Chronic Constipation
Conditions
Keywords
manual massage, automatic massage, colonic massage, intermittent colonic exoperistalsis
Brief summary
The aim of this study is to do a systematic review and metanalysis of the scientific literature to compare the effectiveness of the manual vs the automatic colonic massage intervention in patients with chronic constipation.
Detailed description
Retrieval Strategy * Computer retrieval of clinical literature on abdominal massage for constipation published between 1990 and December 2024 will be conducted in: * NCBI PubMed. * Research Gate. * Google Scholar. * Ovid. * English retrieval terms included: colon, abdominal, constipation, bowel function, transit time, massage, and device. * A cross-retrieval will be conducted to screen the literature that met the inclusion criteria. Literature screening and data extraction * The literature search will be independently performed by two researchers. * Identified studies will be imported into EndNote×9 and Mendeley for organization. * Articles will be evaluated based on predefined inclusion and exclusion criteria. * Duplicates from various databases will be removed. * Clearly irrelevant articles will be excluded based on their titles and abstracts. * Full texts of the remaining studies will be thoroughly reviewed, and those that met the criteria will be included. * The final dataset will be cross-verified. * Discrepancies will be resolved through discussion or by involving a third researcher with a PhD for arbitration. * Extracted data included: * First author's name * Publication year * Study type * Sample size * Participant gender and age * Interventions in both experimental and control groups * Treatment duration and frequency * Primary and secondary study outcomes * Quality assessment of the studies * Study characteristics, along with the study design, description of interventions (type of colon massage applied), and indices of evaluated results, will be organized using an Excel-based data extraction form. Quality evaluation * Quality assessment of the literature will be conducted using the "risk of bias" tool recommended by the Cochrane Handbook for Systematic Reviews (Rob2.0 and Robins-E). These tools evaluate various bias domains, including randomization, deviations from intended interventions, missing data, outcome measurement, and selective reporting. Each domain will be rated as having a high, unclear, or low risk of bias. * Disagreements between the two researchers regarding the literature's conclusions will be resolved through discussion or by a third researcher.
Interventions
None listed
Sponsors
usMIMA S.L.
Study design
Observational model
OTHER
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
Literature Inclusion Criteria: * Study type: * Clinical studies using abdominal/colon massage to treat constipation. * Articles published between 1990 and till the day of literature search with original work (experimental and quasi-experimental ) or dealing with the application of colon massage to gastrointestinal function. * Study subjects: * Patients with constipation. * Individuals of any gender, age and ethnicity. * Interventions: \- Manual or automatic colon massage treatment for constipation. * Outcomes (including at least one of the following): * Evacuation frequency. * Quality of life parameters. * Symptoms of constipation. * Use of laxatives or enemas. * Adverse events. Literature
Exclusion criteria
* No abstract available, reviews, conference abstracts, dissertations, registration documents, clinical experience summary analysis, animal experiments, etc. * Studies where the treatment was non-colon specific. * Studies involving invasive treatments. * Other treatments intended to treat constipation such as surgical interventions, acupuncture, acupoint application, and others considered medicinal alternative therapies. * Documents written in languages other than in English, German, Spanish, as well as other European languages, including Italian, French, and Portuguese. * Incorrect or incomplete case data.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quantitative evaluation of manual vs. automatic colon massage for chronic constipation relief | 34 years | Quantitative comparison of manual and automatic colon massage efficacy in relieving chronic constipation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evacuation frequency | 34 years | Number of bowel movementes per week |
| Quality of life questionnaire in relation to constipation | 34 years | Semi-Quantitative score derived from standardized qualitative questionnaires evaluating quality of life in relation to chronic constipation. |
| Adverse events | 34 years | Any secondary adverse effect directly derived from the treatment, including Serious Adverse Events (SAE) |
| Aids to evacuation | 34 years | Use (total number of days in use or total dose per week) of any aid to facilitate evacuation such as laxatives, enemas, digitation.... |
Countries
Spain
Contacts
STUDY_DIRECTORImmaculada Herrero-Fresneda, PhD
usMIMA S.L.
PRINCIPAL_INVESTIGATOREugenia Delgado, PhD
usMIMA S.L.
Outcome results
None listed