None listed
Conditions
Brief summary
The aim of this study is to assess the effect of a visceral manual therapy intervention in pressure pain threshold , back range of motion and lower limbs extensibility sensitivity and posture in subjects with functional chronic constipation (CC). The main hypothesis of the study is that a visceral manual therapy intervention called modified abdominal hemodynamics maneuver in patients with functional chronic constipation will cause a change in the sensitivity of trigger points of a range of tissues in diferent sparts of the body, a change in the mobility of the spine and pelvis in flexion, and at last a postural change
Interventions
Intervention Group: Modified abdominal hemodynamics maneuver applied over the whole abdominal visceral mass performed in three phases. In the first phase, the therapist places the ulnar border of both hands on hypogastric region asking the patient breathe widely so that in the inspiratory phase the therapist pulls the visceral mass towards its head. In the second and third phases, the therapist contacts with both hands respectively in the right and left patient iliac fossa and follows the procedure described above, so that in the inspiratory phase the therapist pulls the visceral mass to the left shoulder of the patient in the second phase and to the right shoulder in the third phase. The intervention will be performed by a qualified physiotherapist with over 6 years of experience in the field of manual therapy. The intervention will be conducted in one session, performing 10 repetitions in each of the phases.
Sponsors
Study design
Eligibility
Inclusion criteria
(a) Diagnosis of functional chronic constipation (following the Rome III criteria, specifically the symptom-based diagnostic criteria of functional constipation; and the Bristol scale on stool form); (b) ages between 18 and 50 (c) sign the informed consent.
Exclusion criteria
(a) have suffered some abdominal and/or lumbar surgery, (b) ongoing pregnancy, (c) suffering from rheumatism, spinal stenosis, cancer infectious and/or neurological diseases, (d) have suffered any trauma to the chest or abdominal cavity in the last 6 months, (e) suspected aortic aneurysm and/or psychiatric illness (f) in the past 72 hours have taken medications that may interfere with the measurements, (g) receiving osteopathic / visceral manual therapy in the last month (h) present any disability that prevent the performance of the required evaluations or (i) present any contraindication to intervention technique