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Visceral manipulation to treat functional constipation in stroke survivors: A randomized, controlled, double-blind, clinical trial

Journal: Journal of Bodywork and Movement Therapies Date: 2018/10, 22(4):Pages: 868. doi: Subito , type of study: randomized controlled trial

Full text    (https://www.bodyworkmovementtherapies.com/article/S1360-8592(18)30296-1/fulltext)

Keywords:

visceral manipulation [23]
osteopathy [460]
stroke survivor [1]
physiotherapy [48]
conference abstract [108]
constipation [34]
large intestine [1]
defecation [4]
randomized controlled trial [710]

Abstract:

Introduction: Chronic functional constipation is common among stroke survivors. Visceral manipulation can be used as a form of treatment, as it acts on the structures surrounding the bowels that may have lost their normal capacity of resilience. The aim of the present study was to evaluate the effect of visceral manipulation on symptoms of functional constipation in stroke survivors. Methods: Thirty stroke survivors met the eligibility criteria and were randomly allocated to an experimental group and control group. Both groups were submitted to conventional physical therapy to rehabilitate the functional sequelae caused by the stroke. The experimental group was also submitted to a visceral manipulation approach (sphincter inhibition and mobilization of the large intestine), whereas the control group was submitted to a sham procedure (superficial touching over the intestines). Evaluations were conducted prior to the intervention, immediately after the first intervention session, and one week after the end of the five sessions. The intestinal symptoms rating scale was administered during the pre-intervention evaluation and one week after the end of the intervention. Results: Significant results were found in frequency of bowel movements of the experimental group after intervention, especially with: reduction of the percentage of patients that had bowel movements once every 3 days (from 53% to 21.4%, p=0,02) and increase of the percentage of patients that had bowel movements once or twice a day (from 0% to 14.2%, p=0,04). Significant improvements were also found in intestinal symptoms of the experimental group (Table 1). Conclusion: Visceral mobilization can be part of a neurologic rehabilitation program to improve symptoms of constipation in stroke survivors. [Figure presented]


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