Chronic constipation. Constipation
Conditions
Interventions
Intervention 1: Intervention group 1: Individuals in this group will receive Visual Therapy with Enraf (632x Myomed) biofeedback device, two 30- minute sessions per week, for 3 months. Step 1, Patient
The paradoxical state of sphincter voluntary contraction or inability to relax the anal muscles during excretion is explained to the patient. Pushing during excretion (like stool excretion): At this s
Pelvic floor relaxation technique: At this stage the patient is flanked and the rectal probe is placed by the therapist then the patient will be taught how to facilitate the rectal canal and the rectu
the patient is asked to relax the anal canal while exerting pressure on the abdomen (abdominal rectus muscle and diaphragm). In the first stage, the breathing technique must be corrected when attempti
Sponsors
Tabriz University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
18 Years to 54 Years
Inclusion criteria
Inclusion criteria: Symptoms of chronic constipation for 6 month No drug use in intervention groups during last two weeks Age range of 18-54 years
Exclusion criteria
Exclusion criteria: Presence of systemic diseases Irritable bowel syndrome Secondary constipation anatomical, endocrine, metabolic, neurological, surgical factors Blood diseases or taking anticoagulants drug such as Heparin and Warfarin Abdominal aneurysm Pregnant and lactating women Presence Pacemaker Psychological and psychiatric disorders Addiction and Alcohol abuse Understanding problems
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Constipation severity. Timepoint: Before intervention and at the end of the intervention. Method of measurement: Comprehensive constipation questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| Evaluation of the intensity of anal sphincter muscle activity. Timepoint: Before intervention and at the end of the intervention. Method of measurement: The intensity of sphincter muscle activity will be measured using an electromyograph (EMG).;Evaluation intensity of abdominal muscle activity. Timepoint: Before intervention and at the end of the intervention. Method of measurement: The intensity of abdominal muscles activity will be measured using an electromyograph (EMG).;Evaluation anal resting pressure. Timepoint: Before intervention and at the end of the intervention. Method of measurement: The anal resting pressure will be measured using the anorectal manometery.;Evaluation anal squeeze pressure. Timepoint: Before intervention and at the end of the intervention. Method of measurement: The anal squeeze pressure will be measured using the anorectal manometery. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactFariba Ghaderi
Tabriz University of Medical Sciences
Outcome results
None listed