas PPT included SMC plus specific physiotherapeutic interventions (n = 27). Results were obtained from written reports from the subjects' pediatricians and parents. The primary outcome was absence of FC, according to Rome III criteria, after a 6-month follow-up period. Secondary outcomes were global perceived effect (range, 1-9; success was defined as a score >= 8), numeric rating scales assessing quality of life (parent and child; scale, 1-10), and the strengths and difficulties questionnaire (SDQ). RESULTS: Treatment was effective for 92.3% of the children receiving PPT and for 63.0% of the children receiving SMC (adjusted odds ratio for success of PPT, 11.7; 95% confidence interval, 1.8-78.3) (P = .011). Significantly more children undergoing PPT stopped using laxatives (adjusted odds ratio, 6.5; 95% confidence interval, 1.6-26.4) (P = .009). Treatment success (based on global perceived effect) was achieved for 88.5% of subjects receiving PPT vs 33.3% of subjects receiving SMC) (P |
| Databáze: | OpenAIRE |
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