Document Detail


The use of abdominal muscle training, breathing exercises and abdominal massage to treat pediatric chronic functional constipation.
MedLine Citation:
PMID:  23375005     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
AIM: The effect of muscular training, abdominal massage and diaphragmatic breathing was compared with medical treatment in a prospective randomizedtrial of patients with chronic functional constipation. METHOD: Patients aged 4- 18 years old with functional constipation according to the Rome III criteria were randomized to physiotherapy or medical treatment. In the physiotherapy group, exercises (isometric training of the abdominal muscles, diaphragmatic breathing exercises and abdominal massage) were employed during 12 forty minute sessions, twice a week by a trained physiotherapist with laxatives. Patients in the medication group were only given laxatives.Primary outcome measures were frequency of defaecation and faecal incontinence. The analysis was performed by intention-to treat. RESULTS: After six weeks of treatment, the frequency of bowel movements was higher in the physiotherapy (5.1 [2.1] days/week) than in the medication group (3.9 [2.0] days/weeks;[p=0.01]) The frequency of faecal incontinence was no different between the groups (3.6[1.9] days/week v3.0[2.1] days/week; [p=0.31]). CONCLUSION: The combined use of isometric training of abdominal muscles, breathing exercises and abdominal massage increased defecation frequency after 6 weeks but faecal incontinence remained unchanged Physiotherapy may be a useful treatment for constipation © 2013 The Authors. Colorectal Disease © 2013 The Association of Coloproctology of Great Britain and Ireland.
Authors:
Carlos André Gomes Silva; Maria Eugênia Farias Almeida Motta
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-2-1
Journal Detail:
Title:  Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland     Volume:  -     ISSN:  1463-1318     ISO Abbreviation:  Colorectal Dis     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-2-4     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883611     Medline TA:  Colorectal Dis     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2013 The Authors. Colorectal Disease © 2013 The Association of Coloproctology of Great Britain and Ireland.
Affiliation:
Pós-Graduação em Saúde da Criança e do Adolescente, Universidade Federal de Pernambuco.
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