Comparison of Connective Tissue Manipulation and Abdominal Massage Combined With Usual Care vs Usual Care Alone for Chronic Constipation: A Randomized Controlled Trial
Autor: | Esra Üzelpasaci, Ceren Orhan, Türkan Akbayrak, Serap Özgül, Emine Baran |
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Rok vydání: | 2020 |
Předmět: |
Adult
Male medicine.medical_specialty Constipation Connective tissue law.invention Abdominal massage 03 medical and health sciences 0302 clinical medicine Bristol stool scale Quality of life Randomized controlled trial law Surveys and Questionnaires Abdomen Activities of Daily Living medicine Humans Massage 030222 orthopedics Chronic constipation business.industry Middle Aged medicine.anatomical_structure Connective Tissue Chronic Disease Quality of Life Physical therapy Female Chiropractics medicine.symptom business 030217 neurology & neurosurgery |
Zdroj: | Journal of Manipulative and Physiological Therapeutics. 43:768-778 |
ISSN: | 0161-4754 |
Popis: | The aim of the present study was to determine and compare the effects of connective tissue manipulation (CTM) and abdominal massage when combined with usual care on the symptoms of constipation and quality of life (QoL) immediately following a 4-week treatment in patients suffering from chronic constipation.A total of 60 patients with chronic constipation were randomly assigned to CTM, abdominal massage, or control groups. Connective tissue manipulation and abdominal massage were conducted at 5 sessions a week for 4 weeks. Each session was approximately 15 to 20 minutes. The severity of constipation by the Constipation Severity Instrument, symptoms of constipation by a bowel diary and Bristol Stool Scale, and QoL by patient assessment of QoL questionnaire were evaluated at baseline and at the end of 4 weeks.There were significant differences in the changes in constipation severity (P.001), symptoms of constipation (P ≤ .001), and QoL (P.001) among the 3 groups. However, based on pair-wise analysis, there were no significant differences in the changes of the severity and symptoms of constipation and QoL between the CTM and abdominal massage groups (P.05).The findings of the present study revealed that compared to usual care alone, the combination of usual care and CTM or abdominal massage may be more beneficial for chronic constipation. However, the superiority of CTM or abdominal massage was not observed. Further high-quality studies with long-term follow-up are needed to investigate the optimal massage therapy program in patients with chronic constipation. |
Databáze: | OpenAIRE |
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