Cerebral Palsy, Constipation, Diplegia, Quadriplegia
Conditions
Keywords
Standing-frame, Chronic constipation, Cerebral palsy, Quadriplegia, Severe diplegia
Brief summary
Children with Cerebral Palsy and quadriplegia or severe diplegia suffer from highly reduced mobility and consequent constipation. Clinicians frequently recommend standing-frames to exercise the support reaction in this population, sharing the opinion that the upright position may facilitate intestinal transit, although no evidence supports this assumption. The investigators conducted this single-subject research to determine the effects of the standing-frame on the frequency of evacuation in chronically constipated children with CP and quadriplegia. Moreover, the investigators studied its effects on the frequency of induction of evacuation, the characteristics of the stool and the pain suffered by the child due to constipation and/or evacuation.
Interventions
DEVICEstanding-frame
Sponsors
Azienda Unita' Sanitaria Locale Di Modena
Stefania Costi
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
3 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
were: * clinical indication for the use of the standing-frame; * constipation problems as defined by guidelines (Clinical Practice Guideline, 2006); * whose parents gave the informed consent to let their child to participate in this study.
Exclusion criteria
were: * children who have orthosympathetic reactions to the upright position, skeletal deformities and/or medical conditions that, according to clinical judgment, advise against the use of the standing frame.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| bowel evacuation frequency | 14 weeks | Using a daily-diary where the caregivers collect the data about the bowel evacuation frequency |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Bowel evacuation inductions frequency | 14 weeks | Using a daily-diary where the caregivers collect the data about the bowel evacuation inductions frequency |
Other
| Measure | Time frame | Description |
|---|---|---|
| pain related to the bowel evacuation | 14 weeks | Using a daily-diary where the caregivers collect the data about the pain related to the bowel evacuation |
| distress of the caregiver | 14 weeks | Using a daily-diary where the caregivers collect the data about the distress of the caregiver |
Countries
Italy
Outcome results
None listed