Massage
Conditions
Keywords
Constipation, Laxatives, Massage
Brief summary
This study aimed to evaluate the effect of abdominal massage with senna-based laxative in managing overflow retentive stool incontinence in pediatrics.
Detailed description
Much attention has been devoted to children with overflow retentive stool incontinence (ORSI) by the pediatric surgeons, as the referral of such cases from pediatric facilities is constantly increasing. An important initial step in managing these children is the exclusion of Hirschsprung's disease starting by water-soluble contrast enema. Conservative management of ORIS is generally successful. The aim of the treatment is to achieve and maintain regular bowel movements free of symptoms Laxatives remain the mainstay of maintenance therapy of ORSI; yet, there is no standard laxative therapy despite the varieties of medication currently available. New information to these queries can be beneficial to medical staff involved in managing overflow retentive stool incontinence in pediatrics, Possibly it may add new guideline of treatment with more good result , short time and decrease the laxative dose.
Interventions
OTHERAbdominal massage
The patients lying in comfortable relaxed supine position and physiotherapist performed slow circular clockwise movements on the abdomen, throw tangential pushing, with digital pulp, slow and gradual pressure, with fingers inclination 45 degree. The pressure applied to the abdomen on each point for 1 min, beginning with the ascending colon, transverse colon, descending colon and sigmoid; this sequence was repeated approximately 15 min. The therapist teaches the parents this technique and asked them to apply at home 3 times / day for 15 min.
Sponsors
South Valley University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
Blinding process to participants and care providers was impossible due to the nature of intervention therapy. Data were analyzed by an impartial statistician (outcomes assessor), referring to each arm with an encoded name: Group A (control group) and Group B (study group).
Intervention model description
First group receives senna-based laxatives . Second group managed by abdominal massage with senna-based laxatives. Evaluation of outcome of two groups as regard to continence and radiological study.
Eligibility
Sex/Gender
ALL
Age
4 Years to 14 Years
Healthy volunteers
No
Inclusion criteria
* Pediatric patients with ORSI according to Rome III criteria * Contrast enema suggestive of fecal loading * the absence of anatomic, physiologic or pathologic reason for their constipation
Exclusion criteria
* radiological suspicion of Hirschsprung's disease, * anorectal malformation, * mechanical obstruction, * failed to comply with the offered treatment (mainly if cramping abdominal pain or vomiting occurred), * Required bowel surgery. * spina bifida, spinal cord injury,
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| starting dose | starting dose was assessed at day 0. | the effective starting dose at the begining of treatment. |
| end dose | end dose was assessed at day 0. | the effective ending dose (maintenance dose) at the end of treatment. |
| time till not soiling | time till not soiling was assessed at day 0. | Stool soiling (encopresis) happens in children who are toilet trained. It's when they accidentally leak feces (poop) into their underwear. Constipation is one of many causes of stool soiling. Other causes include irritable bowel syndrome or when a child is fearful of the bathroom. |
Countries
Egypt
Outcome results
None listed