Constipation
Conditions
Keywords
constipation, massage, tensegrity
Brief summary
The purpose of this study is to compare the effectiveness of massage based on the tensegrity rule and classical abdominal massage in persons with constipation.
Detailed description
Constipation can be defined as an embarrassing ailment of the 21st century. It affects about 20-25% of the population, women as well as men, but occurs more frequently in women (female:male ratio of 2.2:1). Persons of different age suffer from it. Constipation is a bothersome ailment which negatively affects the general physical and mental state, lowers physical and mental fitness, significantly hinders professional work, and decreases life comfort As the factors which contribute to the occurrence of constipation are very diverse and complex, the treatment is a long-term and slow process. There are numerous conservative treatment methods for constipation, such as physical treatments, reflexotherapy, biofeedback, pharmacotherapy, and modification of lifestyle. There is also a possibility of applying classical massage in persons with constipation. However, observations of the authors suggest it is not a therapy commonly applied.
Interventions
The massage consist of brushing the skin, stroking of the lower abdominal integuments. Elastic deformation of the thoracolumbar fascia. Then the abdominal integuments were elastically deformed by kneading to normalize the rest tension of the muscles of the abdominal integuments as well as, indirectly, the myofascial apparatus of the pelvic floor and in this way improve venous blood and lymph outflow from the large intestine and the sigmoid colon area. The next treatment stage - performing circular movements within the limits of the skin's mobility at 1/3 of the medial part of the thigh. By stroking movements in the direction of the armpit in accordance with the run of the thoracoepigastric and costalaxillary veins. Then the intercostal muscles were deformed.
The classical abdominal massage consisted of circular movements performed on the abdominal integuments by superficial and deep stroking techniques according to the colonic route (clockwise)
Sponsors
Study design
Eligibility
Inclusion criteria
1. age from 18 to 70 years old 2. after therapy with Vermoks 2\*1/ 3 regardless of body weight 3. negative Elis test for lambliasis 4. proper laboratory tests results: bilirubin, FA, GGTP, AspAT, AlAT 5. ultrasound scan of the abdominal cavity 6. positive interview based on questionnaire
Exclusion criteria
1. present cancer or prior cancer treatment, if there is no clear agreement of the involved oncologist 2. renal insufficiency \> II NYHA 3. cardiovascular problems 4. respiratory insufficiency \> II degree GOLD 5. unstable coronary disease 6. hypertensive crisis 7. liver insufficiency 8. prior liver transplant 9. prior or active hepatitis 10. jaundice 11. prior surgical treatments except: appendectomy \>5 years before, cholecystectomy 5 years before 12. unequalized endocrinopathies 13. metabolic storage diseases 14. diabetes 15. nephrolithiasis 16. cholelithiasis 17. pancreatitis 18. chronic diseases of the intestines 19. diseases of the muscles 20. pregnancy 21. parasite infections of the digestive system (infection with human roundworm, lambliasis) 22. age above 18 years old 23. BMI\> 33 24. improper ultrasound scan result or laboratory tests results 25. blood presence in feces
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient Questionnaire (including Rome Test) | baseline (immediately before the first massage session) | The aims of the Patient Questionnaire were to proof constipation presence and supply evidence of the frequency and the quality of bowel movements, and to compare them with the state from Diary |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Diary of Bowel Movements | on 7th day and 21st day from the 1st massage session | The aims of the Diary were to supply documentary evidence of the frequency and the quality of bowel movements, and to compare them with the state from before the experiment (the Patient Questionnaire). |
Countries
Poland