Abdominal Massage With TENS on Parasacral Versus Sacral Area on Symptom,Severity & QOL in Chronic Constipation Females.

Not Applicable

Completed

Interventions: Other: Transcutaneous Electrical Nerve Stimulator
Other: TENS on para sacral area with Abdominal Massage

Brief Summary: Constipation is Infrequent or difficult evacuation of FECES. These symptoms are associated with a variety of causes, including low DIETARY FIBER intake, emotional or nervous disturbances, systemic and structural disorders, drug-induced aggravation, and infections. Patients complaining of constipation may mean different things by the term The frequency of their bowel actions may be less than 'normal', their stools maybe difficult to pass, or they may have a sense of malaise or abdominal discomfort which they attribute to a 'sluggish bowel', though the stool frequency and consistency are apparently normal. Objective of this study is to compare effects of Abdominal massage. withTENSonparasacralversussacralareaonsymptomseverityandqualityoflifein severechronicconstipationamongyoungfemales.

Detailed Description: This study will be a Randomized Clinical trial and will be conducted at services Hospital in Lahore. The study will be completed with in the time duration of eight months. Purposive sampling technique will be used to collect the data. A sample size of Total 24 patients will be taken in this study. Patients will be divided into two groups.(Group A will be treated with TENS on sacral area and abdominal massage where as Group B will be treated with TENS on par sacral area and abdominal massage).PAC-SYM Questionaire,PAC-QOL Questionaire will be used to ask some questions related to patients 'symptoms and abdominal cramps or bloating.. All participants of the study will fill the PAC-SYMQ and PAC-QOL Q on day 1 as pre treatment values and at the end of 4th session as post treatment values respectively. The collected data will be analyzed on SPSS-25.

Keywords : constipation, Quality of life , abdominal massage.

Recruitment & Eligibility

Inclusion Criteria

Exclusion Criteria

Organic dysphasia or secondary constipation caused by laxatives for unrelated conditions.
Pregnant females suspected pregnant subjects, as well as those who were breast-feeding
Non co-operative patients
Female with underlying disease

Arm && Interventions

Group	Intervention	Description
Group: A	Transcutaneous Electrical Nerve Stimulator	TENS on sacral areas with Abdominal Massage
Group: B	TENS on para sacral area with Abdominal Massage	TENS on para sacral area with Abdominal Massage

Primary Outcome Measures

Name	Time	Method
PAC-SYM Questionnaire	8 weeks	It is a self-reported questionnaire consisting of 12 symptoms divided into three domains: abdominal, rectal and stool, with responses rated on a. 5-point.The Patient Assessment of Constipation-Symptoms (PAC-SYM) questionnaire is frequently used in clinical trials of constipation. However, the threshold for reduction in total PAC-SYM score used to define a clinical response on this 0-4 point scale has not undergone formal appraisal, and its relationship with clinical benefit as perceived by patients has not been defined. PAC-SYM Questionnaire Validity is 0.68 to 0.72 and reliability is 0.75to 0.89
PAC-QOL Questionnaire	8 weeks	The following questions are designed to measure the impact constipation has had on your daily life over the past 2 weeks. The overall PAC-QOL score consisted of four domains: physical discomfort, psycho- social discomfort, satisfaction, and worries and concerns. A lower score indicated a better outcome for symptomatic relief and QOL. PAC-QOL Questionnaire Validity is 0.76 to 3.41 and reliability is \>0.80.

Secondary Outcome Measures

Name	Time	Method

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