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Effect of Spinal Magnetic Stimulation on Management of Functional Constipation in Adults

Not Applicable
Completed
Conditions
Functional Constipation
Interventions
Other: spinal magnetic stimulation
Registration Number
NCT05221255
Lead Sponsor
University of Alexandria
Brief Summary

conservative management of functional constipation is a preferable method including biofeedback and spinal magnetic stimulation sessions

Detailed Description

Constipation varies in presentation and severity among patients and affects patients' quality of life of varied degrees depending on how it manifests and how severe it is. The prevalence of constipation in the general population is estimated to affect about 20% of the population

Spinal Magnetic Stimulation (SMS) is a non-invasive, painless neurophysiological treatment that uses extracorporeal magnetic stimulation to direct extracorporeal magnetic stimulation to the spinal nerves and deep muscles to aid bowl evacuation without the use of surgery. This noninvasive approach was created to help with micturition, expiration, and bowel function

The aim of this work is to study the efficacy of SMS and biofeedback versus biofeedback in the management of functional constipation.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • adults patients diagnosed by Rome IV criteria as having functional constipation
Exclusion Criteria
  • Patients younger than 18 years old.
  • Patients with irritable bowel syndrome.
  • Anal hemorrhoids or bleeding.
  • Any condition that may complicate bowel problems, such as Parkinson's disease, stroke, or traumatic brain injury.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Sham Therapyspinal magnetic stimulationPatients will receive 12 sessions of biofeedback-assisted pelvic floor muscle relaxation plus non-real magnetic stimulation.
Spinal magnetic stimulationspinal magnetic stimulationPatients will receive 12 sessions of biofeedback-assisted pelvic floor muscle relaxation followed by real spinal magnetic stimulation.
Primary Outcome Measures
NameTimeMethod
Numerical rating scale (from 0 to 10)After 15 days

pain assessment, zero indicates no pain, 10 indicates maximum pain degree

Patient Assessment of Constipation Quality of Life questionnaireAfter 15 days

Assessment of quality of life (from 9 to 127) lower scores indicating fewer problems

pressure manometryAfter 15 days

Assessment of pelvic floor power of contraction

Number of weekly bowel movementafter 15 days

Mean weekly complete spontaneous bowel movements.

The Bristol Stool Scale (from 1 to 5)After 15 days

Stool consistency

Secondary Outcome Measures
NameTimeMethod
Number of weekly bowel movementafter one month

Mean weekly complete spontaneous bowel movements.

The Bristol Stool Scale (from 1 to 5)After one month

Stool consistency

Numerical rating scale (from 0 to 10)After one month

pain assessment, zero indicates no pain, 10 indicates maximum pain degree

Pressure manometryAfter one month

Assessment of pelvic floor power of contraction

Patient Assessment of Constipation Quality of Life questionnaireAfter one month

Assessment of quality of life (from 9 to 127) lower scores indicating fewer problems

Trial Locations

Locations (1)

Nehad ElShatby

🇪🇬

Alexandria, Egypt

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