Investigating the Correlation Between Functional Constipation and Sacroiliac Joint Disorders
概览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- Middle East University
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- Distraction Test (SI Joint Gapping)
概览
简要总结
Constipation is a common gastrointestinal issue affecting individuals worldwide. Interferential therapy, a form of electrotherapy, has been suggested to have potential benefits in improving gastrointestinal motility and relieving constipation symptoms. Introducing of a new method like electronic cupping therapy with interferential therapy may optimize the therapeutic outcomes by potentially increasing bowel movements and improving overall gastrointestinal function.
详细描述
Objective
The purpose of this study was to Investigate the correlation between functional constipation and sacroiliac joint disorders Methods: This study involved 200 patients with chronic constipation, consisting of 120 females and 80 males, ranging in age from 25 to 60 years. All participants were allocated into two groups: Group (A) patients with constipation, Group (B) patients without constipation
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- 25 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Inclusion Criteria:
- •history of Chronic Constipation (CC), as defined by either experiencing two or fewer Complete Spontaneous Bowel Movements (CSBMs) per week for a minimum of 6 consecutive months before the screening visit
- •Reporting a sensation of incomplete evacuation or straining during at least a quarter of their bowel movements (according to the generally accepted definition of constipation).
- •Patients must have had CC persisting for more than 6 months, failed to respond to or be intolerant of medical treatment for at least 3 months
- •Inclusion Criteria (for group B):
- •Not having functional constipation
排除标准
- •\- pregnant or lactating women
- •Chronic Constipation (CC) resulting from anorectal malformations such as colorectal or anal organic lesions, pelvic floor disorders requiring surgical intervention as determined by the investigator (such as rectal prolapse, rectocele, or enterocele)
- •presence of implanted electronic devices like cardiac pacemakers, defibrillators, cardiac pumps, or spinal stimulators
- •CC attributable to medications or neurologic, endocrine, or metabolic conditions
- •prior history of partial colectomy; conditions like megacolon, megarectum, or colonic inertia
- •skin abnormalities that hinder the placement of electrodes
- •women lacking adequate contraception (hormonal or intrauterine device).
研究组 & 干预措施
group A: Patients with constipation
Both the rectum and the sacroiliac joint share innervation from sacral spinal segments S2-S4. Neural signals from the rectum can influence SI joint sensory nerves via viscerosomatic and somatovisceral reflex arcs. This means chronic constipation may both result from and contribute to SI joint dysfunction.
group B: Patients without constipation
Accumulated stool in the rectum and sigmoid colon can physically press on pelvic structures, stretching ligaments and tensioning muscles around the SI joint. This may trigger or mimic SI joint dysfunction.
结局指标
主要结局
Distraction Test (SI Joint Gapping)
时间窗: 6 months
Position of patient: Supine. force: posterior-lateral force to both ASISs at same time results: pain in SI region
Thigh Thrust Test
时间窗: 6 months
Position of patient: Supine, hip and knee of affected side flexed 90°. force: Stabilize opposite ASIS, apply posterior force through femur. result: Focal SI pain.
Sacral Thrust Test
时间窗: 6 months
Position of patient: Prone. force: Apply an anterior shear force to sacrum (over S2). result: Reproduction of pain in SI region.
次要结局
未报告次要终点
研究者
Emad Eldin Mohamed
associate professor
Middle East University