Effect of Connective Tissue Manipulation on Symptoms and Quality of Life in Patients With Chronic Constipation: A Randomized Controlled Trial

Gürşen, Ceren; Günel, Mintaze Kerem; Kaya, Serap; Kav, Taylan; Akbayrak, Türkan

doi:10.1016/j.jmpt.2015.06.003

Cited by 25 publications

(35 citation statements)

References 26 publications

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“…According to data found in this study, DMR treatment linked to vacuum therapy may have quicker positive effects if compared with Maitland therapy [12], abdominal massage [20] and conjunctive tissue manipulation between C7 levels and sacrum [10]. The evidence of these treatments has already been contrasted [20].…”

Section: Discussionmentioning

confidence: 70%

“…This technique consists on a manual mobilization of tissues in the abdominal cavity to favor their motility. There is some evidence on the utility of manual techniques to treat chronic constipation [8] using masotherapy [9], massage on the connective tissue [10,11] or Maitland therapy [12]. Nevertheless, difficulties in quantifying and parameterizing manual therapy which has been developed to improve chronic constipation makes it necessary to perform more studies to reduce heterogeneity among different ways of application of manual techniques.…”

Section: Introductionmentioning

confidence: 99%

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Effects of Dielectric Monopolar Radiofrequency with Vacuumtherapy in the Treatment of Chronic Constipation in Patients with Intellectual Developmental Disorders

Vera¹,

Puyalto²,

Vivancos³

et al. 2019

Neuropsychiatry

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AimChronic constipation is a high prevalence complication in patients with intellectual developmental disorders due to medication intake and physical activity reduction. Several manual therapy techniques have achieved good results at its treatment, being these a considerable option as no adverse effects have been shown. Nevertheless, the use of electrotherapy devices has not been studied on chronic constipation treatment. These may be considered as a potential tool which may supplement treatment. Thermotherapy by dielectric monopolar radiofrequency (DMR) linked to vacuum therapy could activate local blood irrigation at the colon level and peristaltic movements due to mechanic push-pull. The aim of this study is therefore to prove the efficacy of DMR linked to vacuum therapy for the treatment of chronic constipation in intellectual developmental disorders patients. MethodsNineteen patients which met the inclusion criteria were chosen. Number of stools and shape of them (Bristol Stool Questionnaire) were measured in a period of 14 days, when patients received their common care techniques for chronic constipation. After that, patients received 14 days of DMR linked to vacuum therapy treatment. The same variables were measured in the meantime so as to observe possible differences. ResultsDMR linked to vacuum therapy proved an improvement in number of stools per day and the shape/quality of them. No adverse results were observed. ConclusionDMR linked to vacuum treatment seems effective for the treatment of chronic constipation in intellectual developmental disorders patients.

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Section: Discussionmentioning

confidence: 70%

Section: Introductionmentioning

confidence: 99%

Effects of Dielectric Monopolar Radiofrequency with Vacuumtherapy in the Treatment of Chronic Constipation in Patients with Intellectual Developmental Disorders

Vera¹,

Puyalto²,

Vivancos³

et al. 2019

Neuropsychiatry

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“…Poza jatrogennym skutkiem farmakologicznego leczenia bólu, i w jego wyniku osłabienia odruchowej perystaltyki jelit, do wtórnych przyczyn zaparć w grupie pacjentów objętych opieką paliatywną zalicza się, m.in. zmniejszenie aktywności fizycznej [5,[10][11][12], ograniczenie ilości spożywanego pokarmu i płynów lub niewłaściwy ich rodzaj, a także brak intymności i samodzielności podczas aktu defekacji, prowadzący do ignorowania uczucia parcia na stolec i powstawania zaparcia [5,6,13]. Brak możliwości przyjęcia wyższych pozycji, częsty u pacjentów hospicjum, również sprzyja zaleganiu mas kałowych [5,6,[14][15][16][17].…”

Section: Introductionunclassified

“…Ze względu na tematykę powyższego artykułu przedstawione zostaną przede wszystkim działania fizjoterapeutyczne, jako jeden z elementów zachowawczego leczenia zaparć. Eksperci zajmujący się problemem zaparć, bez względu na ich etiologię, zgodnie zalecają zwiększenie aktywności fizycznej oraz włączenie różnych form fizjoterapii [5,10,11,20]. Polskie Towarzystwo Medycyny Paliatywnej również postuluje zachęcanie pacjentów do aktywności fizycznej i jak największej samodzielności [16].…”

Section: Introductionunclassified

“…Zatem fizjoterapeuta, posiadający Apart from constipation, opioid treatment is accompanied by a number of symptoms in the digestive system, such as dry mouth, lack of appetite, gastroparesis, gastroesophageal reflux disease, abdominal cavity disorders and flatulence [7][8][9]. Apart from iatrogenic effects of pharmacological pain treatment resulting in weak peristalsis, secondary factors leading to constipation in the group of patients under palliative care include, inter alia, lower physical activity [5,[10][11][12], limited amount of food and liquids intake, inadequate diet or the lack of intimacy and independence during defecation, which leads to ignoring the urge to defecate and, as a result, to constipation [5,6,13]. An inability to sit up, which is common among the patients of hospices, also leads to fecal loading [5,6,[14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

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Effects of abdominal massage on constipation in palliative care patients – a pilot study

Dadura¹,

Stępień²,

Iwańska³

et al. 2017

Advances in Rehabilitation

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Introduction: The problem of constipation in Poland concerns 13.4% of the healthy population. In the case of patients treated with opioids, this number increases to 70-90%, which constitutes a serious problem that lowers the patients’ quality of life. The aim of the study was to assess the effects of abdominal massage, which successfully reduces constipation in various diseases, on palliative care patients. Material and methods: The research included 18 patients of a palliative care facility (mean age 78.3 ± 10 years), 11 of whom completed the study. The study participants were randomly divided into two groups, i.e. a pilot group (abdominal massage and kinesiotherapy) and a control group (kinesiotherapy). The therapy lasted 8 weeks and blind evaluation was carried out once per week. The study involved evaluating constipation intensity (The Bowel Function Index), the frequency of defecation (medical documentation) and abdomen circumference (anthropometric tape). The collected data were analysed statistically with the use of Statistica software. Results: The observed differences between the studied groups undergoing different therapies in subsequent weeks were not statistically significant. However, in the group in which abdominal massage was implemented, a decrease in the intensity of constipation, an increase in the frequency of defecation and a reduction in abdomen circumference were noted compared to the control group. The patients also indicated additional positive effects of this form of therapy, i.e. an improvement in breathing, easier urination, release of excessive gas and abdominal pain reduction. Conclusions: The collected data led to the conclusion that abdominal massage may result in a decrease in disorders accompanying opioid-induced constipation. Therefore, it is worth considering the implementation of this form of therapy in the case of patients in an advanced stage of cancer. There is also a need for further research in this field which will include a larger number of patients.

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Short-term effects of connective tissue manipulation in women with primary dysmenorrhea: A randomized controlled trial

Özgül

Üzelpasaci

Orhan

et al. 2018

Complementary Therapies in Clinical Practice

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Effect of Connective Tissue Manipulation on Symptoms and Quality of Life in Patients With Chronic Constipation: A Randomized Controlled Trial

Cited by 25 publications

References 26 publications

Effects of Dielectric Monopolar Radiofrequency with Vacuumtherapy in the Treatment of Chronic Constipation in Patients with Intellectual Developmental Disorders

Effects of Dielectric Monopolar Radiofrequency with Vacuumtherapy in the Treatment of Chronic Constipation in Patients with Intellectual Developmental Disorders

Effects of abdominal massage on constipation in palliative care patients – a pilot study

Short-term effects of connective tissue manipulation in women with primary dysmenorrhea: A randomized controlled trial

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